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the diet. She went on to apparent convalescence, the fever almost normal for twenty-four hours consecutively. After having given explicit instructions that no nourishment, except liquids, should pass her lips for two weeks more, and having written a prescription for a restorative tonic, I passed out to return to my home. Her father coming out, detained me in conversation some time, when his wife came out hurriedly and announced that her daughter had been suddenly seized with agonizing pain in her abdomen. She was screaming. I knew then and there that I had a perforation to contend with, but no relief, except with anodynes. The abdomen began to swell, and in twenty-four hours she died with peritonitis. Such things are accidents, are unforseen, and cannot be prevented. The reason I say so is, because I kept down tympanites by enemata of egg emulsion and turpentine in a quart of very warm water, every day. I prepared it by beating the yelk of an egg in a saucer, adding a teaspoonful of turpentine to it, and stirring the mixture into a quart of hot water, which was passed slowly and gradually into the bowels. Great care was used that it should go into the bowls slowly, so as not to distend them suddenly. Perforation is an accident which may occur in even mild cases.

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General myocarditis is always acute. Local myocarditis may be either acute or chronic. Local myocarditis is generally due to formation of a thrombus in the terminal endings of the coronary artery. The symptoms of acute myocarditis are vague and chronic myocarditis in an advanced degree may be present without physical signs and be devoid of clinical expression.

Acute myocarditis generally appears during the course of or in convalescence from an infection. There may be a sense of oppression referred to the precordia, with dyspnea, fainting spells, and frequent sighing. The pulse is rapid and weak, but not often showing any irregularity. The circulation is depressed, face pale, and hands and feet cold. In many of the cases the patient makes no complaint of anything disturbing in the region of the heart. Death is sudden from acute dilatation or cardiac paralysis; this is particularly the case in diphtheria and in pneumonia. The physical examination reveals feeble heart sounds, with sometimes an accentuated mitral first sound. Impulse and apex beat are diminished or entirely imperceptible. In cases developing acute dilatation, an increased area of dullness may be mapped

out.

Chronic myocarditis is generally only suspected for the first time during the course of an infection, since they, alone, seldom or never lead the patient to consult a physician. When the patient consults a physician, and the most thorough examination is given, absolutely nothing may be found upon which a diagnosis could be based. When the symptoms are combined with the symptoms of other trouble, such as a nephritis, it is the combined symptoms which drive the patient to the physician, and these combined symptoms are often baffling to the most expert diagnostician. The complexity of phenomena should put the physician on his guard enough to obtain the most complete

history possible, so that he may trace out the endocarditis previously existing; then the secondary myocarditis; then separate the myocardial symptoms, when possible, from those of the intercurrent disease. Only those cases are easy which present a similar condition elsewhere, as in a thrombosis existing elsewhere, an apoplexy, uremia, etc.—Ed.]

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Favorite Prescriptions

We invite practitioners to send us for this page, one or more of their favorite prescriptions. Only such as your personal experience has convinced you to be of practical use should be submitted.

Formulas plainly written on postal card is a convenient way for sending. Always give them in this order, please.

1. Name of disease. 2. The formula and directions. 3. Your name, town and State.

Reader, let us hear from you in time for the next issue of the Summary. It is our wish that the reader take a special interest in this department of the Summary.

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M. Ft. chart 240. Sig. Give a powder every half-hour to every one or two hours, dry, on the tongue, and swallow without water or other liquid. The bicromate of potassium and milk sugar must be most thoroughly triturated, so as not to show any specks of the bicromate, even by the aid of a strong magnifying glass. Try it; it will not deceive you.

The different strengths of this prescription can be procured at all first-class drugstores.

The above is, perhaps, the strongest made

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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.

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SEVEN HUNDRED SURGICAL SUGGESTIONS. PRACTICAL BREVITIES IN SURGICAL DIAGNOSIS AND TREATMENT. By Walter M. Brickner, B. S., M. D., Assistant Adjunct Surgeon, Mount Sinai Hospital, New York; Editor-in-Chief American Journal of Surgery, Eli Moschcowitz, A. B., M. D., Assistant Physician, Mount Sinai Hospital Dispensary, New York, and Harold M. Hays, M. A., M. D. Third Series. 153 Pages. Surgery Publishing Co., Publishers, 92 William St., N. Y. 1909. Price, semi-de-luxe, $1.00; full library de luxe, ooze leather, gold edges, $2.25.

