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thonous cases, developing in the institute. (7) buy tetracycline 500mg In lying-in institutions eclampsia develops far more frequently than in private dwellings. The author's method of treatment with chloral ana morphine, and with normal salt solution, as well as with tetracycline 500mg capsules accelera- tion of labor if need be, gives very favorable results and deserves the widest possible application. DISEASES OF CHILDREN. A Contribution to the Surgical Treatment of Anomalies of the Anus and Rectum. — Dr. Paolo Ferraresi (Rifoniia Mcdica, June loth) reports seven cases of anomalies of development of the anus and rectum, in six of which successful surgical treat- where can i buy tetracycline ment was applied. The cases reported included con- genital absence, impcrforation. and malformation en the anus and rectum. The prognosis of these de- fects varies with the anatomical nature of the mal- formation. In the simplest cases, when the anus is imperforate and simply closed by a membrane, a • simple incision suffices to restore the normal course of the freces. In the grave forms, however, the de- fect is such that the intestine is closed over a con- siderable portion of its course, and there arc cases in which an anomalv of the rectum is accompanied by other anomalies of the digestive tract. In the cases in which there is a communication between the rec- September 6, 1902.] I'lni OF CURRENT LITERATURE. turn and some other canal, as the vagina, the hfe of the newly born child is not immediately threat- ened, for the feces, being fluid, may easily escape through the opening. But the danger comes when the child grows and the fasces become hard and uense. The faeces are incompletely voided, gradual- ly accumulate in the lower part of the rectum, and dilate the gut. Finally, there is a group of cases in which there is a comnumication with the bladder, producing an infection of the urinary passages in the course of time. cheap tetracycline The treatment varies with each case, and often plastic operations must be specially devised to meet the conditions present. When there is an abnormal communication between the anus and the bladder or the posterior urethra, it may be possible to construct an anus in the normal position. Although the results are not always good in such cases, it must be borne in mind that the little patients often die of urinary infection if no relief is given, as the fistula rarely closes of itself. In other cases the fistulous communication with the rectum takes place through the perinseum in males, or through the lower part of the vaeina in females. In such cases the best method is that devised by Dieflfenbach, modified by Nelaton, and practised successfully by Rizzoli. The rectal ampulla is com- pletely dissected away from its connections with the surrounding parts, and the rectum is drawn down and sutured with interrupted sutures to the perineal incision in the position in which the anal aperture is normally found. A fistulous tract then remains which leads through the perintxum and scrotum in males and through the vagina in females. doxycycline tetracycline This tract may be exposed and dissected out completely, or simply closed, thus removing: 500 mg tetracycline rosacea any communication between the anus and the genitals. LARYNGOLOGY, RHINOLOGY, AND OTOLOGY. A Case of Nasal Vertigo Simulating Epilepsy. Bv Dr. 500 mg tetracycline acne E. Woakes (Lancet, August i6th). — The author tetracycline mail order reports the case of a man, aged forty years, who had suffered for eight months from fits, which were thought to be epileptic. There was a modified aura, then a period of unconsciousness with clonic spasms of the jaw, followed by gradual tetracycline mgd recovery; the patient never injured himself. The attacks oc- curred almost daily, the patient's memory became defective, and he wept frequently. On examination of the nose, the right middle turbinated bone was found to be greatly enlarged. It was removed with cutting forceps, and the epileptoid attacks ceased immediately. He remained well for four years, when the attacks began to recur ; examination showed hypertrophy of the left middle turbinated tone, removal tetracycline 250 mg acne of which was followed by complete recovery. Three symptoms differentiated this case from one of true epilepsy and transferred it to the groups of vertigos due to disturbance of the equili- brating apparatus of nasal origin. The three S3'mp- toms were : ( i ) Hyperacousis, indicated by the dis- tress occasioned to the patient by the occurrence of loud noises, and evidencing implication of the buying tetracycline online coch- lear portion of the eighth nerve ; (2) the tendency to uncontrollable weeping; and (3) loss of memory. where to buy tetracycline These symptoms are in constant association with chronic forms tetracycline hcl bp 250 mg of vertigo of nasal generic version of tetracycline origin. They point to extension of the reflexes to the vestibular branch of the eighth nerve supplying the end-organs of equilibration. That these symptoms were the out- come of reflex irritation, and were not due to central lesion, tetracycline 500mg capsules for acne was evidenced by their immediate and com- plete cessation following on removal of the exciting cause. Chronic Suppurative Disease of the Middle Ear. [Concluded].— Dr. James Kerr Love (Glasgozv Medical Journal, August) concludes that all cases of old-standing disease of the middle ear, in which the discharge cannot be stopped by palliative treat- ment, should be treated by operation, and by the radical mastoid operation if necessary. In perform- ing the mastoid operation, the routine treatment should consist of the removal of the entire posterior bony wall of the external auditory canal, splitting the soft parts into the bony wound, stitching the online tetracycline mastoid wound closely, and conducting subsequent dressings through the split canal. The author as- serts that tetracycline 250mg tablets there is no practical advantage in skin- grafting the tympano-antral cavity, except buy tetracycline it be un- usually tetracycline hydrochloride capsules usp 500mg large, but that, in the latter case the pro-

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