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proved to be a needle about two and one

half inches in length. It was quite dark Editor Medical Summary:

in color. Otherwise it resembled a plain

household needle. Si has had ruthing to John B., age 40 years, gave me the fol

do with needles or other feminine accoulowing history: For two months he has

trements for lo these many years, and has been suffering a great deal from neuralgia

no recollection of absorbing a needle either -lateral surface of head-extending over

internally or externally. The question cervical region, axilla, and arm. Follow

naturally arises, where did it come from? ing this he noticed swelling over cervical

W. T. MARRS, M. D. region of neck and under his arm. In this condition he came to me for relief.

Peoria Heights, Ill. Examination of Case.-The lymphatic glands, beginning from under lobule of ear,

REMOVAL OF FOREIGN BODIES extending along cervical region of neck to axilla, were enlarged. Under lobule of

FROM THE NOSE, ETC. ear and axilla these glands seemed to be broken down, so I made an incision in Editor Medical Summary: axillary region, but found no pus. I The usual method recommended to redressed the wound and placed him on in

move foreign bodies from the nostrils of ternal treatment. The glandular swelling children by closing the child's mouth and left the axilla, but remained along the inserting a tube in the open nostril and cervical region, increasing in inflammation. the giving of a sudden, hard blow through I made an incision at angle of jaw along the tube by the operator.

This method the cervical line, and found a hair that had works fairly well, but of late years I have penetrated through the lymphatic gland used the Politzer bag with good results, and had coiled itself in the shape of a the foreign substance generally coming out washer. I expect the hair was eight with force sufficient to send it across the inches long.

At the location where the hair was re- The following wrinkle is handy and moved I found a small amount of pus. In avoids mistakes in giving medicines when a week these wounds were healed and pa- there are several patients in the same tient had no more trouble.

family, or if patients take medicines from I report this case as it is a very rare several glasses. This is done by sticking one, and might be interesting to the readers an ordinary gummed label on each glass, while looking the journal over.

writing name of patient, the dose and the I sent this hair, which is in a coil, to hours for taking the medicine. Apropos of the editor.

cotton jackets, etc., for pneumonia, etc. B. A. WASHBURN, M. D. In place of the cotton-wool I use ordinary Paducah, Ky.

sheet wadding, such as is sold in every drygoods store, using double thickness and

cutting two slits for arms, pining over WHERE DID IT COME FROM? shoulders and on side.

Louis J. Pons, M. D. Editor Medical Summary:

Roxbury, Conn. On February 26, 1905, I had a unique little case.

Si Potts—that is his real name The public school must teach the science -an old fellow who baches out at the of hygiene. It is not its business to reject edge of town, came to see me, stating that children for defects and deprive them of he had sustained a little injury to his school benefits by returning them to the shoulder a couple of weeks before, and parents or guardians. supposed that a sliver of bone was broken

DR. BYRON ROBINSON. loose. Over the deltoid muscle near the shoulder jcint I felt something sharp just Salicin, 5 grains every three hours, is a beneath the skin. I made a little incision, most valuable reniedy in acute rheumatism expecting to find a spiculi of bone. It and in all muscular pains.


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All Books reviewed in this department, will be sent postpaid by the publisher of the Summary

upon receipt of the price quoted.


THE ARTERIES OF THE GASTRO-INTESTINAL tributions were invariably embellished and Tract. With Inosculation Circle, An

enriched with speaking illustrations of the atomy and Physiology with Application

text. A debt of gratitude is due Dr. Robin

son by the medical world for his painstakin Treatment. By Byron Robinson, B. S.,

ing research work for the benefit of the proM. D., Professor of Gynecology and Dis

fession. eases of the Abdominal Viscera in Chicago College of Medicine and Surgery

CLINICAL TREATISES ON THE SYMPTOMA(Medical Department of Valparaiso Uni

TOLOGY AND DIAGNOSIS OF DISORDERS OF versity); Consulting Surgeon, Mary


CIRCULATION. By Thompson Hospital for Women and Chil

Prof. Edmund von Neusser, M. D., Prodren. Chicago Medical Book Co., Pub

fessor of the Second Medical Clinic, lishers, Chicago, Ill., 1908. Price, $1.50.

Vienna, etc. Authorized English TransAs is indicated in the title of this mono

lation by Andrew MacFarlane, M. D., graph, it deals with the arterial supply of the digestive tract. This distinguished au

Professor of Medical Jurisprudence and thor, in a most thorough, painstaking man

Physical Diagnosis, Albany Medical Colner, and in extraordinary detail, describes lege, etc. Part II. Bradycardia and the arteries here concerned, and the bearing Tachycardia. E. B. Treat & Company, of their course and distribution upon the

Publishers, New York. Price, Cloth, functionating of the viscera. They supply

$1.25 under both, physiologic and pathologic conditions. The author states that one of the The heart being the vital center of the chiefly desired objects of the book is to organized body of man, or the fons et present the unlimited utility of the "inoscu- origo of circulation, as it were, must be lation circle" in the cure and prophylaxis of seriously considered in practically every disease.

disease, and its condition is very often the · Dr. Robinson is an anatomist of well- most reliable indicator of the result and known ability. His special work is in the best indicates the progress of the disease intestinal, urinary and genital tract, where of affection. All the factors involved in he has reduced physiology to elementary the decrease and increase of the heart's principles, and none other has so clearly action have been brought together in a recognized or so consistently taught the most admirable manner, and the author functional significance of his findings. The emphasizes the fact that the study of the "circles," which are so lucidly described in cardiac phases is an important part of the the text, are also admirably well presented work of every practitioner. The value of in illustrations. A number of articles from the study of symptoms, as observed at the the pen of this indefatigable worker or bedside of the patient, is particularly emdelver in research work, have appeared in phasized throughout this series of monothe columns of THE SUMMARY. His con- graphs, and hence their worth for careful


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Exposition of the Etiology, Bacteriology, Pathology, Symptomatology, Prophylaxis, and Treatment of So-Called Ptomaine Poisoning. By Prof. Dr. A. Dieudonne, Munich. Authorized Translation, Edited, with Additions, by Dr. Charles Frederick Bolduan, Bacteriologist, Research Laboratory, Department of Health, City of New York. 128 Pages. E. B. Treat & Co., Publishers, 241-243 West Twenty-third St., New York. 1909. Price, Cloth, $1.00.

