Recent Literature Diseases of the Upper Respiratory Tract, the Nose, pharynx and Larnyx . By P. Watson Williams, M.D. (Lond.), Physician in Charge of the Throat Department at the Bristol Royal Infirmary. Fourth Edition. Illustrated. New York, London and Bombay: Longmans, Green & Co. 1901
Boston Medical and Surgical Journal
fruit is a useful addition and an essential aid to rapid recovery. The usual point of view is that the juice of fresh, ripe fruit is a specific. Under lithemia he states that infants who have uric acid infarctions have a lithemic family history. This view is hardly in accordance with the accepted one as to their origin. He apparently does not know that Rachford's ideas regarding the xanthins have been disproved. In Part II the chapters on the affections of the mouth, throat, liver and
... liver and peritoneum are fair. He does not describe as icterus neonatorum the condition usually known by that name, but describes a number of other conditions, including catarrh of the common duct and congenital malformations of the bile ducts. The classification of the affections of the stomach and intestines is not that which is now ordinarily accepted. We think it far inferior to that of the American Pédiatrie Society. The descriptions of the morbid anatomy are different from any we have seen in recent years. He describes pathological conditions as constantly present, which it has not been our fortune to meet commonly in these diseases. While he mentions bacteria as a cause of some of these disorders, he apparently attaches but little importance to them and does not refer to the recent work on this subject. The treatment is better than the classification and pathology, but the importance of the temporary withdrawal of food is not sufficiently emphasized, and too much drugging is advocated. We feel that most pediatrista would hardly agree that " if other measures of reduction fail, or if the case is seen for the first time after the third or fourth day that the question may arise as to the propriety of laying the abdomen open and reducing the intussusception by direct traction." The present tendency is to open the abdomen at once. We feel, too, that most pediatrists would feel like calling the surgeon in appendicitis earlier than is advised here. This textbook of 430 pages has not received the attention in America that it justly deserves. As compared with some of the books of the same size, covering the same field, it is clear, concise and judicial. It is a students' and practitioners' manual, and does not quote many references to authorities nor aim at discussions of doubtful questions. This edition has, in most subjects, been well brought up to date. One feature of an up-todate textbook is the substitution of agnosticism for many positive statements in etiology, and for many positive recommendations in treatment. The author is sufficiently judicial to be accurate and sufficiently dogmatic to be clear. There is a long list of plates and illustrations, many of them good, some of them poor. The anatomical descriptions of the nose and larynx are good, the pharynx seems to have been omitted. Several illustrations are double, stereoscopic photographs, capable of being brought out into relief by an ingenious double lens attached to the cover. This gives an interesting sense of realism to many of the anatomical illustrations, even where we do not need the aid of a third dimension to understand them. The chapter on the neuroses of the larynx and nose are very good. The etiology of ozena and nasal polypi are more satisfactory than if several pages had been devoted to them. In the latter it is to be commended that a line is drawn between local inflammatory and vasomotor causes. It is also satisfactory to find a reference to the probable infectious origin of some forms of acute rhinitis, but why should simultaneous laryngitis and bronchitis not be considered as part of the same disease. The chapter on the tonsils is good, except the description of peritonsilar abscess. As a whole the book is well written and well balanced. We may wonder why there is so little space devoted to syphilis of the fauces, or why a table is necessary to differentiate acute tonsilitis from carcinoma, or whether the author means that most children with adenoids have pinched noses and narrow jaws, but these are minor points, and there are not many of them. In the treatment of the different diseases the author has avoided the common error of advocating too much manipulation and too many drugs. He sustains McBride in recommending cupric electrolysis for atrophie rhinitis. In the treatment of hay fever he has found great benefit in the use of a spray of a solution of biniodide of mercury. A general formulary is added in an appendix.