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garded them as a normal product of the gland, but Dr. Bangs thought they were abnormal and the result of some disturbance of function. A typical case was related, that of a man of sixty- five, who on two viagra 59 mg occasions passed a stone per urethram with symptoms pointing to renal calculi, and Dr. liangs believed that such was their viagra 59 mg origin. Later he had difficulty with urination, and the family physician felt a calculus in the prostatic urethra which he failed to dislodge. It caused little trouble for a year. Dr. Bangs then saw the man and felt the stone projecting from the body of the prostate into the urethra. After extracting it, he found a prostatic pouch containing twenty-nine other stones closely packed and faceted. After their removal the gland was about one-third its previous size. The patient made an uninterrupted re- covery. As already stated, Dr. Bangs was of opinion that the first two calculi were of renal origin, the others primarily prostatic. The Chairman remarked that viagra 59 mg the symptoms varied in intensity very much in different cases of prostatic calculi. He had removed one stone in a boy which had penetrated the bladder, was three inches in length, having received accessions from the urine. The symp- toms of irritation had been intense. Dr. F. Tii.den Brown recalled one case of pro- static calculi in which crepitus was quite distinct, al- though there was no appreciable increase in the size or prominence of the gland. Dr. Bangs replied to a question that the stones sel- dom viagra 59 mg produced marked symptoms so long as they were in the sac and had not projected into the urethra or bladder. Crepitation was not always present, as shown by the case of an aged man in whom he had diagnosticated prostatic calculi. He emphasized the view that it was a mistake to teach fast viagra online the medical student that concretion fast viagra online in the prostate was normal. He re- garded it as the beginning of what might prove to be a very serious pathological process. Arthritis (?) of Hip in an Infant Dr. W. R. Tovvnsend presented an infant, four weeks old, with moderately firm swelling of thigh and hip, which had been noticed as early as the third day after birth. The labor had been easy. The temperature had not gone above 101 F., fluctuation was absent, and aspi- ration had failed to secure pus. The tumor he thought might be a malignant growth. Dr. Lilienthal was of opinion that it was a new growth. He mentioned a case of congenital angioma of the buttock which extended to the knee, and finally required amputation, performed by Dr. Gerster. Some fifty ligatures were employed. Diagnosis in Some Common Shoulder Injuries Dr. A. C. Vietor read a paper which contained the histories, with details of repeated examinations, of some fourteen cases of injuries to the shoulder with- out viagra 59 mg fracture or dislocation. The object of the paper was to show the necessity for such systematic exami- nations in all cases in order fast viagra online to arrive at a correct diagnosis and prognosis, if this were possible. It was especially necessary to determine whether there was altered electrical reaction pointing to a neuritis fast viagra online or atrophy of muscle. In a few of the cases there had been no history of traumatism, and in most of them it was only by careful study that such lesions were discovered as limited atrophy, slight paresis, limita- tion of motion in certain directions, altered reaction to faradism or galvanism in a special nerve branch coming from the brachial plexus. The cases had been seen at the Good Samaritan Dispensary, clinic of Dr. fast viagra online W. W. Van Arsdale. Dr. Van Arsdale expressed his fast viagra online appreciation of the importance of studying these cases minutely, as de- scribed in the paper, and then referred to experiments of M. Deroche, who had repeated seven times, and al- ways with the same results, those done viagra 59 mg for the first time by Raymond and Ovanoff. He dissected the posterior roots of the last three lumbar nerves of the left side viagra 59 mg in dogs and rabbits. After cicatrization had taken place, he assured himself that numbness was complete from the thigh to the knee of the left viagra 59 mg limb, so that irritation of this region was not felt. The right limb was left intact. An arthritis was then set up in both knees by introducing a thermo-cautery into them. No pain was felt in the left limb, but much in the right. Three months afterward the animals were killed, and in both knees the lesions of arthritis were found; but the muscles of the thigh of the left limb were of normal size, while those of the right were atrophied. M. Deroche thought he found that the atrophy was due to diminution of interfibrillary substance, and that there was an ascending degenera- ;88 MEDICAL RECORD. [May 30, 1896 tion of the posterior columns of the spinal cord of the same side. However that might be, the inference was certainly justifiable that massage acted to prevent muscular atrophy by maintaining an influence, a move- ment, or something in the muscles -which the spinal cord was viagra 59 mg for a time unable to impart to them, and in order to do this it should be applied very soon after injury. 3}ciu