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and resin damar, of each 10, ether 100, thymol 0.5. However, this is not as a rule necessary, unless to cover some adjacent suppurating or recent wound. In the sterilization of the skin, the valuf ui antisep- tic soaps and of spirits of soaps, as shown by Post and Xicholl, by Schumberg, and by Lenzmann, should be kept in mind ; but the skin should be al- lowed to dry before iodine solutions are applied, as these will not penetrate and, in the case of the tinc- ture, irritate the skin. It is believed that the carbon tetrachloride iodine solution is an efficient substi- tute for tincture of iodine in the preparation of the skin for operations. Viagra Tablets 100mg X 4 BRITISH MEDICAL JOURNAL April I, igii. 1. Acute Emergencies of Abdominal Disease, By B- G, A. MoYNiHAX. 2. Chemical Composition and Mode of Formation of Re- nal Calculi and Metabolism of Calcium in Gout and Allied Conditions, By Bexjamin Moore. .3. The E.\amination of Suspected Smallpox, By A. F. Cameron. 4. Renography: A Study of the Abnormal Movements of the Living Kidney, and a Hint of Its Bearing and Influence upon Renal Surgery-, By E. Hlirrv Fenwick. 5. Anthrax and Fatalism, By William Mitchell. 6. The Infective Granule in Certain Protozoal Infections, By Andrew Balfour. 7. Note on the Therapeutics of Sugar, By Sir James Savvver. 8. The Cardigan Cancer Cures, Viagra Tablets 100mg X 4 By G. M. D.\wkin. I. Emergencies of Abdominal Disease. — Moynihan sums up his conclusions thus: i. The catastrophes which occur within the abdomen are not, strictly speaking, "acute"' Viagra Tablets 100mg X 4 ; they are, on the con- trary, usually the result of the abrupt transition from a quiescent to an acute phase in a disorder of long standing. 2. An acute emergency can, therefore, be prevented by a timely recognition of the value and Viagra Tablets 100mg X 4 the significance of the early symp- toms, so often ignored or Viagra Tablets 100mg X 4 misunderstood, of the chronic malady in which it is the final development. 3. The occurrence of a sudden attack of intolerable agony in the abdomen, associated with tense rigid- ity of all the abdominal muscles, indicates that there is an acute lesion which needs immediate surgical attention. These two signs, and these alone, are an urgent warrant, and compulsion to us to treat the case at once by operation. 4. A differential diag- nosis is generally possible if strict attention be paid to the details of the anamnesis, and if the firm ab- dominal wall be searched for a tender area of su- preme resistance. 5. Shock is not a symptom of perforation, for in the early hours after this disaster has occurred the pulse is very little altered in vol- ume or in rate. 6. In all cases of abdominal pain, especially in children, the use of aperients should be avoided. 3. Examination in Suspected Smallpox. — Cameron says the invasion resembles that of other infections, but is more severe ; pain in the back is characteristic, disappearing when eruption breaks out. Vesicles may appear Viagra Tablets 100mg X 4 in mucous membrane of mouth. Do not place too much reliance on "good" vaccination marks in excluding smallpox. The eruption may be an erythema, a purpura, or vesi- cles ; patches of eruption have a tendency to coalesce. Purpura is noted mainly in the vagrant class, the debilitated, and in those who have not been confined to bed in the earlier stages o.f the dis- ease. 4. Renography. — I'enwick, when he comes across a fixed dense kidney, with profuse ha?ma- turia, knows he has to deal with a carcinoma of the kidney that has passed through its capsule, and ' has fixed it so that there is no use operating; thnt he will not be able to get the kidney away without