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Related post: Three S3rmptoms from Abnormal Conditions of the Foot. â H. W. Freiberg {Cleveland Jour, of Med., July, 1901) concludes that abnormal conditions of the foot may be the cause of pains in the knee, with or without themselves present- ing subjective symptoms. Pronated and flatfoot is the most frequent cause, possibly from short- ening of the calf-muscles, and their drawing on the capsule of the knee through the medium of the plantaris. Pal considers flatfoot also a cause of meralgia parcesthetica. Mean Arterial Pressure in Insanity. â Obser- vations by W. R. Dawson (Dublin Jour. Med. Sc, July, 1901) support the view that states of mental depressicm and stupor are associated with high arterial tension; states of mental exaltation and excitement, with low arterial tension. These facts afford a somewhat empirical basis for treat- ment. Melancholic cases beginning with high tension show a gradual. decline of tension in pro- portion to the mental improvement. Tuberculous Meningitis with Hemiplegia. â In a case reported by Souques and Quiserne (La Mid. Moderne, June, 26, 1901) tubercukms meningitis manifested itself at first by transient attacks of hemiplegia lasting for several minutes or even for one or two hours. After four days the hemipl^a became permanent. Kemig's sign being present, limibar puncture was resorted to and the diagnosis confirmed. In the absence of cyto-diagnosis by means of lumbar puncture the question of a possible cerebral tumor would have remained. The Reaction of Fixation with Sterilized Typhoid Cultures. â The reaction of fixation in the diagnosis of typhoid has been obtained by WiDAL and Le Sourd {La Presse Med., June 20, 1 90 1 ) by means of a sterilized culture of typhoid bacilli, the latter being substituted for the living germs heretofore used. A gelatin culture is used and from this an emulsion is prepared in a .7 per cent, (seven-tenths per cent.) solution of sodium chloride. The emulsion is exposed to a tempera- ture of 61** C. for three-quarters of an hour. Epithelioma of the Penis. â The most fre- quent form of carcinoma of the penis is epithe- lioma. Patterson ( Univ. of Penn. Med. Bull., July, 1901) considers phimosis a strong predis- posing factor. The virus of syphilis has nothing to do with epitheliixna, but the scar of an old syphilitic lesion constitutes an area of decreased resistance. The question of contagiousness of epithelioma is regarded as still to be decided. C3rigin in the urethra is relatively rare; a more common place of origin is the glans or prepuce. The only safe treatment in any stage consists in the thorough eradication of the area of disease and of all involved lymphatic glands. Primary Cystorrhaphy After Suprapubic Cystotomy. â Dr. Balacescer (Centralbl. f. Chir. 190T, No. 25) states that in the clinic of T. Jonnesco at Bucharest the following method has been successfully and repeatedly performed on dogs and then on man of making a primary cystorrhaphy after incising the bladder. For the first eight days a retention catheter is car- ried, after tiiat the patient voids his own urine or is regularly catheterized. In a few patients no retention-catheter was used and either volun- tary micturition or catheterism was performed. The bladder is freely exposed through the usual suprapubic vertical straight incision, and its upper and lateral walls freed of peritoneum with the finger in order to permit of its being more readily and prominently brought up into the wound. When so presenting it is incised layer- by-layer and the stone removed. As a rule the bladder should be empty at the time of the opera- tion, and always when possible a preliminary irrigation performed for about one week. When the bladder is ready for closing for the length of the wound on one side only the mucous mem- brane is carefuUv dissected free over a width of about one centimeter. The mucous membrane is now brought together very carefully so that each extremity is closed. Then the muscular layers August 3, 1901] MEDICAL PROGRESS. 179 are united so that the last stitches are Tadapox Online beyond and shut oflF the wound ends. Then over the entire suture Jine the muscle walls are apposed by Lembert sutures, exactly as in the intestine. Such a procedure is absolutely safe and renders it possible to get the patient up in twelve days. Adenoma Sebaceum of the Non-Synunetri- cal Type. â Two main types of sebaceous adeno- mata are distinguished by Gottheil (Jour, Am. Med. Assoc, July 20, 1901). The first accords with Unna's definition: Benign, irregular out- growths of the sebaceous epithelium going on to fatty but not to colloid metamorphosis. The second is a simple hypertrophy of apparently nomial Buy Tadapox sebaceous-gland tissue. Clinically, most cases are multiple, yellowish, firm nodules with- out central depression, commonly situated on the nose or nasolabial folds. A case observed by the author presented a growth on the right parietal scalp, forming a curved, elongated pinkish-yellow patch 2}^ inches long by ^ inch broad. Normal scalp was entirely absent over this area; a few lanugo hairs were present. Related links: Generic Brand Erythromycin, Toprol Xl 25mg, Danazol 200mg, can you buy celebrex online, Buy Cheap Prograf, Order Lotrel, Slimfast Offers, Where To Buy Ginseng Seeds, mg of zoloft, Primaquine Phosphate