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Related post: brow and temples with the oleate. Care is necessary lest the ointment get into the eyes, as it is extremely irritating. Occasional bathing of the eye in a solution of the bichloride, i : 20,000 is of service. In case it be- comes necessary to blister the temples, mercurial oint- ment should be applied to the raw surface. Mucous patches and fissures of the mouth, if very painfiil, should not be cauterized until their irritability has been in a measure allayed ; they then require cau- terization. The best application is the acid nitrate of mercury ; in some cases, however, the nitrate of silver is better. Obstinate tubercular lesions and post-ulcerative thickenings should be destroyed by the galvano-cautery, as transformation into cancer is possible. In irritable oral, lingual, and pharyngeal lesions, the following is the best application : B . — Carbolic acid . . . .10 grains. Resublimed iodine . . . 5 " Menthol 10 " ai of eucalyptus ) ^^^^^ ^ ^ Glycente of tanmn j Boro-glyceride sufficient to make I ounce. — M. Apply with a brush. Condylomata and mucous tubercles disappear under the collodion or benzoin and bichloride mixture already mentioned. Condylomata and mucous tubercles mean local irritation and filth, both of which are in great measure avoidable. Calomel and oleate of zinc are the best dusting powders for these lesions. The Treatment of Hemiplegia. — In discussing the treat- ment of hemipl^^. Dr. Bastian {Lancet, March 8, 1890) writes that while in the apoplectic condition, the patient should be put in a recumbent position in a cool room, the head and shoulders being well raised; and if there is much heat and throbbing about the head, cold applications or an ice-bag should be ap- plied and the l^s and feet wrapi>ed with flannel and hot bottles applied. If the Buy Amoxicillin / Clavulanate Online face be much flushed, some sedative, such as twenty grains of potassium bromide and four or five minims of the tincture of aconite, should be given to calm the circulation and thus help to check further bleeding. Cases of apoplexy often adinit ot very little being done in the early stages in the way of direct treatment, because of the great difficulty in diagnosing between cerebral haemorrhage and incipient softening due to thrombosis. Some physicians are apt to think — and the less experienced they are the more they are apt to think— that haemorrhage and incipient softening are diagnosed very readily; that there is not, in feet, much difficulty in distinguishing the one from the other. In cases of thrombosis nothing should be done to lower the tension within the vascular system, which, in- deed, should be increased so as to assist Buy Cheap Amoxicillin / Clavulanate in opening up the anastomosing channels and thus help to diminish the area cut off from its blood-supply. The patient re- quires stimulants in moderate amount, digitalis with ether or aromatic spirit of ammonia, to strengthen the cardiac action. But if the conditions are due to haemorrhage, this treatment would be harmful to the patient. For in that case the action of the heart should be depressed and the tension within the vessels diminished. The in- dications are diametrically opposite during the comatose conditions due to haemorrhage and to thrombosis re- spectively. In certain cases it may be clear that we are dealing with embolism, as in the case of a child with valvular disease of the heart and paralysis coming on abruptly. But in a large number of cases it is not safe to act in any very decisive way, and therefore the treat- ment should not be active. The ^rerention of Urethral Ferer.—Mn. G. Buckston Browne {British Medical Buy Amoxicillin / Clavulanate Journal, March 15, 1890), in a paper upon the treatment of retention of urine, ex- presses his views upon the etiology and treatment of urethral fever. The theory of the causation which he adopts is that catheter fever is a nervous fever entirely due to urethral shock, communicated through the ner- vous connections to the excretory apparatus of the kidneys and producing all degrees of suppression of urine Amoxicillin / Clavulanate Online from the most transient to the most complete. He is satisfied that it is not due to the absorption of urine through a urethral wound, for the passage of a fine bougie through the stricture is often followed by high fever, while a free division of the stricture with a knife is followed by little or no elevation of temperature. He does not consider it septicaemic Generic Amoxicillin / Clavulanate because it may come on directly after the p^sage of an instrument, and, more- over, patients may live for years with their bladders full of foetid urine and without signs of septic poisoning. If his is the true theory, the author considers it evident that gentleness of manipulation is exceedingly important. Digitized by 398 MEDICAL PROGRESS. [Mboicai. Nim Of drugs which have a prophylactic influence, he be- lieves opium, morphine, and codeine to be the most valuable. He has often found that when the passage of a catheter is followed by high fever, in the same indi- vidual and with the same instrument no fever follows the procedure if a small dose of morphine has been previously administered. If the preparations and deriv- atives of opium are not well borne, small doses of chloral may be employed. Prescription for Incontinence of Urine. — Grisolle recom- mends the following pills in cases of incontinence of urine: B . — Extract ot nux vomica Black oxide of iron Pulverized quassia Syrup, sufficient quantity. jo, each 3 grains 45 " — M. Divide into twenty pills, of which from one to three may be given daily.— Z" Union AUdicaU. Pretcription for Pigmentation of Pregnancy. — The follow- ing ointment recommended by Monier is quoted in the Internationale klinische Rundschau : B. — Cacao butter) , . ., Castor oil 1°'**"'' ' " =^X ounces. Zinc oxide 45 grains. Ammoniated mercury. . . 2 " Oil of rose, sufficient quantity. — M. 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