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cretion from chancroid. Always a venereal infec- tion. Nearly always on genitals. Period of incubation al- ways male viagra buy less than ten days (generally about three). Generally multiple. Autoinoculable. Secretion profuse and pu- rulent. Generally painful. May reoccur in same pa- tient. Buboes are painful and usually suppurate. Chancroid of the penis may be treated by being male viagra buy sprayed with peroxide of hydrogen, dried with cotton, then touched with pure carbolic acid and then with pure nitric acid; afterwards a dressing soaked with black wash may be applied. The penis should be soaked in hot salt water (a teaspoonful of salt to a pint male viagra buy of hot water) every few hours; and the peroxide of hydrogen spray, the drying with cotton, and the application of the dressing should be repeated. 7. In the non-operative treatment of acute appendi- citis: Ochsner recommends that hot moist compresses be applied to the abdomen; he advises hot boric acid solution and male viagra buy alcohol. Murphy recommended enteroclysis by the drop method, to relieve the thirst. Fowler recommended that the patient be put in the semi-sitting posture. 8. "The treatment of a severe contused-lacerated tuound, in the absence of urgent hemorrhage, is directed to the shock. After this has subsided, the patient should be anesthetized in order thoroughly to disinfect the wound. Tissue whose vitality is questioned should be removed if it is unimportant, in other cases generic viagra prescription it should be retained unless known to be badly infected. All visible vessels, whether bleeding or not, are ligated, and provision made for abundant drainage. It is im- portant to introduce as few sutures as possible, and to be sure that they do not unduly constrict the tis- sues, otherwise the subsequent swelling will cause necrosis. The wound is dressed with hot antiseptic fomentations. The later treatment depends upon the complications. If there are symptoms of sepsis, the whole wound should be opened, redisinfected, and packed with antiseptic gauze. Sloughing demands hot antiseptic fomentations, and removal of the slough at the earliest possible moment. Secondary hemorrhage may occur at this period from the separation of a slough generic viagra prescription involving the wall of an artery. The general health should, of course, receive proper attention." — (Stewart's Surgery.) 9. Radiography has been employed as an aid to diag- nosis in the case of: Foreign bodies, fractures, dislo- cation, epiphyseal separation, injuries around a joint, male viagra buy diseases and tumors of bones, pathological conditions of the mastoid and accessory sinuses of the skull, tu- berculous deposit or cavity formation in the lungs, thickened pleura, aneurysms, enlarged glands, tumors, various diseases of the esophagus, stomach and intes- tines, renal calculi, movable kidney, tuberculosis of the kidney, pus kidney, ureteral calculi, vesical calculi, and other conditions. Radiography is an aid in the treat- ment of disease, as male viagra buy follows: (1) It male viagra buy causes atrophy of the appendages of the skin; (2) it destroys organisms in living tissues; (3) it stimulates the metabolism male viagra buy of tissues; (4) it destroys certain pathological tissues; (5) it has an anodyne effect. It has been used in various skin diseases, malignant growths, ulcers, exophthalmic goitre and numerous other conditions. 10. Gunshot wound of the chest. — "The treatment, in the absence of serious hemorrhage or the lodgment of a foreign body, is disinfection and suture of the ex- ternal wound and immobilization of the affected side of the chest. Hemorrhage generic viagra prescription from the internal mammary or intercostal artery may be controlled by ligation, or by pushing a gauze sac between the ribs and filling the inner end of the sac with male viagra buy gauze so that when drawn upon it will make pressure from within outwards. Ex- cepting extensive wounds, bleeding from the lung is rarely fatal, as the bleeding is checked by collapse of the lung. In the absence of external hemorrhage, seri- ous loss of blood is diagnosticated by male viagra buy the constitutional signs of acute anemia, and a rapidly accumulating hemothorax. Cases of this sort have been treated by the introduction of a drainage tube in order to admit air and favor collapse of the lung, but in the presence of serious symptoms one or more ribs should be re- sected, and the wounded lung dealt with directly by sutures or gauze packing. Foreign bodies should be removed if easily accessible, and the same rules as to the examination of the clothing, etc., apply here as elsewhere. If the foreign body is not easily found, it should be allowed to remain, unless it gives rise to subsequent trouble, when it may be definitely localized by the x-ray and its removal effected, if such be deemed advisable." July 7, 1917J MEDICAL RJXOKD.