Hospital Dispensary Research Articles

CLINICAL TYPES OF NEPHRITIS IN CHILDHOOD

Since nephritis occurs in a peculiarly pure form in childhood uncomplicated by confusing symptoms due to degenerative changes, cardiac diseases or any of the other chronic ailments of adults, this series of cases is of importance. Perhaps only by study of the disease in youth may it be possible to discover the nature of uncomplicated nephritis. This paper summarizes the observations made on 186 consecutive children with nephritis. It includes all of the patients seen in the nephritic service at the Children's Memorial Hospital during the past nine years, and a few seen in private practice. No case is included in which the observations were not sufficient to justify an absolute diagnosis of nephritis. This means that none with orthostatic or febrile albuminuria or with symptomless urinary abnormalities were included. Every child was observed for as long a period as possible both in the hospital and inthe dispensary, even though

GELATIN ADDED TO DIETS OF ARTIFICIALLY FED INFANTS

These feeding studies were carried out on a group of thirty-four average, normal, artificially fed infants at the University of Illinois Educational and Research Hospital Dispensary, and at three city infant welfare stations, conducted by the health department of Chicago. There were about thirteen hundred breast and bottle fed infants in attendance at the three welfare stations and the university dispensary from which we selected the individual cases for our feeding studies. Breast feeding, in whole or in part, is the slogan of the welfare stations. As our work required artificially fed infants whose mothers would promise to cooperate with us in every detail, we thought ourselves fortunate in finding seventy-four infants who we believed would answer our requirements. As we expected to conduct the experimental study over a period of at least four months, only young infants could be used. Seventy-five per cent of our infants were under 3

MILIARY LICHEN PLANUS

In 1914, Pels 1 published an article recording a case of an eruption made up of minute, shiny papules, in a marked way resembling those of lichen nitidus, to which he applied the term miliary lichen The lesions so closely resembled those of lichen nitidus that it was difficult to differentiate between this condition and lichen planus. Case 1.— The patient was a fairly well nourished white man, aged 50, with a negative family and personal history. When first seen by Dr. Pels at the Johns Hopkins Hospital dispensary, he presented an eruption which was distributed practically over the entire body, appearing more profusely in certain regions, especially about the knees, wrists, forearms, external aspects of the elbows, anal region, buttocks and around the ankles. More widely scattered lesions were present on the neck, chest, back, abdomen, arms, thighs, scrotum and penis (shaft and glands). The eruption consisted of

OBESITY AND HYPERTENSION

In September, 1919, one room for women patients at the Presbyterian Hospital Dispensary was devoted to the care and study of cases diagnosed as obesity. While the result of treatment was not startling, the incidence of hypertension and the influence of diet are here noted. The method employed was a reducing diet calculated to contain sufficient protein and yet to be nonsustaining in calories for the average working woman to maintain her body weight. This relatively high protein diet contained a total of about 1,700 calories, with about 87 gm. of protein. Whenever fewer calories were found necessary to bring about reduction, first the butter (200 calories), then the bread (300 calories), and then the starchy vegetable was removed. Such a diet was found to be far from ideal and not very exact, but nevertheless workable for the patient as well as for the physician. REDUCING DIET Breakfast: One orange

The hospital dispensary and college of pharmacy

The hospital dispensary and college of pharmacy

POTASSIUM PERMANGANATE AS A CURATIVE AGENT IN DERMATOLOGIC DISEASES

It was early in 1918, while the late Dr. W. S. Gottheil instructed a class of students at the Lebanon Hospital Dispensary, that a patient who had extremely foul smelling eczematoid lesions on and between the toes of both his feet, was presented to him for demonstration. He refused to show the patient to the students and advised a potassium permanganate dressing in order to do away with the foul odor. When the patient returned to the clinic three days after the dressing was applied, the results appeared startling. Not only had the foul odor disappeared, but the lesions had cleared up also to a great extent. The case was subsequently diagnosed as eczematoid ringworm,Epidermophyton inguinalebeing found in the scrapings of the lesions. Desirous of ascertaining whether the drug had any special action on the lesions or whether improvement was coincidental, the treatment was continued until the case

