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ence, having declared to him that it was a humbug; and so with others. SECTION ON OBSTETRICS AND GYNECOLOGY. Stated Meeting, May jo, i8q6. W. R. Pryor, M.D., Chairman. Anencephalia, Acrania. Dr. Sara Welt-Kakels presented a fcetus of about the twelfth week without brain or upper cranial bones. The cause of the abor- tion was endometritis. Multiple and Pedunculated Fibroid of Uterus. Dr. H. T. Hanks presented a uterus with multiple fibroids, one of which, springing from buy viagra mg near the cervix, had become pedunculated and twisted, interfering with its nutrition and starting fatty degeneration in its walls. It could be felt up near the umbilicus through the thin and relaxed abdominal cheap viagra expensive walls. The woman had borne four children, had had two miscarriages; the last labor occurred a buy viagra mg year and a half ago when, on account of the obstruction, the child had to be re- moved piecemeal. cheap viagra expensive Dr. Hanks thought the tumor must have so obstructed the pelvis that a child of usual size could not possibly have passed. The operation was by suprapubic hysterectomy. The patient was doing well. Quintuplets Dr. Hibbe presented photographs of five babies of one labor and of the placenta, which had been given him during a flying trip south. All that he had learned of the case was that the mother was thirty-nine years old, had borne seven children, had had no trouble up to the sixth month of her last pregnancy, when she consulted Dr. Mathews on ac- count of her great size. Labor came on at the eighth month. Dr. Mathews found the os dilated, the mem- branes ruptured. The first fcetus presented by the feet, the second by the head, the third, fourth, and fifth by the feet. buy viagra mg Two were boys, three girls: one lived four days, two ten days, three twelve days, and two were still alive. The mother had made an unin- terrupted recovery. Fibroids and Induction of Labor. Dr. Marx said in connection with Dr. Hanks' case that the question had been in his mind for some time whether in cases of uterine fibroids complicating pregnancy it would not be wise always to do elective labor about six weeks before term, and thus anticipate possible trouble, especially risk to life from hemorrhage. Some years ago he had nearly lost a cheap viagra expensive case from hem- orrhage, in another he had found it necessary to make Duhrssen's incisions into the cervix on account of the same complication, and this experience had led him cheap viagra expensive to induce labor in three other cases. Dr. Hanks thought Dr. Marx's suggestion could not be accepted as a general rule. buy viagra mg Every case should be managed according to its individual merits. Drs. Edgar, Jewett, and Grandin agreed with Dr. Hanks. At the present day we ought to be able to take care of post-partum hemorrhage, should it arise at term. Dr. Edgar asked Dr. Hibbe if there was but one placenta in the case of the quintuplets, and Dr. Hibbe replied that it seemed so from the photograph. buy viagra mg Dr. Edgar cheap viagra expensive had never heard of such a case; usually a quin- tuplet pregnancy was the result of triplets and twins, and there were two placenta. Dr. Jewett thought there might be two placenta; here, fused. Medical Treatment of Eclampsia. Dr. Simon Marx read a paper buy viagra mg upon the medical treatment of eclampsia, and was followed by Dr. Grandin who dealt with the surgical treatment. He said the patho- June 20, 1896] MEDICAL RECORD. 915 genesis of eclampsia was surrounded by much doubt. The uncertainty regarding its cause modified men's views regarding its treatment. The urine in every case of pregnancy ought to be examined monthly or bi-monthly for albumin and as to quantity and pro- portion of solids. It was too late to wait for convul- sions, for one could not say that the woman would not die in the first attack. Albumin was significant, but its absence did not preclude eclampsia. One must consider all the symptoms and signs in order to pre- vent eclampsia or successfully meet it when it occurred. They divided the cases into four classes: 1, cases of acute toxaemia depending on heart disease; 2, cases depending on acute exacerbation of chronic nephritis; 3, cases depending on acute degenerative kidney changes; 4, cases in which albumin or casts appeared in the urine, a true uraemia. In the first class, so long as the heart's rhythm was good, and the general condition seemed satisfactory, there was nothing to be done except to wait and watch. As soon, however, as the heart showed a ten- dency to become rapid and irregular, in spite of car- diac stimulants, one should not temporize, but empty the uterus at once. Among the remedies mentioned as having proved useful cheap viagra expensive in these cases, according to the indications, were nitroglycerin, strychnine, and caffeine in the absence of cerebral symptoms. In the second class, depending on acute exacerbation of chronic nephritis, it was useless to prescribe absolute rest abed and exclusive cheap viagra expensive milk diet, for the patients would rebel. It cheap viagra expensive was not until they had tried nitro- glycerin that they had found it to fulfil an ideal indica- tion, that of cerebral anaemia, to which they attributed