International Clinics: A Quarterly of Clinical Lectures

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J.B. Lippincott., 1917 - Clinical medicine
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Page i - INTERNATIONAL CLINICS. A Quarterly of Illustrated Clinical Lectures and Especially Prepared Original Articles on Treatment, Medicine, Surgery, Neurology, Pediatrics, Obstetrics, Gynecology, Orthopedics, Pathology, Dermatology, Ophthalmology, Otology, Rhinology, Laryngology, Hygiene, and Other Topics of Interest to Students and Practitioners.
Page 277 - ... can be obtained by an early operative procedure. Not only has there been a lessening of the spasticity of the arms and legs affected in these cases selected for operation, but there has been a definite amelioration of the mental condition of the patients to such a degree that in the older children their cooperation in the carrying out of the after-treatment can be obtained; this is a most important aid in the physical training of the child. A written permission for autopsy is obtained in each...
Page 276 - The child had been apparently normal until the date of the acute illness, whether it was ten days after birth or two or three years; following the sickness, it was noticed that one side of the body could not be used so well as the other, and then gradually a stiffness of the arm and leg occurred ; the convulsions persisted in 281 of these patients, and they were all very unstable children emotionally. When the spastic paralysis followed an acute infectious disease, such as measles...
Page 276 - When the spastic paralysis followed an acute infectious disease such as measles, whooping cough, and scarlet fever, these cases were usually of the hemiplegic type and undoubtedly many of them were of thrombotic origin; convulsions usually occurred at the height of the fever, but in many cases they did not continue for more than two or three weeks. Those cases following cerebro-spinal meningitis were usually of the diplegic and paraplegic types and in several of them there were mild signs of an increased...
Page 207 - Dishonesty is congenital and as much a part of a man as the color of his eyes or the shape of his nose.
Page 199 - ... of the symptoms ; that when an additional 10,000 units have been given the patient is apparently out of danger, and eventually recovers, one must believe in the curative power of antitoxin. When one sees a patient in whom the intubation tube has been repeatedly clogged ; when the hopeless condition of the patient changes for the better after the administration of 50,000 units, one cannot help but be convinced of the importance of giving large doses of antitoxin in the severe and apparently hopeless...
Page 275 - ... and pyramidal tract tissues, a former meningo-encephalitis, or to an intracranial hemorrhage which was not of sufficient size to produce the signs of an increased intracranial pressure in the fundi of the eyes or in the measurement of the cerebrospinal fluid at lumbar puncture; I believe there are many cases of latent intracranial hemorrhage where the absorption of blood is sufficient to cause later very little increase of the intracranial pressure, and therefore the diagnostic methods now used...
Page 278 - ... consists of a vertical incision over the side of the head two and one-half to three inches in length, extending from the parietal crest down to a point overlying the zygomatic arch and just anterior to the external auditory meatus; that is, to the lowermost point of the cranial cavity. The fibers of the temporal muscle are separated longitudinally, and then a small opening in the squamous bone made by the Doyen perforator and burr is enlarged by rongeurs to a diameter of two to three inches....
Page 270 - Frame," stated that the condition was due to an impairment of nerve tissues resulting from their lack of development, and also to an earlier meningitis; a few cases following difficult labor were, in his opinion, the result of an intracranial hemorrhage at...
Page 275 - ... patients examined ; a Wassermann test both of the blood and cerebrospinal fluid has been made in each child; in doubtful cases a cell count of the cerebrospinal fluid has also been utilized, and also the blood of the parents examined; in two instances the cerebrospinal fluid of the parents was examined, but with negative results. Of the...

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