IV.—STATISTICAL STUDY OF EXTRAGENITAL CHANCRES

The object of this paper is merely to add to the previous statistics on extragenital chancres, the cases herein enumerated being those seen at the Barnard Free Skin and Cancer Hospital and the Washington University Dispensary. Included in this report for the interest they may add, but not included in the averages because of the factor of uncertainty in personal histories, are the locations of some extragenital lesions as given by patients who were first seen in advanced stages at the former hospital. These patients gave fairly definite histories of the extragenital lesions, but the lesions are listed separately because of the personal equation. From August, 1905, to August, 1919, 225 patients have presented themselves at the Barnard Hospital dispensary with a chancre as the chief complaint, or with the chancre still in evidence. Of these, fiftyfive had extragenital primary sores, giving the rather high percentage of 24.5 per cent.,

AMNESIA AND ANALGESIA IN PARTURITION (TWILIGHT SLEEP)

Adjunct Attending Gynecologist and Obstetrician, Lebanon Hospital New York; Attending Gynecologist, German Hospital Dispensary, New York; Fellow, New York Academy of Medicine. Paul B. Hoeber, New York.

ACUTE NONEPIDEMIC INFLAMMATION OF THE SUBLINGUAL GLANDS IN CHILDREN: AN AFFECTION OF UNKNOWN ORIGIN

That the sublingual glands may be involved in epidemics of mumps, alone or in conjunction with the other salivary glands, is well known. Whenever reports of nonepidemic inflammation of the sublingual glands are made, well-defined local or combined general and local causes are given. The group of cases I wish to report does not fall into either of these categories. They are characterized, in brief, by the rapid development of a sublingual and median submental swelling, and fever, in previously healthy children; fever soon recedes whereas the swelling under the chin progresses, the overlying skin often becomes reddened, and, about the time the appearances point to the development of an abscess, the submental lesion slowly subsides. Most of the patients presenting this condition (in all, about a dozen cases have been seen) have come under my observation in the surgical department of the Mount Sinai Hospital Dispensary in the past

Book Review Infant Feeding . Its Principles and Practice. By F. L. Wachenheim, M.D., Attending Physician Sydenham Hospital and Mount Sinai Dispensary, New York City. Philadelphia and New York: Lea and Febiger. 1915.

Book Review Infant Feeding . Its Principles and Practice. By F. L. Wachenheim, M.D., Attending Physician Sydenham Hospital and Mount Sinai Dispensary, New York City. Philadelphia and New York: Lea and Febiger. 1915.

RUPTURE OF A MEDIASTINAL LYMPH-NODE INTO THE BRONCHUS

History .—G. S., aged 5, was admitted from the German Hospital Dispensary to the A. Jacobi Department for Children, Nov. 25, 1012, with a diagnosis of pus in the urine. The child had been in remarkably good health; the birth was normal; the baby was breast-fed for two years. Until the present illness life was uneventful; the child had no acute or chronic illness, no coughing or expectoration, and no gastro-intestinal complaint. No tuberculosis is present in the family of the father or mother. The mother had no miscarriages. The two living children are in perfect health. Four months before, the mother noticed mucus in the urine, and the child complained that urination was painful. He cried when urinating, but there was no increased pain at the end of urination; neither was there increased frequency. A few weeks before the mother noted a slight trace of blood in the urine.

Book Review Sterility in the Male and Female and Its Treatment . By Max Huehner, M.D., New York; Chief, Genito-Urinary Department, Harlem Hospital Dispensary, New York City; formerly Attending Genito-Urinary Surgeon, Bellevue Hospital, Out-patient Department, and Assistant Gynecologist, Mount Sinai Hospital Dispensary, New York City. Member American Urological Association, American Medical Association, Fellow of the New York Academy of Medicine,

Book Review Sterility in the Male and Female and Its Treatment . By Max Huehner, M.D., New York; Chief, Genito-Urinary Department, Harlem Hospital Dispensary, New York City; formerly Attending Genito-Urinary Surgeon, Bellevue Hospital, Out-patient Department, and Assistant Gynecologist, Mount Sinai Hospital Dispensary, New York City. Member American Urological Association, American Medical Association, Fellow of the New York Academy of Medicine,

ACUTE RHEUMATIC ORCHTISIS

Acute so-called metastatic orchitis is more or less uncommon at any age, but in infancy or early childhood is of extreme rarity. The case described below in which such an inflammation of the testis occurred in a child aged 2½ years is therefore sufficiently unusual to warrant a detailed report. Patient. —Harry G., 2½; years old, of Russian parentage, was brought to Mount Sinai Hospital dispensary on Jan. 4, 1913. He is the older of two children. Parents are healthy; there is no history of tuberculosis in the family. Past History. —Breast-fed eleven months. At 20 months, measles complicated by pneumonia. Good recovery. At age of 2 years, acute swelling below the left ear, accompanied by malaise and fever; diagnosticated by a physician as mumps. Good recovery and no sequelae. Three weeks ago acute pustular eczema on the buttocks; lesions rapidly healing. Present Illness. —This began one week before admission

