« SebelumnyaLanjutkan »
626 Kansas avenue
$26 oo up to $175 00
22 00 up to
10 00 up to
5 50 up to
I 50 up to
Call on us if in need of Furniture.
We will send you the KANSAS MEDICAL JOURNAL for
THE MUSCLE BEATER
A simple, efficient, and cheap instrument for securing the effects of manipulation
The following indorsements are given :
“MR. JOHN E. RUEBSAM.-DEAR SIR : I am in the habit of prescribing your
D. HAYES AGNEW, M. D,
" MR. JOHN E. RUEBSAM.-DEAR SIR : have recommended your Muscle
ALLAN MCLANE HAMILTON, M. D.
One Sample Set to Physicians at $2 00.
Send for Descriptive Circulars to
JOHN E. RUEBSAM.
May Building, Cor, Seventh and E Sts., N. W.
WASHINGTON D. C.
Kansas Medical College,
OF * + TOPEKA,
Will begin its first Annual Session September 23, 1890, and continue
JOHN E. MINNEY A, M., M. D., Professor of Ophthalmology and Ololngy.
J. W. DONALDSON, M. D.,
Professor of Materia Medica and Therapeutics. S. G. STEWART, M. D.,
WM. H. RIGHTER, Ph. D., M. D., Professor of the Principles and Practice of Medicine. Professor of Ge: ito-Urinary Diseases and Dermatology.
L. J. LYMAN, M. D., J. C. MCCLINTOCK, M. D., Professor of the Principles and Practice of Surgery and Professor of Orthopædic Surgery and Lecturer on Frac
tures and Dislocations.
W. A. WILLIAMSON, M. D., C. M.,
Professor of Histology and Pathological Anatomy and Professor of Pathology and Preventive Medicine.
M. H. CAZIER, M. D.,
Professor of Diseases of the Chest & Physical Diagnosis.
S. E. SHELDON, M. D.,
Professor of Railroad, Military and Clinical Surgery.
R. E. MeVEY, M. D.,
Professor of Clinical Medicine.
HON. JOHN MARTIN,
Lecturer on Medical Jurisprudence.
C. C. BRADLEY, M. D.,
Demonstrator of Anatomy and Topographical Anatomy.
W. E. McVEY, B. S., M. D.,
Lecturer on Chemistry.
R. S. MAGEE, M. D.,
Lecturer on Ophthalmology and Otology.
Laboratory work in Chemistry, Physiology, Histology and Bacteriology will be required and will be a special feature of the course. For futher information apply to
JOHN E. MINNEY, A. M,, M. D., Dean. M. B. WARD, M. D., Secretary, 209 East Seventh Street.
Fine Dry Goods.
CRITCHES, We make a specialty of Fine Dress Goods and Silks
DRESSINGS, BRICES, and carry one of the largest stocks to be found in the State of Kansas.
MEDICINES, The only Agents in Topeka for the Celebrated Foster BUGGY and POCKET CHASES, Kid Gloves..
To write to the Visit our Cloak Department where we are showing the late style in Fall Winter wraps.
PHYSICIANS' SUPPLY CO.,
918 Wyandotte street,
WIGGIN, CROSBY & CO.,
613 & 615, Kansas avenue.
J. D. PORTER, President.
kansas Medical Journal.
TOPEKA, KANSAS, JANUARY, 1890.
Report of a Case.
