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by the side, and the forearm is flexed at a right angle. The first bandage is used to hold the pad in place. Beginning at the base of the pad, descending best indian viagra spiral turns, encircling the chest, viagra sale sites are applied down to its apex near the elbow, and then ascending spiral turns back to its base. To hold the pad up in the axilla, the first bandage may be terminated with a best indian viagra figure-of-8 turn of the opposite shoulder. The second bandage binds the arm to the side. Beginning at the axilla of the sound side, on a level with the base of the pad, descending 44 MEDICAL RECORD. [July 7, 1917 spiral turns are applied, with increasing firmness, down to the elbow, so as to carry the shoulder outwards. The third bandage is applied in the form of an anterior and a posterior triangle, the apex of each being formed by the axilla of the sound side, and the base by the humerus of the injured side. Begin the bandage at the axilla of the sound side posteriorly, pass over the af- fected shoulder, down in front of and parallel with the humerus, under the elbow, and across the back to the starting point. The anterior triangle is applied in the same way, by continuing viagra sale sites the bandage through the axilla, across the chest, over the shoulder best indian viagra of the in- jured side, down behind the humerus, under the elbow, and back across the front of the chest to the starting point. best indian viagra (3) Sayre's viagra sale sites dressing: "Two strips of adhesive plaster three or four inches wide, and long enough to extend best indian viagra around the chest one and a half times are pre- pared. Lint powdered with zinc stearate is placed in the fold of the elbow and between the arm and the chest. A collar of lint as wide as the adhesive strip is placed about the arm just below the axilla, and over this is applied the end of one of the strips of plaster, so as to form a loop; the strip is now used to pull the arm backwards, and is fastened around the chest. The hand of the affected side is placed on the opposite shoul- der, and the second strip of plaster, with a hole for the point of the elbow, is run from the back of the sound shoulder, under the elbow of the affected side, over the sound shoulder, to the back, thus drawing the elbow forwards and upwards, and with the aid of the first strip, which acts as a fulcrum, forcing the shoul- der backwards and outwards. A pad, held in place by a strip of adhesive plaster, may be placed just above the clavicle to press the fragment downwards." — (Stew- art's Surgery.) 4. In fracture of the middle of the humerus, the musculospiral nerve may be injured. If this injury is sufficient to produce paralysis, the patient is unable to extend the wrist and fingers, or to supinate the fore- arm. Sensation, in the lower half of the outer and anterior aspect of the arm and in the middle of the back of the forearm, is lost or impaired. 5. The treatment of carbuncle best indian viagra is excision in those cases in which the carbuncle is favorable situated; the wound is allowed to granulate under antiseptic dress- ings. In other cases the honeycombed viagra sale sites mass should be opened freely by crucial incisions, and as much of the necrotic tissue as possible removed by forceps and scissors. The wound should then be disinfected with peroxide of hydrogen and bichloride of mercury solu- tion, 1 to 1,000, and dressed with warm antiseptic fo- mentations. The constitutional treatment is that of sepsis. The treatment of furuncle is incision, when the boil is mature. Tonics, calx sulphurata, dilute sulphuric acid, brewer's viagra sale sites yeast, and vaccines have been recom- mended in the treatment of this trouble. 6. CHANCRE. First lesion of a constitu- tional disease, viz., syph- ilis. Due to syphilitic infection. Generally a venereal infec- tion. May occur anywhere on the body. Period of incubation never so short as ten days. Generally single. Not autoinoculable. Secretion viagra sale sites slight. Slightly or not at all pain- ful. As a rule only occurs once in any patient. Buboes are painless and seldom suppurate. CHANCROID. A local disease. Due to contact with se-