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TREATMENT OF PURULENT

CONJUNCTIVITIS.-Dr. W. T.

Montgomery (Annals of Opthalmology and Otology) says:
The points I wish to emphasize in the treatment of this dis-

ease are:

1. The nitrate-of-silver solution, at least gr. lx to 3 j, once daily. If the purulent discharge does not continue to lessen, increase the strength of the solution up to gr. cxx to 3 j. have not found it necessary to go above this. I have not had any bad after-affects from the use of these solutions, as cicatricial contractions, staining of tissues, etc.

2. Make the application with the medium-sized camel-hair brush, and be sure to brush the entire palpebral and retrotarsal portions of the membrane.

3. Cleanse the eyes with as little irritation as possible. Wiping the eyes, and especially the use of the syringe or pipette for washing out the conjunctival sac, cannot be too strongly condemned.

4. The use of the iced compresses for at least one hour after each application of the strong solution. The best mode af applying these compresses is to have a dozen or more small pledgets of absorbent cotton on a block of ice, and change often enough to keep them cold. In adults and children old enough to express themselves I have found these grateful, and I believe them to be a valuable aid in reducing inflammation.

5. The antiseptic lotion the least irritating to the eyes is the best, and the boracic-acid solution is my preference. Used in the manner here indicated, I do not know of any remedy which has given me greater satisfaction that the nitrate of silver in the treatment of purulent conjunctivitis.-American Lancet.

THE TREATMENT OF EMPYEMA OF THE ANTRUM OF HIGHMORE.-Professor Chiara, of Vienna, reports twenty-eight cases of this affection, and formulates the following rules as to treatment: 1. In very rare cases empyema, due to alveolar periostitis, may be cured by extraction of the offending tooth alone. 2. Continued irrigation of the nose may also effect considerable improvement. 3. Injections into the antrum, even if undertaken egularly and thoroughly, frequently do not bring about a cure,

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although, as a rule, some improvement. 4. In cases of recent suppuration resulting from alveolar periositis, a few injections usually suffice to produce a cure. 5. In only one case was t. found possible to successfully inject the ostrum maxillare in suck. manner that pus was discharged together with the injected fluid. 6. Systematic injections can be easily and conveniently madethrough the alveolar process; to make them through the lower nasal passage is a very laborious procedure, carried out by the patient only with great difficulty. 7. Insufflations of iodoform powder do not give positive results. 8. During all these various proceedings the autrum should be closed up toward the mouth. 9. The most reliable results are afforded by tamponing the antrum with iodoform gauze, which rapidly arrests suppuration. It should be practised only once a week; can be easily carried out by every physician, and shuts off the antrum from the mouth. 10. Preparatory to tamponing, an opening varying in size from four to six millimetres is usually made in an alveolus. The opening may be made in the canine fossa, but only if a perforation exists there already, or the patient refuses to sacrifice a tooth, or if it is desired to thoroughly curette the cavity. Tamponing through the canine fossa, however, is always a difficult and painful procedure.—International Journal of Surgery.

SANDER'S & SONS' Eucalypti Extract (Eucalyptol).-Apply to Dr. Sander, Dillon, Iowa, for gratis-supplied samples of Eucalyptol and reports of cures effected at the clinics of the Universities of Bonn and Griefswald. Meyer Bros.' Drug Co., St. Louis and Kansas City, Mo., Dallas, Texas, and New York, sole agents.

IODOFORM VS. ARISTOL.-Under this head, Dr. Richard H. Gibbons, of Scranton, gives a very interesting account of his experience with aristol. The first case in which he employed it was after an operation for the removal of a cancerous mammary gland. The entire wound approximation was dusted with aristol. The lesion was dressed and closed for eight days, when it was found that a complete union had taken place. "Since then," says the author, "I have used aristol for all wound sur

faces, exterior and cavital. In all operations about the anus and rectum I have found this remedy of great value."

Dr. Gibbons had equal success with aristol in diseased conditions of the eye, ear, nose, vagina, cervix, the female urethra, etc. He made satisfactory use of it also in supra-pubic cystotomy, and internal urethrotomy. The author adds that: "The powerful effects of aristol to promote rapid cicatrization," led him to employ it for special operations for the relief or cure of malignant disease of the female mammary gland. In the six cases, cited, the success achieved was remarkable. Concerning the value of aristol as a protective, Dr. Gibbons writes as follows: "The results which I have obtained in the use of aristol as a protection to wounds and ulcerated surfaces, and also as a stimulation to granulation, have been satisfactory to an extreme degree." Of its value in cæliotomy he says: "In all cases of abdominal surgery, I now use aristol and find it to be the ideal protective, having had no cases of breaking down of the wound of entrance, as has happened in several cases where I have used iodoform."-Times and Register.

PNEUMONIA. In speaking of the treatment of pneumonia by quinine and antikamnia, Prof. Palmer says: "The effects desired, and certainly, as a rule, produced, are a decided reduction of the temperature, a marked diminution in the frequency of the pulse, a decided moisture of the skin, or free sweating, a slower and more easy respiration, or relief from pain and the feeling of fullness in the chest, a diminution of the cough and of the tenacious and bloody character of the expectoration; and, in short, not only is there a checking of the fever, but of all evidencegeneral and local-of the pulmonory engorgement and inflamation.

SANDER & SONS' Eucalypti Extract (Eucalyptol).-Apply to Dr. Sander, Dillon, Iowa, for gratis-supplied samples of Eucalyptol and reports on cures effected at the clinics of the Universities of Bonn and Griefswald. Meyer Bros.' Drug Co., St. Louis and Kansas City, Mo., Dallas, Texas, and New York, sole agents.

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