A MOTHERʼS GUIDE

Alumnus of Bellevue Hospital, New York; Fellow of the New York Academy of Medicine; Assistant Physican to the Babies' Hospital Dispensary, New York

BLOOD TRANSFUSION IN HAEMOPHILIA

Surgeon to the Sydenham Hospital and Montefiore Home: Associate Surgeon to Beth Israel Hospital; Chief of the Surgical Department of Mt. Sinai Hospital Dispensary

Book Review 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. Hayes, M.A., M.D. Third series. pp. 153. New York: Surgery Publishing Company.

Book Review 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. Hayes, M.A., M.D. Third series. pp. 153. New York: Surgery Publishing Company.

Book Review A Text-Book of Diseases of Women . By J. Clarence Webster, B.A., M.D. (Edin.), F.R.C.P.E., F.R.S.E., Professor of Obstetrics and Gynecology in Rush Medical College, in affiliation with the University of Chicago; Gynecologist to the Presbyterian Hospital and Central Free Dispensary; Consulting Gynecologist to the Passavant and St. Anthony's Hospitals, Chicago. Three hundred and seventy-two illustrations and ten

Book Review A Text-Book of Diseases of Women . By J. Clarence Webster, B.A., M.D. (Edin.), F.R.C.P.E., F.R.S.E., Professor of Obstetrics and Gynecology in Rush Medical College, in affiliation with the University of Chicago; Gynecologist to the Presbyterian Hospital and Central Free Dispensary; Consulting Gynecologist to the Passavant and St. Anthony's Hospitals, Chicago. Three hundred and seventy-two illustrations and ten

REMOVAL OF A SUBCORTICAL CYSTIC TUMOR AT A SECOND-STAGE OPERATION WITHOUT ANESTHESIA.

NEUROLOGIC REPORT BY DR. THOMAS. Patient. —R. C., aged 32, unmarried, a teacher and farmer by occupation, was referred to the neurologic department of the Johns Hopkins Hospital Dispensary, Nov. 1, 1905, on account of the nervous symptoms which were associated with his ocular condition, by Dr. M. B. Kelly of the Baltimore Eye, Ear and Throat Hospital. He was admitted to Ward F in the service of Dr. Barker, Oct. 24, 1906, and was transferred to the surgical side for operation a month later. Family History. —His father died of dysentery and his mother of diabetes. He had also lost two brothers and two sisters; one sister from tuberculosis, the others from acute illnesses. An aunt and uncle on his mother's side also died from tuberculosis. There was no history of tumor. Personal History. —The patient had diphtheria at the age of fifteen, but had suffered from no other

Book Review Five-Hundred Suggestions, Practical Brevities in Surgical Diagnosis and Treatment . By Walter M. Brickner, B.S., M.D., Chief of Surgical Department, Mt. Sinai Hospital Dispensary, New York; Editor-in-chief, American Journal of Surgery; and Eli Moschcowitz, A.B., M.D., Assistant, Physician, Mt. Sinai Hospital; Associate Editor American Journal of Surgery. Second series, duodecimo. 125 pages. New York: Surgery Publishing Company. 1907.

Book Review Five-Hundred Suggestions, Practical Brevities in Surgical Diagnosis and Treatment . By Walter M. Brickner, B.S., M.D., Chief of Surgical Department, Mt. Sinai Hospital Dispensary, New York; Editor-in-chief, American Journal of Surgery; and Eli Moschcowitz, A.B., M.D., Assistant, Physician, Mt. Sinai Hospital; Associate Editor American Journal of Surgery. Second series, duodecimo. 125 pages. New York: Surgery Publishing Company. 1907.

Book Review The Climatic Treatment of Children . By Frederick L. Wachenheim, M.D., Chief of Clinic, Children's Department, Mount Sinai Hospital Dispensary, New York. pp. 400. New York: Rebman Company. 1907.

Book Review The Climatic Treatment of Children . By Frederick L. Wachenheim, M.D., Chief of Clinic, Children's Department, Mount Sinai Hospital Dispensary, New York. pp. 400. New York: Rebman Company. 1907.