The Clinical Journal, Volume 1

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Edward Knight, 1893 - Clinical medicine
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Page 175 - Bleed as Antipyrine. It is his custom when a case of unusual violence occurs, to saturate a pledget of cotton in a solution of Antipyrine or in the dry powder and introduce it into the nostril. It stopped the bleeding in every instance that he applied it. The patient by this method is relieved of the disagreeable tarry clots formed by the solutions or Iron so commonly used for this purpose.
Page 112 - He simply twists a long and thin roll of cotton onto a knitting needle, introduces it into the nose and withdraws the needle, leaving the cotton in the nose. A second and third are introduced thus, until the entire cavity is filled. Then one may begin with the opposite side and do likewise. In the course of a quarter of an hour the mucous membrane begins to secrete profusely, and if the cotton is then removed it will be found that it is saturated with secretions, and the crusts lie on the rolls of...
Page 64 - ... every ten or fifteen minutes for an hour, then at less frequent intervals, according to the effects produced. The plan is simple, the medicine harmless, in the dose recommended, and not at all unpalatable.— Dr.
Page 24 - In empyema of the gall-bladder, which is usually accompanied by peritonitis. (e) In dropsy of the gall-bladder. (/) In obstructive jaundice, when there is reason to think that the common duct is occluded by gall-stones.
Page 153 - ... cold. At this moment so death-like was her aspect that a casual observer might have doubted the possibility of the vital spark still lingering in that apparently inanimate frame, on which no external stimulus seemed to produce any sensorial impression with the exception that the pupils were normal and responded to light.
Page 153 - ... recovery, I may add, was rapid and complete. In the Second instance of the same kind that I have seen, the patient, after a lethargic sleep of twenty-seven days, recovered consciousness for a few hours, and then relapsed into her former comatose condition, in which she died. In another case of hysteric lethargy in a young lady under my care, the trance lasted for seventy hours, during which the flickering vital spark was preserved from extinction only by the involuntary action of the spinal and...
Page 155 - ... new scenes and variety of places suggest new thoughts, by which the attention of the hysterical girl is diverted from her morbid fancies and exaggerated sensations, until at length, by ceasing to dwell on her self-created complaints, they gradually may cease to trouble her. It may be observed that no cases so much demand the exercise of the highest qualities of the physician as those now under consideration. In such instances the practitioner must, above all, rise above any narrow gynaecological...
Page 154 - ... distinguished colleague Dr. Boyd. In that instance, despite all that medical skill could suggest or unremitting attention could do, it was found impossible to arouse the patient from the apparently hysterical lethargic sleep in which she ultimately sank and died. I have referred to the foregoing cases, occurring in one physician's experience, as disproving the general opinion that hysterical lethargy or trance is so rarely met with, and is then of such trivial pathological importance as to be...
Page 347 - In fifteen advanced cases he gave without success two pills of atropine containing 61. of a grain each daily ; in these cases, two to four granules of picrotoxine, continued for several days, relieved the condition very much. In twenty cases, with less pronounced lesions, atropine did well in some and failed in others ; but picrotoxine, used for several days, checked the sweating completely. Finally, in ten early cases, the results' were equally good from the use of either drug. The writer explains...
Page 348 - ... pronounced lesions, atropine did well in some and failed in others; but picrotoxine, used for several days, checked the sweating completely. Finally, in ten early cases, the results were equally good from the use of either drug. The writer explains these differences by the cause of the sweating in the several stages, of the disorder. In the early stages much of the sweating is due to the action of the secretory nerves, and these are controlled by atropine; later, the sweating is due more to paralysis...

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