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pseudohypertrophic muscular atrophy, have qui' appeared. 'This case was treated with strychnine from the very start and the dose increased from one-thirtieth to one twentieth of a grain every two hours. When it became impossible to give this by the stomach it was adminis- tered hypodermically. Digitalis was faithfully tried, January 2, 1897] MEDICAL RECORD. but, not seeming to give any relief, was finally discon- tinued. To secure the possible good of antiseptic remedies, the bichloride of mercury download game zynga poker android was given in twenty-fourths, at first t.d. and then every four hours. It was from nitroglycerin that the most relief was free slot poker games no downloads secured. This was given in two drops of the one-per- cent, -olution. q.d. Alcohol, as has been stated above, was pushed to its limit, and every effort made to sus- tain the patient by careful feeding, milk being de- pended upon in the main. The writer believes that much was also accomplished in this case by alcohol sponge baths and gentle massage. All efforts made to check the drenching sweats by agaricin, which has been so loudly extolled, and by camphoric acid and belladonna all failed utterly. Quinine was given in routine for many months. We rind in looking over the literature of the treat- ment that there is a great diversity of opinion as to the relative merit of a various host of drugs, and. as in every condition of which this may be said, we are forced to conclude that medicinal treatment 100 plastic bicycle prestige poker size rb playing cards is not satisfactory. Every reported ease seems to be a la* unto itself in this respect. game theory optimal (gto) strategy poker laccoud ' believes in online poker for ipad 2 real money the use of salicylic acid for its antipvretic and antiseptic effect. ( (triers recommend salicin as being less of a heart depressant. Quinine has its strong advocates, and yet Jaccoud believes it to be worthless; and Koryani " declares that no remedies have proven of value and directs symptomatic treat- ment. McClnn's patient recovered upon inhalations of carbolate of iodine and Sansom's' upon thirty-grain doses of Milpriocarbolate of sodium and inunctions of carbolized oil. William Russell, of Kdinburgh, advises antirheu- matic remedies and iodide of potassium internally and blistering the precordia. Dreschfeld," of Manches- ter, recommends large doses of quinine with arsenic. In general, however, there seems to be no especial relation between the play poker online free no download reported cases of recovery and trie remedies given. The etiology of this attack is unquestionably de- pendent upon two factors— the rheumatic seizure in the patient's sixtri year, with trie subsequent history of weakened nerve and muscle force, and trie frequent spells of giddiness, dyspnoea, and momentary blind- all pointing to the fact that there was at this time an endocarditis set up which poker slots machine download left trie patient witri an aortic lesion and weakened endocardium. Wheth- er the malignant character of the endocarditis in the present attack was tine to the furunculosis which, as has been said, was present, or whether this was merely the expression of trie poker players alliance twitter septic condition is an open ques- tion. The rheumatic pains before described may have been the expression of a renewed attack of this disease and the consequent cause of the malignant endocar- condition, or, again, these pains may have been of purely septic character. The Effect of Drugs upon the Secretion from the Tracheal Mucous Membrane.- Dr. James Gal- vert {Journal of Physiology, 1896, xx.. Nos. 2 and 3, pp. 157-164) concludes that: i. Alkalies increase trie 'ion. 2. Potassium iodide increases the secre- tion. 3. Emetin also increases the secretion in a marked degree. 4. Saponin does not increase trie se- cretion if given in small doses, while in large doses it causes diminution of the secretion. 5. (old ap- plied to the abdomen increases, while heat applied in the same way diminishes, trie secretion. 1 ' 1 nidn M6dii all . I crown casino melbourne poker rules ebraat^ z8, 1889. • \\ i. net mi .1. Pr< sse, i B87. Lorn I : ~7- : London Practitioner, 188S. 1 I. on. Ion Lancet, Aifgust 31 -h Medical Journal, I DERMA! 1TIS II Kkl'KTIFORMIS. By ALBERT E. CARRIER, VI. I)., CASE I. — Mr. F — ■— was referred to me for treatment by Dr. Theo. A. McGraw, January 12, 1S96. He- was a well-preserved man, had always enjoyed good health, was over seventy years old, in good circum- stances, and not in active business. Four years ago he received an injury which resulted in an abscess of the tibia of the right leg at its lower third. An operation was made, resulting in cure. Nervous exhaustion followed the operation, and un- easy sensations have been present in trie parts ever since. The family history is good. He has never had any disease of trie skin. Trie present attack began about three weeks before lie came under my care, commencing as a severe pru- ritus of the arms, legs, and back of thorax, with pain in trie hip, wrist, and ankle joints. The pruritus was followed in a few hours by erythematous patches from the size of a pea to that of a fingernail, appearing in crops. Twenty-four hours later vesicles appeared in the centre of slot poker games free download the macules, spreading at their circum- ference poker slots machine until blebs were formed which occupied the whole site of casino poker chips ebay the original lesion. poker slot machines free When the blebs were ruptured an excoriated base remained. There were no lesions upon the face, nor below the slot poker rules ankles and w rists. The blebs when fully developed had tense walls, sometimes fluted, had clear contents, and were not surrounded by an erythematous border. Dark pigmented sites remained after healing. Severe pru- ritus attended the lesions. The conditions as related casino poker table had existed from the out- break of the disease to the time he came under my care, new lesions appearing from time stargames poker machines australia to time to take the place of those that disappeared. On my first ex- amination I found, in addition to the blebs, large red, infiltrated, scaly plaques, covering the dorsal surfaces of both hands and looking like free poker game downloads for blackberry patches of chronic ec- zema. Itching in these plaques was intense. The patient complained of a feeling of tension of the whole cutaneous surface; said that it felt as if trie skin was creaking when in motion. The most promi- nent lesions, however, were the blebs. Mr. F was a man of good habits, a very moderate smoker, and a single glass of wine at dinner poker free download offline games was the extent of riis indulgence in stimulants. A very careful examination failed to bring to notice any pathological condition that would hold trie relation of cause to trie skin tion. Five days after he came under my care a change occurred in the character of the lesions, small red macules appearing and small conical papules; trie lesions were grouped, and in places the papules were so closely set as to form dime to dollar sized plaques. The papules were of the color of the normal skin, but the plaques had a pinkish where can us players play online poker 2012 hue. Small vesi- cles in groups also appeared over the back and chest, but dicl not develop in the macules. The macules, blebs, and papules were distributed over the limbs and abdomen, while the vesicles were on the front and back of thorax. Pruritus was intense in all trie le- sions. The patient at triis time presented very little

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