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catheter in the rectum is better borne and causes much less irritation, as a rule, than a rigid nozzle. If this catheter is made after the type of the usual retention catheter or if it is secured in place by a strip of adhesive plaster passed across the buttocks the patient is saved from the annoyance of frequent introduction and removal. Aside from the well known value of saline solution by rectum in the treatment of shock, thirst, and haemorrhage, it is perhaps of greater value still in the prevention of urinary irritation and suppression. Usually the op- erative patient is depleted of water by purgation and gets but little fluid for several hours prior to, during, and after operation. A considerable amount of toxic and highly irritant material is thrown un- diluted on the kidneys and they may prove unequal to the strain. If these toxic bodies are highly di- luted with water Buy Pfizer Viagra Online India their elimination will be felt fir less. 10. Furunculosis. — Gaskill summarizes his ex- perience thus : Furuncles showing no causative factor in any kidney complication can be success- fully treated by being opened with a Buy Pfizer Viagra Online India sharpened cot- Buy Pfizer Viagra Online India ton applicator dipped in phenol, with injections of nniltivalent staphylococcus vaccines and by applica- tions of salicylic acid ointment from 5 to 15 per cent, strength ; the inability of the physician to pre- pare autogenous vaccines on account of lack of time, laboratory facilities, and experience makes the stock vaccines prepared by trustworthy firms a much more desirable method of procedure in the average case ; the pain on opening a furuncle is much less than with the knife, as phenol is slight- ly anaesthetic ; the reaction is very slight after the first injection and is lessened by use of the dry cup : it is not necessary to record the index, as the dose mav be regulated by the clinical manifestations. MEDICAL RECORD April 13, igil. I. Purpura, By Buy Pfizer Viagra Online India J. S. Thachek. _'. An Unusual Case Buy Pfizer Viagra Online India of Fracture of the Bodies of the Fourth, Fifth, and Sixth Cervical Vertebra, with Injury of the Spinal Cord, By W. H. Swan, Charles A. Powers, and Howell T. Pershing. 3. Reports of Four Cases of Ureteral Calculus, By H. D. FuRNiss. 4. Metallic Foreign Bodies in the Tissues ; .A New Tele- phonic Searcher, By William S. Thomas. 5. Embolism and Thrombosis of the Puhnonary Artery. Report of Three Cases — One of Embolism and Two of Thrombosis, By John Funke. (1. Sterilization of the Skin by a New Iodine Solution, Bv Ellice McDonald. PITH OF CURRENT LITERATURE. 797 Report of a Case of Congenital Cystic Degeneration of the Kidney, By H. Brooker Mills. Short Talks with My Students and Others, By Robert H. M. Dawbarx. I. Purpura. — Thacher, after discussing the nature of the disease, says of treatment : It is not satisfactory, aUliough some interesting additions have been made in recent years to our means of overcoming some forms of hasmorrhagic disease. The older remedies have been of Httle help. Arsenic has sometimes appeared useful, as has also turpen- tine. In an extreme case of purpura, for which he had tried various reinedies without result, the ad- ministration of turpentine was promptly followed by rapid improvement and complete cure. The inter- esting studies of Wright, and the enthusiastic re- ports which he and his followers have given of the effects of lime salts in shortening the coagulation time and diminishing the tendency to hc-emorrhage, have been interesting and stimulating. Others, how- ever, have used these salts in vain. The use of gelatin by mouth is of doubtful efficacy, its use hypoder- mically is of some danger, and Boggs's experiments failed to show that gelatin reduced the coagulation time of the blood. Weil, after showing that normal serum either Buy Pfizer Viagra Online India from man or from animals, as well as pleuritic fluid, has a marked effect on the clotting of htemophilic blood, tried the use of normal sera clinically in a few cases with fair results.- Learj' used normal rabbit serum, in doses of 15 c.c. intra- venously, or 30 c.c. subcutaneously, obtaining in general favorable results. The most striking suc- cess with the serum treatment of hsemorrhagic con- ditions is that reported by Welch. He used nonnal human blood serum subcutaneously in nine cases of haemorrhage of the newborn. In every case the hxmorrhages stopped promptly after the adminis- tration of serum. Compared with the high mortal- ity in such cases, these results are very striking. It must, however, be remembered that haemorrage of the newborn is in all probability of a different nature from purpura and hemophilia. Transfusion has also shown a striking efficacy not only in haemorrhage of the newborn, as in Lambert's case, but also in purpura. 6. Sterilizing the Skin with Iodine. — McDon- ald reviews the history of the revival of iodine as an antiseptic and states his personal preference for the fat Buy Pfizer Viagra Online India dissolving antiseptic solution of carbon tetra- chloride and iodine 2 per cent., which is a useful antiseptic, unirritating, and easily applied. It has the advantage of v. Ilerff's alcohol acetone mixture and of Grossich's tincture of iodine method. If it is desired to completely seal the skin, it Buy Pfizer Viagra Online India may be done by solutions of resin in carbon tetrachloride, as chi- rosoter of v. Herff, Buy Pfizer Viagra Online India a solution of wax in carbon tetrachloride, or the following solution : Benzin