This little volume having passed through several or more editions prior to the present, which contains about two hundred more

were, should

of these short, terse epigramatic paragraphs than the earlier editions, and contains a storehouse, "packed full," as it of just such veritable facts that make a lasting impression on the mind of the surgeon and general practias well. In its present and enlarged form it is a gem, both as to contents and as an example of the printer's

tioner,

art.

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pages. Illustrated with 12 Original, Fullpage Chromo-Lithographic Plates and 15 Full-Page Half-Tone Plates of Photographs taken from Nature, and numerous Engravings in the Text. Bound in Etxra Cloth. F. A. Davis Company, Publishers, 1914-16 Cherry Street, Philadelphia, Pa., 1909. Price, $4.00, net.

"From little acorns mighty oaks grow," so it may be said of this work on "The Diseases of Women and Their Treatment by Electricity." The nucleus of it was proved and presented to the profession twenty years ago, and from that then rather crude form, if we may so term it, has evolved probably the best, most practical up-to-date work on diseases of women and their treatment by electricity, published. That department of the science of healing to which this work belongs has made great progress. Advances of this kind have necessitated a complete re-writing of the more technical portion of the work from time to time. While, perhaps, in the present edition changes are not so numerous as in some previous ones, yet we find in it an entirely new chapter devoted to the principle of electro-chemical surgery in the

removal of new growths; the treatment of tubercular adenitis by zinc-mercury ions, and the use of high-frequency, high-potential currents in gynecology. Also, in that portion of the work relating to the treatment of cancer by zinc-mercury ions, the technical details have been brought up-todate, and the latest forms of instruments depicted. While a few retractions of formerly expressed opinions have been made. by the author, however the strong language in previous editions condemning unnecessary operations and sacrifices of organs in non-malignant affections have been retained, and it is the authors opinion that a great change in relation to this matter has of late appeared in mental attitude of practical physicians on the subject, and even the older operative surgeons on this specialty are more conservative than formerly.

A symptom of diabetes, which often appears, even when only a small quantity of sugar is present, is cramps in the calves of the legs.

An epithelioma may develop in a wart, or a scar, or a mole.

The monobromate of camphor is suggested in acute nasal catarrh.

When danger threatens from the use of chloroform or cocaine, use amylnitrite.

A chloral solution kept constantly applied to a boil is said to be of advantage.

Unna advised lime water, benzoated lard, and lanolin to be applied freely to burns. To relieve a cough, try a teaspoonful of hot water whenever the paroxysm comes

on.

In fever and chill of phthisis, give alstonia, especially if night sweats, diarrhea, and debility are present.

The powdered root of phytolacca, applied directly to the slough in a carbuncle, will work wonders.

During the period of high temperature in the summer, the weaning of a child should be avoided if possible.

Half a dram of boric acid in an ounce of alcohol is good treatment for acne if applied five or six times daily.

The case of a woman is reported who had a uterine polypus, an adenoma of the face, and a mammary cancer.

In the treatment of acute cystitis five drops of the tincture of thuja every three hours is a valuable remedy.

Strychnine is an excellent remedy for uterine hemorrhage from atonicity or in inertia. It may be given in advance, if such a condition is anticipated.

A firm bandage of proper width drawn tightly around both breasts and securely pinned is a better application than adhesive straps for mastitis.

The application of the tincture of bloodroot to surfaces poisoned with ivy will

immediately relieve the itching and burning and will quickly cure.

The free application of carbolic acid to carbuncle, will usually give prompt results. A 10- or 20-per-cent. solution may be freely injected into every sinus.

The application of the peroxide of hydrogen, full strength, to a suppurative surface, will quickly stop the formation of pus and stimulate healthy granulation.

The monosulphate of sodium is given with excellent results in lead poisoning, to hasten the elimination of the lead, and to retard any toxic influence until the elimination is effected.

Byron Robinson says that in reno-ureteral tuberculosis, with severe involvement of the urinary vesicle, infrapubic cystotomy may relieve pain and comfort the pa

tient.

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