For the first time I saw S.P. Botkin in 1881. while still a student at Kiev University. Arriving by chance in Petersburg, I hurried to Botkin's lectures and was delighted with them. From the beginning of 1884, I moved to St. Petersburg for permanent residence, entered as an external student at the Clinic of Children's Diseases of the Military Medical Academy prof. N. I. Bystrova. Since that time, I have already constantly attended the lectures of S.P., whose clinic was located in the same building as the Clinic of Children's Diseases.
The study of the apexes of the lungs by physical methods has recently begun to occupy physicians again; this deserves special attention in the clinic of early forms of pulmonary tuberculosis. Not having received completely reliable and convincing diagnostic methods in a number of auxiliary research methods proposed in recent years, much attention has been paid to the issue of physical research methods.
Interest in the study of acute articular rheumatism has increased enormously in recent years. As a more detailed study of various issues related to acute rheumatism, we are faced with certain questions of a purely practical nature, which have not yet received their final resolution, for example, when a patient who has suffered acute articular rheumatism can be considered quite able to work.
The use of repeated breakfasts to determine the secretory function of the stomach has been known for a long time. Back in 1901, Zimnitsky reported on his experiments with repeated feeding of dogs operated on according to the Heidenhain-Pavlov method, which were given 200 grams of white bread for the first test breakfast and after 2 hours again 200 grams of white bread; later Zimnitsky reported on re-feeding two patients and two healthy people in parallel, who were given one breakfast, consisting of 35 grams. white bread, 250 k. from. tea and after an hour the same breakfast was given again. In 1922 and 1923, Vandorfy published his data on the use of refreshed breakfasts as “Belastungsprobe *. In 1922 prof. Zimnitsky reports on his method of studying the gastric cell and during the last decade the method of re-breakfast (meat broth) was promoted by his students to determine the types of gastric cells (normal type, asthenic, inert, isosecretory and torpor) and pointed out the reversibility of these types.
Lifetime recognition of chronic diaphragmatic hernias is rare. According to Lacher’s statistics in 1880. In 276 cases, accurate intravital recognition of diaphragmatic hernias was decreed only once - Leich tens ter n'om. Later, the number of such cases increased significantly, but nevertheless, their correct recognition is still very rare. These are the cases: Ahlfeld'a, Kaufmann'a, Abe 1'ya, A. V. Bergmann'a, Strupler'a, Pluckler'a, Herz'a. Here, recognition was possible, for the most part, thanks to fluoroscopy. Wullstein says in this regard that “the diagnosis of congenital diaphragmatic hernia was probably never made with certainty.” Thus, the description of our case in connection with the observations of other authors known from the literature may be of certain interest.
The chapter on functional diagnostics of the kidneys, despite the huge arsenal of extremely valuable, correct and tested tests, is still far from complete. Uneven loss of parallel tests, a very frequent discrepancy between the functional state and anatomical changes in the affected organ - all this proves beyond doubt that the absolute criterion is functional. kidney capacity does not yet exist. Meanwhile, the identification of the general performance of the kidneys or the state of one of them is an obligatory link in the urological examination of the patient, without determining which no surgical intervention is possible.
In the summer of 1928 and 1929, we had to work on an expedition to study the endemic goiter in the Mariob region. It is impossible to cover in a journal article the enormous amount of material that these expeditions brought (mainly in 1929), its processing is still ongoing and the publication of data in special works of the expedition is a matter of the future; but already at the present time it is possible to share some preliminary results that are of interest to a wide medical community.