File:Interstate medical journal (1903) (14779732464).jpg

Identifier: interstatemedica1019unse (find matches)
Title: Interstate medical journal
Year: 1903 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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e point of obstruction. At intervals ofa few days other sounds were passed and the dilatation of the esophagus wasfollowed by very marked improvement in the general condition of the patient.He could take a quantity of milk, thin soups, etc., and rapidly began to build up. On October 3, 1902, a bougie was passed and then the little fellow objectedto further instrumentation, but on the promise of giving him a nickel he con- STRICT I RED ESOPHAGUS 597 sented to allow me to pass a larger esophageal sound. After leaving the officehe placed the five-cent piece in his mouth for safe keepiug. Arriving at home hepromptly swallowed the nickel and it passed on as far as the stricture in theesophagus would permit and there it became firmly wedged. All domestic effortsto induce expulsion were unsuccessful, the child was inverted, persistentlyshaken, slapped on the back, etc., but the nickel remained fixed. The patieDtwas brought to my office four or five hours later, a fluoroscopic examination was
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- made, the nickel clearly located and a radiogram taken at once. (See illustra-tion.) The place of lodgment being clearly outlined and accurately located,an effort was made to remove the foreign body with a coin-catcher. This wasnot successful, however, and a flexible Trousseaus forceps was introduced.In a few moments a firm grasp was obtained upon the coin and instrument andcoin were withdrawn, but not without some difficulty owing to the coin being sovery firmly fixed, probably as a result of the contraction of the esophageal mus-cles in the already narrowed canal. 598 COLLINS. THE HYPODERMIC USE OF MERCURY IN SYPHILIS.By S. P. Collings, M. D., of Hot Springs, Arkansas. In the treatment of syphilis in this day and age I believe that no one, whois well informed, doubts the advisability of the use of mercury. It is the onlydrug we have that can stand as a specific in this disease; and to prove that it is aspecific one has only to watch its certain effect, when properly administered,u

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