The classification of various forms of endarteritis still seems to be an unresolved clinical problem. In this regard, there are great difficulties in the treatment, in particular, with the physical therapy of this disease.
In 1933, the Nikolaev kumis-treatment sanatorium was admitted along with patients with stomach disease and closed form of pulmonary tuberculosis (open forms of tuberculosis are not accepted at all), as well as patients with diseases of the gastrointestinal tract, accompanied by both low and high acidity of gastric juice.
One of the least known and studied diseases is the so-called septic, otherwise agranulocytic angina. The suddenness of the appearance, the unclear etiology, significant mortality with it, make us approach the study of this disease with particular care, and much more work is required both to identify the still unclear causes of septic sore throat, and to more accurately study the nature of this disease.
There is still no full agreement on the question of the role of trauma in the occurrence of endogenous bone infections. While some authors consider trauma to be a significant factor in the onset of osteomyelitis, others do not attach particular importance to it.
The study of brucellosis has not yet given a coherent classification of this nervous lesion, but nevertheless, more or less definite symptom complexes are already outlined. Roger, who has been dealing with the problem of brucellosis for several years and isolating even a special nosological subspecies of this disease, Neuromelitococcie, found hemiplegia, paralysis, and psychosis.
Based on the available literature data, it should be concluded that the mechanism of action of lysates is complex and not yet fully understood. It is still controversial what is the active principle of lysates: hormones, high-molecular or low-molecular fraction of protein breakdown.
The method of treatment with lysates, protein breakdown products or "physiological drugs", as it is called, has received universal recognition.There is currently not a single group of patients on whom the therapeutic effect of lysates, urogravidaia and hormonal preparations has not been tested.
The effect of pregnancy on the skin is significant. With hyperfunction of the whole organism, individual systems and organs during pregnancy, changes are also observed on the part of the skin.
Miarsenol, due to its simplicity of use, is called upon to play a major role in the fight against syphilis, especially in rural areas, and in children's practice. The greatest importance of miarsenol was authoritatively recognized by the IV All-Union Congress on the Fight against Venereal and Skin Diseases.
Among the insufficiently developed issues of military field surgery are the so-called capsule wounds. For some reason, in most manuals on military field surgery, this issue is bypassed, and only Professor A.A. Opokin devotes about one and a half pages to this rather interesting department of field surgery.
Actinomycosis of the lungs is a relatively rare disease that is of interest and attracts our attention from the point of view of differential diagnosis. Due to the lack of a typical clinical picture, this disease is mostly not recognized.
In 1934, a work from the clinic of Professor MG Serdyukova was published on the use of mineral water (Batalinskaya and Essentuki No. 17) in the form of subcutaneous infusions for inflammatory gynecological diseases with a good therapeutic effect.
Lack of intake of vitamins in the human body causes a sharp disruption of life processes, leading to a number of diseases.
Even before the study of the cellular reaction under sensitization conditions, many were interested in the question of the normal composition of cells in the serous cavities of an animal organism. This question cannot be considered finally resolved at the present time, but nevertheless there are studies by a number of authors who give a more or less definite picture of the cellular composition of the transudate of the serous cavities of animals. The study focused mainly on the transudate of the abdominal cavity.
The question of the use of neosalvarsan as an antigen in the complement fixation reaction is of twofold interest: theoretical (study of the problem of antigens) and practical (study of allergy to salvarsan).
Patient 3. B. (East. Bol. No. 31, 1937), 26 years old, was admitted to the clinic on June 7, 1937. Among the diseases she underwent, she noted malaria and typhus. The first bloods appeared 15 liters, came in 4 weeks and lasted for 5-6 days with pains in the lower abdomen. After marriage, the pains with menstruation stopped. The last blood was 15. XI. 1936 Married patient with 20 yrs. Had three pregnancies.
Stomach stones are in the form of hair tumors — Trichobezoar, in the formation of which hairs that accidentally enter the stomach take part. Imperceptibly swallowed hairs accumulate in the stomach and sometimes form huge tumors. Professor Mysh V.M. observed a hairy tumor of the stomach of colossal size - 32×13 cm and weighing 2800 g.
Primary tumors of the appendix are not common. Of the tumors found in the appendix, carcinoids and true cancers are in the first place. Other types of process tumors — sarcomas, endotheliomas, fibroids, etc. — are extremely rare.
In surgical work, the volvulus of the cecum is of great interest. The relative rarity of this disease gives me reason to publish two of my observations.
The question of the role of substances that neutralize the virus in immunity has not yet been resolved. The study of passive immunity in viral diseases by introducing serums containing neutralizing substances to fresh animals showed that the latter have a protective effect against the vaccine virus.
It has now been established that when vaccinating the skin with calf vaccinia, over time, it is possible to detect the virus in the organs of the animal. This fact shows that the vaccine virus is not strictly dermotropic, and it has long been considered so only because the detection of the virus in the internal organs presents significant difficulties.
For many years, pathologists and bacteriologists have been trying to experimentally solve the question of the pathogenesis of croupous pneumonia. The authors' attempt to induce "real" pneumonia in laboratory animals by introducing virulent pneumococci by various methods: intratracheally, by inhalation, or directly into the nose after ether anesthesia (Neufeld and Kuhn) is particularly successful.
