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Treatment of Gonorrhcea. It being granted that gonorrhcea is a self-limited disease, lasting from four purchase viagra pictures to six weeks, and that it is impossible to shorten its course, our endeavor rationally would be to guide the disease to a purchase viagra pictures safe termination, the particular point being to avoid complications and sequela?, which I do not hesitate to affirm are frequently due to overzealous pursuance of the popular method of treatment by in- jections. In the acute forms of gonorrhcea the treat- ment ought to be a max viagra 100mg sedative, antiphlogistic, antiseptic one. Rest, physical and especially functional, should as much as possible be secured, and as contributing to this end bromides in large and repeated doses should be given. Anything which would tend to max viagra 100mg excite the sexual organs should be carefully excluded. It is in the urine, nature's self-provided irrigator, that our greatest reliance should be placed. max viagra 100mg Our aim should be to make it abundant, bland, and antiseptic. To- accomplish this end, water is to be freely given; the diet, a skimmed-milk one by preference, should at least be free from spices, pastries, and liquors. An alkaline diuretic should be prescribed, and if max viagra 100mg tolerated cubebs and copaiba. Salol is less irritating and may be substituted. When eliminated through the urine it appears in the form of carbolic and salicylic acids. Injections as ordinarily used are provocative of more harm than good in the earlier stages, though they are of unquestioned value after the force of the disease has spent itself. The following recommends, itself to me : I? Cocaine hydrochlor gr. x. Antipyrin gr. vi. Zinci sulpli gr. vi. Aquae rosae. . . : ad 3 iij. S. For injection use one-half teaspoonful. Repeat three to.- six times daily after urinating. purchase viagra pictures Subsequently a more strictly astringent injection is indicated zinc, silver, alum, tannin. Abortive cases- 726 MEDICAL RECORD. [May 23, 1896 occur in this, as in other diseases; but as stated be- fore, little good can be expected from measures adopted for this purpose after the disease is estab- lished. The infecting virus shortly after exposure can readily be destroyed, however, and the disease thus prevented. During the first three weeks the phy- sician is indeed worthy of his hire who insures to his patient comfort and freedom from some one of the following complications: Balanitis, phimosis, para- phimosis, follicular abscess, lymphangitis, bubo, Cow- peritis, prostatitis, cystitis, epididymitis. The violence of the inflammation and ill-directed efforts of cure may result in the necrosis of the epithe- lial layers in places, and even of the underlying con- nective tissue; a suppurating surface necessarily re- m.iins, giving rise to a chronic purulent discharge, to which the name chronic gonorrhoea is applied. When healing is complete the discharge ceases, and an or- ganic stricture is likely to result. A condition of chronic inflammation of max viagra 100mg the mucous membrane lining the urethra (membranous portion especially) with scanty turbid secretion gleet is a common sequela of the acute variety ; the subjects are usually in poor general health and require tonics, change of air, as well as continued use of astringent injections. A CRITICISM ON THE "GUINEA-PIG TEST" FOR TUBERCULOSIS. By CHARLES WILSON INGRAHAM, M.D., BINGHAMTON, N. Y. Bacteriologists claim that it is much like " searching for a needle in a haystack" to endeavor to demon- strate tubercle bacilli by ordinary purchase viagra pictures processes in sub- stances such as water, milk, dust, and the like, in which it is impossible to concentrate the infection. Instead, therefore, of preparing slides after the manner for examining sputum, the common plan is to inject the suspected substance subcutaneously into the body of a guinea-pig, and if the animal develops tubercu- losis, it is regarded as conclusive evidence that the material contained tuberculous infection. If, on the contrary, the pig does not develop the disease either locally or generally, it is assumed that the suspected substance was free of infectious matter. The question arises, and very reasonably too, as to whether the results following the injection of sus- pected substances into the bodies of guinea-pigs are of Millicient accuracy and reliability to warrant a positive decision as to the presence or absence of suspected infection according max viagra 100mg to the presence or absence of tuber- culous manifestations following the experiment. It would seem that the accurate establishment of the presence or absence of tuberculous infection in fluids suspected of containing it is of such great max viagra 100mg importance that more precise means should be devised than the guinea-pig test as it is ordinarily conducted. It is claimed that the guinea-pig is very susceptible to tuberculous infection, even in minute quantity, and for this reason is used in these experiments in prefer- ence to other animals, purchase viagra pictures as there will almost certainly be a reaction following the introduction into the system of minute particles of infection. While this purchase viagra pictures natural sensitiveness to tuberculous infection is advantageous