University of Oklahoma - Sooner Medic Yearbook (Oklahoma City, OK)

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1 . Nj or. GILMAN'S LECTURE ON THE ' Us W .PNEUMONIA OF IN FAN TS I Ji . V Q 40:20. . . . F1 he p11eumon1a of infants differs from f'-- r , 'M l ' I A Q ,g . 5 - CN! at of the adult in several respects. It is a V 1: A much more fatal disease and is very insid- ii ' . ious in its approach. It's seldom a primary disease, but it is most frequently secondary to some other disease as bronchitis, whoo in cou h scarlatina. small P g S v . pox, diarrhea, etc. Many of which diseases when they rove fatal, do so from the su ervention of neumonia P P P in a majority of cases. Symptoms: It usually makes its approach very insid- iously and if it supervenes upon any bronchial infection, the cough becomes slight with little or no expectoration. Pulse frequent from 130 or 140 or 150 in a minute. Respiration hurried, 60 or 70 in a minute and confined to the upper part of the lungs, and as the disease pro- gresses the child becomes stupid from the circulation of venous blood through the brain. Finally convulsions sometimes superveneg coma and death. case as the feeble are much more subject to the diseasej or more than 6 months old you may apply 4 leeches, 2 to the root fbasej of each lung. Evacuate the bowels freely with calomel or blue pill with a little magnesia fol- lowed by a little castor oil if necessary. The child should not be allowed to nurse, but give it cold water freely to drink, and sponge the body if it is hot and dry. Keep the child perfectly quiet, let him be moved as little as possible. Visit your patient in 3 or 4 hours, if the disease has not advanced further depletion is not necessary, but give ipicac 1X4 or 1X3 of a grm. frequently repeated, if it vomits no harm is done. In strong children you may give tart ant. U16 gr. at a dose, but if it produces diar- rhea give an anadyne injection at once and stop the antimony. Anadyne will often do good if the child is restless after depletion and the Ipicac. Onion poultices to the feet are of service. A piece of oil silk as long as the hand to the posterior and another to the anterior part of the chest is a good application as it will produce considerable irritation of the skin. Blisters should not be applied in any case as they seldom do any good but frequently do much harm. Hive syrup is a very good remedy in these cases. PROF. GILMAN 'X The state of the alimentary canal is remarkable, the bowels being very irritable with diarrhea, Whilst the stomach is usually insusceptible to the action of emetics. The symptoms afforded by auscultation are very unsat- isfactory, the peculiar crepitant rattle of the adult is not heard in the child and there is little or no increase in the respiration. The dullness or percussion is very difficult of detection as both lungs are usually implicated in the diagnosis. In your diagnosis you are to take the pulse and the respiration as the principal symptoms from which to draw your conclusions. Treatment: The treatment should be active, but not carried too far for the inflamation canlt be stopped at once by depletion. But if the child is under six months old, apply one leech to the back over the root of each lung. If the child is strong fwhich is not frequently the Ag fig? . .,f7?- Ie. K '- Cf if :Wood of Naptha, Comph Tincture Opii, ,995 R coNsUMPT1oN s . Aromat Sulph Acid-1 oz. Dose: 40 qtt 3 times a day, given in a tea of Wild cherry bark. This prescription is highly recommended by Prof. Mott in cases of Pthisis with cough expectoration. PROP. Mo'1'r Oct. 30, 1847

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ff 1 W YORK CITY HOSPITAL- If .1 , , .dj ly 1, 1847 Negro aged 30 years with anchylosis 'J 2 ,N N of lower jaw, occasioned by inflamation JL? and suppuration parotid gland and ad- jacent parts. Masseter muscle of affected side rigidly contracted, teeth clinched tightly together and canit be separated at all. Operated on by Dr. Post. The masseter muscle was divided from its attachment to the ramus of the jaw by introducing the scalpel into the mouth, and the jaws pried apart with levers, which required considerable force. The jaws were kept permanently distracted by a cork between the teeth. July 18. Inflamation consequent upon the operation has sub- sided. Motion nearly normal. Distending fever still con- tinued. T 71 L ,QIILY 29- CITY HOSPITAL- , 5'jQwFW7YORKCHTY 5 ,b ' Y TRAUMATIC TETANUS IN 'Mrs aged about 35 years Q LTeceived a wound on or near the patella 25 days ago from the discharge of a gun by which the wad was lodged within the wound and was not de- tected and extracted for several days, but was then re- moved. The injury not very severe and the patient doing well until the 16th day slight trismus came on, the spasm has beeII confined to the muscles of the jaw until the last three days when opisthotonous Zilld emprosthotonous came on. . I 'W ' tx, A -..I, V- , 2, -:- ... s -,...,. .,,..-,, I V -vljl Q: '-- Y . My f f '.:.Z,o,g:: if-if 'i ii -. . I , 2 'T .. , , ,,, ' ' jj ' - .. mm, ff ma. kk -. The disease has advanced slowly and gradually since its development, and has received no apparent benefit from treatment. The asafoetida was given in doses of 15 grs. every hour for the first five days of the disease without effect. The Strychnine was then giVCIl in doses of the 16th grm. every two or three hours for two days. The dose was then increased to the 8th of grm. of which the patient has taken 5 or 6 doses but without any effect. Died july 3lst. rfxom fN '-.1- .ASTRITIS-ACUTE IS SAME . Q 1' Symptoms: Burning lancinating pain, E iting of glassy mucous tinged with .- ,JV een. Tenderness of e i astrium. Cravin 4 LAX? P g gi Q0 cold drinks. Tongue usually red. It may .Q prove fatal in a few hours, never continues longer than 3 or 4 days. Treatment: If the patient is young and strong, bleed, but this surely must be used with caution and should always be drawn in the erect position. Leeches or cups to the epigastrium. Poultices to promote bleeding from the leech bites. Blistering not to be used in the acute stages. Initially nothing but a little cold water or ice. The bowels should be evacuated with enemata. After the vio- lence of the disease has subsided, saline laxatives may be used. Muscilaginous drinks, bland food. It may be useful to give an anadyne enema after the bowels are evacuated.

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