The author studied 16 strains of typhoid bacillus from the point of view that interested him, of which 9 were common, well agglutinated, and 7 were nonspecific, with difficulty agglutinating. All these strains were cultivated in a broth containing homologous immune serum at a dilution of 1: 200 and were inoculated onto this medium regularly once every 2 months for 7 years.
Since it was found that M and N are the same important signs of blood as the 4 classical groups (A, B, AB and O), since they are inherited according to Mendel's law, the question had to arise about using them to establish paternity.
The case was observed in a girl of 19 years old. Autopsy reveals a huge tumor of the right adrenal gland
Glycerol extract from the adrenal cortex was used (by mouth) for 3 weeks in 17 patients with schizophrenia and in 17 healthy people.
The ability to artificially cause an increase in temperature has been used not only in the clinic, but also in experiments on animals, where special attention is paid to the drug "pirifer", which, according to Goff, is "an excellently dosed and very active bacterial drug."
The author cites the observation of a patient with chronic kidney damage and a typical clinical picture of hyperparathyroidism.
The authors report a case where there was a tumor of the paraganglial type with paroxysmal hypertension in a syphilitic with a sharply positive Borde-Wassermann reaction.
The author believes that if there is a constitutional insufficiency of the liver, then, in contrast to this, hyperplasia of the parathyroid glands appears.
The author used insulin to treat peptic ulcers in 20 patients who did not respond to dietary regimen. In milder cases, all symptoms were eliminated and no relapses were observed. The patients were released as clinically cured, although there was a deformity of the duodenal head on radiographs.
In the picture of thyrotoxicosis, the foreground is the dysfunction of the thyroid gland; it should be borne in mind that the latter is under the influence of the central nervous system and hormonal centers (for example, the pituitary gland), changes in which affect the course and severity of the disease.
As a new method of treatment of essential hypertension, the author describes craniocerebral electrophoresis, which results in reflex hyperemia of the brain.
Treatment of erysipelas with prontosil has several advantages over other treatments. And this is confirmed by our own observations on 100 patients.
Experimentally, it is possible to carry out various localization of hyperergic reactions. The nature of the inflammation will always turn out to be the same, no matter what specific reaction between the antibody and the antigen is caused.
With the help of infrared photography of varicose veins and skin complications with them, it is possible to detect a direct relationship between the enlarged vessel trunk and the accompanying skin lesions.
The authors, citing their case, believe that septicemia caused by bacillus fragilis is very rare. A 35-year-old female patient gave birth to an 8-month-old dead fetus, as the pregnancy was interrupted by an acute gastric illness with diarrhea.
In a 29-year-old man, eczema lasted 16 months and did not respond to therapy. The author was able to establish that the cause of the eczema was rosanilin paint, which was used to dye the patient's clothes.
The author publishes his further observations on the cultivation of pathogenic fungi, which was carried out in special protected glass tubes.
After a brief review of the literature on iododerma, the authors give a detailed description of the case that they observed in 1935. A 65-year-old patient came to a surgical clinic with complaints of ulcers in various parts of the body.
A. cites a case of two-stage rupture of the spleen observed by him. A 23-year-old woman, after falling on her left side, had a fainting shock, which passed after 2 days.
The authors cite a case of progressive scleroderma, for which a left-sided parathyroidectomy was performed a year ago.
The disease is manifested by the appearance of transverse whitish stripes on the nails.
The author analyzes 282 cases of purulent pleurisy in children under 13 years of age. The author divides his material into 4 different groups — 1) cases treated by puncture and aspiration of pus; 2) cases treated by thoracocentesis with the introduction of the pleural cavity between the ribs of a rubber tube or metal cannula, with the help of which pus was removed; 3) cases with primary resection of the rib, done immediately after the diagnosis was made; 4) cases with secondary resection, previously treated by puncture or thoracocentesis.
Исходя из клинической картины волчанки носа, при которой отсутствует кончик носа, внутренние части крыльев и перегородка, в то время как несколько суженные ноздри и остатки крыльев подтянуты кверху рубцовыми тяжами, автор предлагает свой способ пластики.
A. describes two cases of testicular torsion in infants. In the first case, an 11-month-old child had bilateral cryptorchidism. The volvulus occurred in the left testicle.
During the operation of excision of the cardiac shirt after the release of the heart from the cicatricial callus, a. suggests not leaving the edges of the pericardial incision loose, as they thicken and disrupt the function of the heart.
Malignant retroperitoneal tumors not directly associated with the kidney are much more common than previously thought.
Testicular infarctions occur more often from torsion of the spermatic cord, although there may be other causes. Based on the study of the anatomical data, the results of the experiment and the consequences of surgical intervention on the vessels of the spermatic cord, obtained by different researchers, the author comes to the conclusion that art. spermatica int. is not a terminal artery.
The author analyzes his material on spinal anesthesia, performed by him in 1198 cases. The author used 3-4-6.9% procaine, 1 cubic meter. cm of which was introduced for 8-10 seconds. Spinal anesthesia was successful in 94.8% of cases. Nausea and vomiting were noted in 33.3% of cases.