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Página 79 - ... mass into a powder. Of this from one to three teaspoonfuls may be used, by first rubbing it into a paste with a little milk, then adding it to about a pint of milk, and, finally, by bringing the whole to just the boiling point.
Página 66 - Chloride of gold and sodium is indicated in the subacute and chronic cases, especially the latter. The earlier it is given the better, if structural changes are to be prevented or arrested. The good effects to be expected from it will depend necessarily on the extent of the damage already inflicted on the kidneys. The usual dose is -£$ grain, twice a day, but this may be much increased, if necessary.
Página 65 - Wochenschrift) advises that before swallowing powder or pills of quinine, a weak tartaric acid lemonade be taken. This procedure not only greatly...
Página 374 - Cessation of the fetor was followed by improvement in the general condition of the patient, whose appetite and strength returned. I now wish to add a few words concerning the operation itself and the after-treatment. Operation. — We should operate as early as possible, that is, as soon as the physical signs of a cavity have become manifest. We should not operate (for anatomical reasons) when the cavity is covered by the scapula or is situated in the apex of the lung. The latter will hardly ever...
Página 82 - DA COSTA has had some very satisfactory results from the treatment of dyspnoea by quebracho. In a recent lecture he said that in his experience it had been especially serviceable in two classes of cases: (1) in purely nervous asthma he had found it to be invaluable; (2) in cases which have been rather loosely called cardiac asthma, cases in which a heart lesion has produced failure of cardiac contraction and consequent congestion of the lungs, he had also known it to be very useful. It may serve...
Página 68 - of the cerebrum, as already mentioned, will bring about the same consequences — namely, cerebral fatigue and exhaustion, indicated chiefly by preternatural irritability; this condition, sooner or later, telling upon the digestive organs. Having said this, it is almost unnecessary to add, that such cases are most commonly met with amongst those who are engaged in the hottest part of the
Página 375 - ... should be resected if necessary. It is essential to have free access to the cavity, as well for the immediate digital exploration made for the purpose of removing large pieces of dead pulmonary tissue, as for the sake of having a wide canal (subsequently) into which sufficiently large drainage-tubes can be introduced. Experience has shown that these canals are liable to contract and close up before the pulmonary cavity has become obliterated. The canal leading through the pulmonary substance...
Página 233 - ... one drop of a two per cent solution of nitrate of silver should be carefully dropped into the conjunctival cul-de-sac.
Página 360 - ... bronchitis. The internal remedies at our disposal at the present time can hardly be said to have any effect as far as regards checking the progress of the disease. They merely aid in sustaining the patient, in keeping him alive till the gangrenous process has come to an end. These facts, well considered, seem to justify the attempt to cure the disease by surgical measures ; by them alone can we hope to put a stop to the progress of the local gangrenous destruction. Operations on the lungs with...
Página 360 - The prognosis of acute circumscribed gangrene of the lung is, of course, always grave. In any given case it is, during the whole course of the disease, impossible to foretell whether it will terminate in death or in recovery. A diffuse pulmonary gangrene, a gangrenous pyopneumothorax may supervene at any time, or the patient may die of exhaustion due either to the progressive local destruction, or to the accompanying fetid bronchitis. The internal remedies at our disposal at the present time can...