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February 22d, 8 :3o a.m., temperature, 104.5 F - ! I2 m., 105 F. ; pulse, 184; respirations, 84; 11 p.m., temperature, 106. 2 F. ; opisthotonos. Plunge bath for ten minutes. February 23d, temperarture down, but still opisthot- onos and great prostration. February 29th, opisthotonos; eyes rolled generic viagra symptoms up, with lids half-closed when asleep. March 3d, opisthotonos and rolled-up eyes. March 6th, died at 8:15 p.m. Case XXVI. Aged three years; admitted Febru- ary 17th; four days sick. Much membrane on either tonsil and on pillars of fauces; nose plugged. Prog- nosis doubtful. Antitoxin, 2,000 units, on admission. February 18th, antitoxin, 2,000 units. February 19th, antitoxin, 2,000 units. February 2 1st : " Patient seems better to-day. This evening he gave a peculiar cry, heard by the nurse, viagra price asdas and was dead on arrival of the physician a moment later. There were no heart sounds, but artificial re- spiration was kept up for ten minutes and stimulants were also given. Patient gasped several times and died." Case XXVII. Aged twenty-one months; admitted September 28th; illness began September 25th. Antitoxin, 1,000 units, on admission. Thick viagra price asdas white membrane on uvula and both tonsils; slight nasal dis- charge. Child became cyanosed, apparently from ac- cumulation in the throat; turpeth mineral given, re- sulting in free vomiting and relief. September 29th, antitoxin, 1,000 units. September 29th, became cyanotic from slightest ex- ertion, and was very restless, seeming to indicate a considerable cerebral irritation; considerable retrac- tion and stenosis so much so that it was thought ad- visable to see if intubation would give any relief. The result of operation was unsatisfactory and the tube was removed. September 30th, still more stenosis; restlessness even more marked. Patient almost pulseless. September 30th, 9 :4o p.m., patient died. This child had no evidence of croup nor of laryn- geal complication on admission. According to generic viagra symptoms the record its illness was certainly slight and unimportant. After each injection of antitoxin there viagra price asdas were restless- ness, weakness, and feeble, imperfect respiration. The bad breathing, for which intubation was tried without relief, was undoubtedly due to the action of the anti- toxin on the nerve centres and not due to croup. Case XXVIII. Aged three and one-half years; ad- mitted December 25th; four days sick. Dirty necrotic membrane on both tonsils, palatine arches, and uvula. Prognosis good. Antitoxin, 2,000 units, on admis- sion. December 26th, antitoxin, 2,000 units. December 27th, urine scant; cream-of-tartar water, diuretin. December 30th, strychnine. January 2d and 3d, thirty per cent, of albumin, granular casts; aromatic spirits of ammonia, tincture of digitalis, whiskey, etc. In spite of active stimula- tion the child grew weaker and weaker, and died of heart failure and generic viagra symptoms nephritis, at 10:45 A - M -> generic viagra symptoms January 3d. Case XXIX. Baby; admitted April 1st, 12:40 a.m. Antitoxin same hour; intubated at 12:50 p.m. viagra price asdas Second dose of antitoxin, 2,000 units, in afternoon of same day. Temperature on admission, 99.8 F. April 2d, temperature, 104 F. ; wet pack, etc. April 3d, n a.m., tube removed; 11.25 a.m., rein- tubated; 1:30 p.m., temperature, 105. 2 F. ; 6:45 p.m., extubated; tube found plugged; reintubated, 7:15 p.m. April 4th, tube removed at 1:15 a.m., plugged; re- intubated at 1:50 a.M; tube removed immediately after; intubated again at 1:55 a.m. April 4th, 10:20 p.m., temperature, 101.6 F. April 5th, temperature, 106 F. Child died at 8 :o7 A.M. This child had been ill, according to the record, but one day when admitted to the hospital. Antitoxin was immediately injected; generic viagra symptoms twelve hours later intuba- tion became necessary. According to the record, a second injection of antitoxin was given generic viagra symptoms at about the time of the intubation. The following day the tube was removed at 1 1 a.m. Notwithstanding the influ- ence of 4,000 units of antitoxin on a child who had been ill but one day when admitted and who did not have severe viagra price asdas croup, the tube had to be reinserted within twenty-five minutes. The rest of the record shows that in every instance after the removal of the tube it had to be reintroduced. In other words, antitoxin did not have generic viagra symptoms the slightest influence on the diphtheritic process in the larynx. Case XXX. Aged four years and five months; ad- mitted February 26th; illness began February 23d. Strong, well nourished; tonsils viagra price asdas very red and much en- larged; numerous small patches of dirty membrane on tonsils and uvula; abundant and slightly foul dis- charge from nose; slight nasal obstruction: K. L. B. Prognosis favorable. Antitoxin, 20 c.c, 1 to 200, in-