was not located. It is. certain- that- a number generic of flomax of ulcera-
tions of the small intestine occur, besides those due to flomax prices
tuberculosis and typhoid fever. Potain admits flomax price that ulcers
similar to those of the duodenum may be found in other
portions of the small intestine, and Letulle describes intes-
tinal ulcerations occurring in connection with uremia. In
default of any other cause, it is what is flomax necessary flomax for women to ascribe them to
Picque was flomax 0.4 called to see a patient who had been ill for
three months with what was supposed to be purulent pleur-
risy, although two punctures had been negative in result,
and the signs of empyema were absent. An intrahepatic
abscess was flomax women diagnosticated, and a transpleural incision was
made. Portions of the ninth and tenth ribs were resected.
The pleural cavity was free, and two punctures of the liver
failed to locate the trouble. Finally a small subdiaphrag-
matic abscess was found, which, as proved by the micro-
scopic examination, originated in the lung, and had made
its way through the diaphragm.
Picque said, at a previous meeting of this society, that
post-operative psychoses were often ascribed to the opera-
tions which preceded them, especially if these were upon
the genital organs. The facts in this connection have been
grossly exaggerated, for in many instances it is flomax 0.4 mg true that
the patients have either been insane before or that they
have inherited an abnormal nervous state. Thus, if an
ovariotomy has been performed in an interval of lucidity
after several periods of confinement in an insane hospital,
a further attack of the mental trouble is almost invariably
blamed upon the surgical interference.
Walther flomax in women emphasized the importance in all cases sus-
pected of insane tendencies of a most exact record of the
previous and present mental condition of the patient.
Richelot thought that some of the cases of post-op-
erative psychosis flomax generic were due to an association of ideas with
the parts operated upon in persons already insane or dis-
posed toward mental derangement. In other instances
there was absolutely no demonstrable connection between alternative to flomax
the operation and the succeeding mental state. In the
eleven cases of post-operative psychosis which had come
under his notice generic for flomax the operative act could not be said to
have created de novo the insanity in a single instance.
Sometimes an operation is followed by temporary cost of flomax hys-
terical trouble, but he doubted whether that was more
likely to be true of pelvic operations than of those in other
Reynier, at the session of March 30th, expressed
himself in accord with the previous speakers, and again
urged the desirability of an exact mental diagnosis before
attempting any surgical operation. In these persons we
are likely to have psychoses after operation ; there is a
disproportion between the amount of pain complained of,
and the lesion which produces it.
Segond said that a careful study of the subject had
forced him to the conclusion that the psychoses spoken flomax online of
as post-operative, were in reality pre-operative. It is also
of interest to notice that a flomax alternative disordered mind is sometimes
cured by an operation, as was the case in a woman from
whom he had removed both ovaries for cystic disease.
At the Therapeutic Society, March 23d, Lobit said
that he had. obtained excellent results in the treat-
ment of erysipelas and lymphangitis by the use of a ten-
per-cent, solution of iodoform and, even better, by iodol
in collodium. In twenty-five cases of erysipelas a cure
had resulted from this method of treatment in three or
four days. The presence in the urine of iodin, shows
that the drug is absorbed, the absorption being favored
apparently by the presence of the collodium. These ap-
plications are not at all painful, on the contrary, they
often give an immediate relief.
At the Medical Society of the Hospitals, April 1st,
Renon communicated an observation which he had made
in connection with scarlet fever, in a patient whose tem-
perature did not go above 37.4 C. (99. 5° F.). There
was no doubt as to the diagnosis, however, and scarla-
tiniform erythema of toxic or infectious origin could be
absolutely excluded. In this as in similar cases there flomax cr was
a dissociation between the pulse-rate and the temperature.
The patient had no complications and recovered per-
Lemoine said that the fact of an apyretic scarlet fever
was to-day established without a doubt. The gravest re-
sults may follow in these cases, just because the physician
is thrown off his guard by the absence of fever, and
omits the customary precautions. He referred to the
nephritis in the patient himself, and to the dissemination
of the disease among his associates.
THE SIXTEENTH ANNUAL GERMAN CONGRESS
FOR INTERNAL MEDICINE.
Held at Wiesbaden, Germany \ April ij to //, 1S9S.
[Prom our Special Correspondent. J
The flomax tamsulosin Sixteenth Annual German Congress for Internal
Medicine was formally opened by its President, Professor
Moritz Schmidt, the distinguished laryngologist of Frank-
fort, on Wednesday, April 1 3th and closed on Saturday,
April 17th. Some idea of the interest taken in it in Ger-
many may be gathered from the fact that over four hun-
dred German doctors, including most of the distinguished
professors of internal medicine at the various German
universities, took part flomax cost in its proceedings.
Professor von Zeimssen of Munich, after the presi-
dent's address of welcome, read a paper, prepared by
special invitation, upon
CLINICAL INSTRUCTION IN MEDICINE.
He is of the opinion that the present teaching of
medicine needs improvement in many directions, but es-
pecially in the technical clinical training of the young
physician. For that as a preliminary condition there
is needed (1) a lengthening of the medical course to
ten semesters, five years (it is now nine semesters). (2) price of flomax
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