The Clinical Review - 1904 Author:Unknown Author Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: Tetany of gastric origin, mortality large (75 per cent.), greatest when cramps in extremities are associated with tonic or clonic spasms of muscles of head and t... more »runk. Operation may be of greatest benefit. Acute gastric dilatation, very serious, operation is suggested. Exceptional nicer, with erosion of pancreas and pancreatitis causing abscess draining into the stomach. Operation has been successful. Cholelithiasis, leading to perigastritis and obstruction from contracting bands of lymph and followed by dilatation of the stomach. The operation may be associated with that of cholecystotomy. Atonic dilatation, indications and results not so definite as in other conditions, but may, in extreme cases, have advantages over gastrorrhaphy or gastroplication. Adrenalin.— Braun thinks one milligram is too large a dose of adrenalin for subcutaneous use. He advises a solution composed of hydrochloric acid, 0.2; sodium chloride, 0.8; distilled water, 100 parts. Ten c.c. of this mixture is boiled in a test tube and one eg. of adrenalin is added and the solution again boiled. Two drops of carbolic acid should be added. This gives a colorless solution which will keep indefinitely. It should be kept in bottles Holding from 3 to 5 c.c. The greater part of the salt is neutralized by the adrenalin. Hedonal.— This new hypnotic is a white crystalline powder, soluble in alcohol, ether, boiling water, and slowly so in tepid water. It tastes like menthol. Fraczkiewiez uses the drug in doses of twenty grains for women, and thirty grains for men. Sleep is induced within one hour and there are no disagreeable after effects. The effects appear to be more or less satisfactory in nervous conditions, bu-t in insomnia from pain the drug is useless. Hepatic Pill.— For a cholagogue wi...« less