Negative diagnosis of surgical lesions of the stomach and cap / by Lewis Gregory Cole, M.D. Professor of Roentgenology in Cornell University Medical College.

  • Lewis Gregory Cole
Date:
1914
Catalogue details

Licence: In copyright

Credit: Negative diagnosis of surgical lesions of the stomach and cap / by Lewis Gregory Cole, M.D. Professor of Roentgenology in Cornell University Medical College. Source: Wellcome Collection.

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    Gordon’s serums, 1 Flexner’s and the Pasteur Institute’s multivalent serums, 2 Burroughs, Wellcome and Co.’s serum alone, 1 Burroughs, Well¬ come and Co.’s and Gordon’s serums, and 3 Flexner’s and Burroughs, Wellcome and Co.’s serums (only 4 cases had this combination). The remaining case had 70 c.c. of Gordon’s serum, and did not have any manifestations of serum disease except the rash. Out of the 95 cases treated with serum, 41 had Flexner’s or Burroughs, Wellcome and Co.’s serum, and among them rashes occurred in 21 or 51 per cent. ; whereas among the remaining 54 cases treated by serum there was a rash in one case only. Six of the 22 cases with rashes also had serum hypodermi¬ cally. The average amount of serum received by the cases with rashes was 65 c.c.; and the average amount received by 14 other cases which had Flexner’s or Burroughs, Wellcome and Co.’s serum and recovered was 70 c.c., or practically the same. Table showing Results of Treatment by Different Serums. Flexner’s serum alone Combined with other serums.. ” 4*> Cases 27 .. 12 .. Deaths 6 or 22-3 per cent. .. 3 „ 25 Recoveries 21 or 77 7 per cent. 9 „ 75 39 9 or 23 per cent. 30 or 77 percent. Gordon’s serums alone .. 16 .. 3 or 18‘7 per cent. .. 13 ,, 81'3 percent. Combined with other serums.. 6 3 ,, 50 ,, 3 ,, 50 ,, 22 6 or 27 3 per cent. 16 or 72-7 per cent. Pasteur Institute’s multivalent 9 .. 4 or 44 5 per cent. .. 5 or 55-5 per cent. serum (3619) alone Combined with other serums.. 5 .. 1 „ 20 4 ,, 80 14 5 or 35-7 per cent. 9 or 64-3 per cent. Burroughs, Wellcome & Co.’s 6 2 or 33-3 per cent... 4 or 66 *7 per cent. serum alone Combined with other serum.. 8 .. 1 „ 12-5 „ 7 „ 87-5 14 3 or 21-4 per cent. 11 or 78'5 per cent. Mulford’s serum alone .. 10 .. 5 or 50 per cent. 5 or 50 per cent. Combined with other serums.. 2 .. 1 1 12 6 6 Lister Institute’s multivalent 11 .. 6 or 54'5 per cent... 5 or 45-5 per cent. serum alone On an average the rash appeared ten days after the first injec¬ tion of serum. In a case at Haslar which received one injection of 20 c.c. of Flexner’s serum in a relapse seven weeks after the primary attack in Egypt, there was within a few hours an “ immediate ” serum rash. The patient stated that nine lumbar punctures had been performed in the primary attack, but there is no official information as to the administration of serum. Of the 22 cases none proved fatal, but as the serum rash occurs after an interval of about ten days, the fulminating and acute cases are obviously excluded, and this observation has no
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