the finger into the mouth. I found a fracture
of the superior maxillae extending from the FRACTURE OF THE SUPERIOR MAXILLAE, IN- outer border of the right superior maxilla, VOLVING THE RIGHT ANTRUM. diagonally up and inward across the body of
the bone, between the alveolar and malar proRead before the Academy of Medicine and Sur- cesses, through the right antrum to the nasal gery, at Topeka, November 5, 1889. cavity above the right palate process, ob
liquely down and across, fracturing the left BY c. A. M'GUIRE, M. D., OF TOPEKA, KAS. palate process through its posterior half, and
September 19, 1889, Mr. Thos. F. Irish, obliquely down and out through the left maxaged 28, a conductor of the Rapid Transit illa between the first and second molar teeth, railway company, while standing in a stooped leaving the lower portion of the superior maxposition on top of a car adjusting the spring illae freely movable, and dropped as beforeof the trolley arm, which makes the connect- mentioned one-half to three-quarters of an ing current with the overhead wire, was struck inch more marked on the right side, and a crushing blow across the face on the right pressed slightly backward and to the left. upper lip by this spring, which is extremely Manipulation of the parts caused pain at the powerful, flying out of its position. The blow was of such force that it would have knocked him off the car if he had not been caught by an assistant. He was taken to the central station, some twelve blocks away, where I saw him at 9 p. m., which was about one hour after the injury was received. I found a slight cut three-quarters of an inch long below the right ala of the nose, extending down and out, inner angle of the right eye, otherwise he but not extending through the lip. This was the only external abrasion, but the patient time the patient was fully conscious, but was
complained of but little pain. During this was bleeding profusely from the mouth and anterior and posterior nares.
suffering slightly from shock, with a slow
The eyelids were nearly closed by the swelling, and the pulse and a strong inclination to sleep, and right upper lip was swollen to such an extent frequently asked to be let alone.
The swelling about the mouth and lips was that it was about one and one-half inches thick, and the inner surface of the same was any nourishment except through a glass tube,
so great that the patient was unable to take torn loose from its alveolar attachment, so and through that he took another dose of that it dropped from one-half to three-quarters stimulants, and was then removed to the hosof an inch. I administered a small dose of stimulants, and used hot water freely for an displaced fragments were adjusted as well as
pital where he was made comfortable, and the hour, to check the hæmorrhage. In order to possible by the fingers. No bandage was apexamine the mouth it was necessary to in
plied, nor any attempt made to use the lower cise the inner surface of the right upper lip, jaw as a retaining splint, because the hemorrnd expel the blood clots, so as to introduce hage was still so profuse that the patient was
compelled to keep the mouth open for dtaip- tained an impression of the upper and lower age, and to expectorate the blood.
jaws with moulding compound, a substance I ordered a hot solution of boracic acid as a that softens in hot water, and is used by dental
surgeons for such purposes.
He made a hard rubber plate from this cast of the upper jaw with square steel wires, & of an inch thick, fitted into square sockets at each side of the plate external to the teeth, so as to come out at the angles of the mouth, curving back and passing horizontally along the sides of the face for about 272 to 3 inches.
This plate, (Fig. I.) was adjusted September 30, and retained in position by bandages applied in the manner indicated in Fig. II.
This plate, by the tension of the bandages, gradually pressed up the displaced parts to their proper position, elevating them one-half to three-quarters of an inch from their position before the adjustment of the plate; and, as a result of this elevation, it was necessary from time to time to adjust, curve and mould the steel wires to fit the angles of the mouth, as indicated in Figs. I. and II., by the peculiar
curvatures of the wires in the plate. FIGURE II.
The patient complained slightly for the first wash for the mouth, and anterior and pos- few days owing to the pressure of the plate, terior nares, and compresses of distilled ex
which caused some tenderness of the teeth, tract of hamamelis applied externally.
and some pain below the inner angle of the September 20. The right eye lids were entirely closed, and left eye lids nearly closed by the swelling, and both eyes and the right side of the face were of a purple hue. The patient was suffering but little pain; pulse slightly accelerated; temperature 99/2. The hæmorrhage was still quite profuse. Patient was able to take sufficient milk and whisky through a tube.
September 21 and 22. Condition and treatment of the patient was much the same, but the hæmorrhage was gradually growing less, and pulse and temperature were normal.
September 23. Dr. W. A. McCarter, a dental surgeon of this city, was called in consultation, and we decided to continue the same plan of treatment until the swelling of the parts had subsided sufficiently to make an impression of the mouth, and then apply an interdental splint with external support.
In the following five days the patient was able to take fluid nourishment without the aid
FIGURE III. of the glass tube, and the swelling of the parts right eye, which is, I believe, a common ocsubsided so that September 28 the doctor ob- currence in such cases.