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The varieties of the disturbances of the functions of the ear range from tinnitus aurium to congestion causing complete deafness. The gastro-intestinal and genito-urinary tracts are especially disposed to untoward action by quinin. There is a case recorded in which, after the slightest dose of quinin, tingling and burning at the meatus urinarius were experienced.
Tenesmus, diarrhoea, the motions containing blood and mucus. Dysuria, with passage of small amounts of albuminous and bloody urine. Peritonitis, high temperature, quick pulse, headache, loss of sensibility, and convulsions. Post-Mortem. Gastro-intestinal mucous membrane inflamed, with gangrenous patches. Genito-urinary tract inflamed. Acute nephritis. Treatment. Tests.
A form of delirium, sometimes spoken of as #Traumatic Delirium#, may follow on severe injuries or operations in persons of neurotic temperament, or in those whose nervous system is exhausted by overwork. It is met with apart from alcoholic intemperance. This form of delirium seems to be specially prone to ensue on operations on the face, the thyreoid gland, or the genito-urinary organs.
Some of his observations with regard to genito-urinary surgery are quite as interesting. He even treated congenital anomalies. He suggests cutting of the meatus when narrowed, dilatation of strictures with lead sounds, and even suggests plans of operations to improve the condition in hypospadias.
Second, in so-called plexuses, occupying different positions in the cavity of the trunk, and standing in especial relation to various organs; the solar or coeliac plexus to the stomach, liver, and spleen; the two renal plexuses to the kidneys; the mesenteric plexuses to the intestine; finally, on each side of the pelvis, the hypogastric plexus to the bladder, uterus, and ovaries the so-called genito-urinary organs.
Guyon, in charge of the genito-urinary clinic at the Necker hospital, to try injections of a solution of boric acid in affections of the bladder. I am informed by this skilful practitioner that he has done so, and daily observes good results from it. He also tells me that he performs no operation of lithotrity without the use of similar injections.
The aphrodisiac with the widest popular reputation is cantharides, but its sexually exciting effects are merely an accidental result of its action in causing inflammation of the genito-urinary passage, and it is both an uncertain and a dangerous result, except in skillful hands and when administered in small doses.
The department of genito-urinary diseases is introduced by a long chapter entitled "De approximeron," a formidable Latin word defined by Gilbert as sexual impotence.
In peritonitis, cholecystitis, pleurisy, arthritis, appendicitis, salpingitis, child-birth, in obstructions of the intestinal and the genito-urinary tract, in short, in those acute processes in which the local symptoms are powerful enough to govern the individual as a whole, to make him lie down and keep quiet, refuse food and possibly reject what is already in the stomach, in all these conditions there is rarely a headache, but in the diseases in which local pain is absent, such as the exanthemata, typhoid fever, and auto-intoxication, which have no dominating local disturbances to act as policemen to put the individual to bed and to make him refuse food that he may be in the most favorable position to combat the oncoming disease, in such cases in which these masterful and beneficent local influences are absent we postulate that headache has been evolved to perform this important service.
Of genito-urinary, which were non-venereal, there were twenty cases. Of skin diseases there were thirty-nine. Scabies was the only skin lesion which has been common among the troops. Warm baths and sulphur ointment were used with excellent results. From exposure there were one hundred and one cases of bones and locomotion. Trench feet were bad to treat.
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