The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
=The Treatment of Diabetes.=—Dr. Basham records some cases of diabetes
treated very successfully with alkalies and the phosphatic salts of
ammonia, and he expresses an opinion very favourable to this method of
treatment. The following is the prescription employed:—Phosphate of
ammonia and carbonate of ammonia of each ten grains, aromatic spirit of
ammonia half a drachm, water an ounce, added to the juice of a fresh
lemon, and taken three times a day. This line of treatment was continued
for four months, with the results tabulated below:—
Mean Sugar
sp. gr. per oz.
September (began phosphatic salts) 1037 18 grains.
October 1040 18 grains.
November (great increase of urates) 1036 6 grains.
December 4th (large proportion of urea and
urates) 1018 ½ grain.
December 28th (urea and urates in excess, a large
crop of crystals of oxalate of lime after
cooling) 1024 Nil.
January 26, 1869 (same as above) 1026 Nil.
(See _British Medical Journal_, April 10.)
=Silver-wire Ligatures for the Pedicle in Ovariotomy.=—Dr. Marion Sims
calls attention to a recent case in which he performed ovariotomy, in
order to explain his method of dealing with the pedicle. In the
particular instance the walls of the abdomen were so thick, and the
pedicle was so short, that it would have been impossible to secure it in
the usual way by the clamp externally. In such cases he has always held
that the pedicle is best secured with silver-wire ligatures and dropped
back into the pelvic cavity. “If the pedicle be small, it is enough to
transfix it with a double silver-wire and secure the two halves by
firmly twisting the wires on opposite sides.” If it be broad, it
requires a number of separate wires. This case required eight deep
silver sutures for closing the external wound, care being taken to pass
them through the divided edges of the peritoneal coat. A piece of lint,
wet with carbolic lotion, was laid over the wound, and secured by a
bandage, and a large compress of cotton wadding. The urine was drawn off
for three days. There was no constitutional disturbance, and the patient
was convalescent from the moment of the operation. (See _British Medical
Journal_, April 10.)
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