The subject of this small volume interests all of us to a certain degree, at any rate, and as "Bacterial Food Poisoning," in the original has, within a year, become favorably known as one of the best presentations of the subject, and as in the translation the American editor has incorporated descriptions of a number of recent outbreaks of food poisoning, elaborating upon the prophylaxis applicable to American conditions, and also going more fully into detail on the subject of treatment, slightly re-arranged the material, an index added to facilitate reference, this, with the other changes and additions, greatly enhances the value of the volume.

eases, Post-Graduate Medical School; Attending Genito-Urinary Surgeon, PostGraduate and City Hospitals, New York. 225 Pages. 41 Illustrations, i Colored Plate. E. B. Treat & Co., Publishers, 241-243 West Twenty-third St., New York. 1909. Price, Cloth, $2.00.

Between the covers of this small volume, containing some two hundred pages, we find much of interest to the general practioner on the subject treated. In fact, it would be a rather difficult matter to name another book, treating the same subject, with a similar amount of matter, that would present anything like the practical knowledge to be gained from the book under consideration. The author, a thoroughly practical physician with vast clinical experience, and a specialist on genitourinary diseases, has fulfilled every promise and intention of this work in making it a guide for the general practitioner, giving practical methods for the diagnosis and treatment of disorders of the urinary blad

While the technique of cystoscopy has been beyond the reach of the general practitioner in the past, recent improvements and reduction in cost of the instruments for the purpose have now brought it within the reach of all. We believe that this little volume will be quite popular in a very short time, as it well deserves to be, and all will profit by its careful perusal undoubtedly.

The best way to prepare a fly blister is to spread the ceratum cantharidis upon a piece of zinc adhesive plaster, and the free margin of the plaster will permit its attachment to the surface of the body.


DISORDERS OF THE BLADDER WITH TechNIQUE OF Cystoscopy. By Follen Cabot, M. D., Professor Genito-Urinary Dis

Subjective pain in reno-ureteral tuberculosis may refer to the healthy or diseased organ—it may be reflex and is uncertain as to locating the disease.—BYRON ROBINSON.




Purgatives act better when given combined rather than given alone.

Salicin may be less effective than salicylic acid, but is indicated in similar cases. However, it acts more kindly in the stomach and less likely to produce ill effects on the heart.

Elix, valerianate of ammonia, dose one teaspoonful, is an efficient yet mild antispasmodic.

Syrup of lactucarium, i to 3 drams, is mild, yet a good anodyne for children; no untoward results. Especially indicated in nervous conditions, such as restlessness and sleeplessness. It deserves more tended use.-Dr. EARP.

Hydrastis canadensis (fluid extract) is an excellent local application in cervicitis, endometritis and vaginitis, the one great objection to its use being its staining properties,

Typhoid fever in old people has a tendency to induce cataract, most probably by reason of a reduced nutrition during the continuance of the fever.

In treating any form of conjunctivitis do not neglect general medication. Open the emunctories, clean out generally; this often means success,

All forms of Bright's disease are liable to eye complications; look for albuminuria retinitis in these cases.

The one cure for diseased tonsils—hypertrophied, atrophied or buried-is complete removal.

Tubercular renal inflammation is the most perfect type of infectious nephritis.BYRON ROBINSON.

In gonorrhea, the fluid extract of hydrastis canadensis mixed with mucilage as thick as can be used by injection, is of much service. It should be retained in the urethra for some time, and the urethra should have been previously cleansed with water or a solution of sodium chloride.

Bryonia is especially indicated in acute lung or bronchial disorders with no pectoration, dry cough, short and harsh, or hacking, with soreness increased by coughing.

For distress or pain in acute inflammatory disease, aggravated by movement or relieved by pressure, give bryonia.

Aloes is one of the best general cathartics, and hence enters into most of the combinations. In action it is almost a specific in some cases.

For flatulence in pregnancy, Ringer récommends 5 to 15 grains of sodium sulphocarbolate after meals.

The public school represents knowledge, progress, civilization.

DR. BYRON ROBINSON. Dr. Grady recommends, as a liniment for the chest, 15 drops of oil of mustard, a dram each of oil of sassafras and cedar, and 4 ounces of alcohol.

It is advised that carbuncle be deeply incised with a cross incision, and that pure carbolic acid be applied deep into the incision. Ichthyol should then be painted on freely, or the wound should be packed with boracic acid.

Next to ergot as a remedial agent to restrain hemorrhage, Dr. Parvin, of Philadelphia, used to place hydrastis canadensis, 15 to 20 drops ter die.

The late Prof. DaCosta, of Jefferson Medical College, used to warmly advocate the use of salicylate of sodium in diabetes, and claims to have had better results with this agent than with any other remedy. Give from a dram to a dram and a half in twenty-four hours.

In the treatment of gout and those with a gouty constitution, Prof. Bartholow used to claim that sulphate of manganese was a remedy of great utility, its virtue being chiefly due to its effect on the hepatic functions.

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