Canadian Viagra Overnight | Buy Viagra Sweden | Best Pharmacy













































The Typhoid State The diseases in which the "typhoid state" most frequently occurs are for the most part asfollows: (1) typhus fever 1 Rouillion) and the " typhus traumatique" of Ollivier; (2) yellow fever, bilious typhoid" (Hilton Fagge) ; (3) enteric fevei (the term " typhoid fever" should be discontinued) ; (4) certain "pernicious" malarial fevers; canadian viagra overnight (5) the "malig- nant" type of scarlet fever; (6 1 variola (Hilton Fagge), pecially in the third canadian viagra overnight week: (7) in the first stage ol the plague, "after the appearance of intense pyrexia and subsequent violent delirium''; ( C S) in cholera-typhoid and in cholerine (Hilton Fagge).; (9) in diphtheria, where the characters of an "infective" fever with fi brile albuminuria and other 'typhoid" buy viagra sweden symptoms are evident; (10) in "adynamic" remittent fever and in the so-called " typho-malarial fever" of the United States; (n) in "malignant" and ' intestinal" anthrax in this condition, however, the temperature buy viagra sweden is not always high; (12) in " infectious pneumonia" of an epidemic nature, and " croupous" or " fibrinous" in type (Whitelegge) this occurs both in fatal and in non-fatal cases which arc severe and pro 113) in chronic starvation and general wasting (White- egge) ; (14) in phlebitis (Hodgson, Breschet, Blau- din) and in " la phlebite ute'rine" (phlegmasia dolens) ; and (15) in experimental injection of septic substances into the veins (Gaspard, Laurent, and Dupuis). Forbes in North Carolina Medical Journal. The Sputum in Malignant Tumors of the Lung. While the morbid anatomy of sarcoma and carcino- ma of the lung is a subject on which literature is co- piously supplied, yet there are but few cases recorded in which the diagnosis of such primary growths has been made during life. Dr. Betschart had an opportunity of observing a case in which the diagnosis of primary diffuse cancer of the lung was made several weeks pre- vious to death, this conclusion being reached through an examination of the expectoration. After dilating on the varied characters of sputum in pulmonary dis- eases, Betschart shows how little reliance can be placed on the color, consistence, or form of the sputum in the diagnosis of pulmonary neoplasms. When, however, particles of a new' growth in the lung find their way into one of the bronchi and are thus admitted into the sputum, as may occur when circumscribed nodules exist in the lung, then sections of buy viagra sweden these masses would make a diagnosis easy. Sometimes, however, one may get a diffuse carcinoma of the whole organ, and the writer asserts that a diagnosis may then be made from the presence of characteristic cells or groups of cells in the sputum, and such an instance is the basis of his paper. Two cases of sarcoma of the lung are also noted in which a correct diagnosis during life was arrived at by section of tumor particles found in the sputum, in each instance small-round-cell masses being discov- ered. Only one case had hitherto been recorded of a diagnosis of cancer of the lung by this method. Ham- peler found in gelatinous globular masses of sputum certain large polygonal cells with granular protoplasm, the diameter of the cells being from .002 to .025 mm., and that of their nuclei from.012 to. 01 25. Dr. Betschart assures us that these alone are sufficient to justify a di- agnosis of cancer of the lung and describes in detail his own case. A patient had been admitted to the Zurich clinic with a diagnosis of pulmonary phthisis buy viagra sweden with en- canadian viagra overnight capsulated tuberculous pleurisy. The signs pointed to a rapidly advancing consolidation of buy viagra sweden one lung, and the sputum on examination presented microscopically what he considered characteristic features, viz., little gelat- inous masses, some yellowish and translucent, others more opaque and brownish. Minute examination showed very canadian viagra overnight large epithelial canadian viagra overnight cells similar to those de- scribed by Hampeler, and in consequence cancer of the lung was diagnosed. A report of the autopsy is given, and the lung as described would not appear to differ in any essential from a condition of fibrosis of the lung, while plates of the sections show nothing further than large epithelial cells surrounded by thickened septa, such as might be expected buy viagra sweden in a chronic catarrhal pneumonia with much desquamation of the epithelium. That a diagnosis of cancer of the lung is possible in this way is a subject on which much might be said. Conditions of fibroid buy viagra sweden phthisis with secondary gangrene of the lung buy viagra sweden would possibly lead to a similar expecto- ration, while sections of the lungs would show quite as characteristic appearances as those submitted in Bet- schart's plates. Wherever, too, there is considerable interstitial pneumonia it wosld seem quite possible that the alveoli with their altered epithelial cells would be much contracted, giving to the microscopic sections the appearance of an irregular growth with epithelial cells lying amid a fibrous stroma, so that the difficulty in satisfactorily understanding its true nature would often be great. All in all, it seems that there is scarcely sufficient ground for Betschart to in- form his readers of the absolute certainty of his diag- nosis. Montreal Medical Journal. May buy viagra sweden 1 6, 1896] MEDICAL RECORD. 701 Medical Record: A canadian viagra overnight Weekly Journal of Medicine and Surgery. GEORGE F. SHRADY, A.M., M.D., Editor. Publishers WM. WOOD &. CO., 43, 45, & 47 East Tenth Street.