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Dr. Cotton spoke of the catheter as a viagra pill markings means of differential diagnosis between retention and suppres- sion. Dr. Small in closing spoke of the ease with which the catheter he presented entered viagra pill markings the urethra. Dr. Manley, of New York, read a paper upon the Fractures in the Shafts viagra pill markings of Bone in Children We must remember that the shafts of the bone in in- fants are composed of comparatively soft tissue. No constitutional disease in the infant predisposes to fracture during the stage of growth and development. It is not sufficiently emphasized in text-books that in infant fracture, when there is shortening, it is only at times due to overriding. Children grow more rapidly when on the back. This growth continues in the well limb, but stops in the injured limb. In compound fracture more progress has been made than in the simple. Muscular relaxation was formerly consid- ered a sine qua non to success. A tight splint should not be put on at once, on account of the delicacy of the tissues. The limbs should be put in a comfortable position and topics applied until circulation has been re-established. The vascular is the first question to interest us. After twenty-four hours, viagra pill markings muscular spasm has passed off and great force is not required. Better results will be obtained from treatment without splints. Some of the simplest fractures are compound. An artery may be injured in simple fracture so that the extremity dies. No matter how bad the compound fracture, the idea viagra tablet 100mg of amputation should never be en- tertained. The object should be to save the limb first and set it afterward. He spoke of a case of periosteal viagra pill markings reproduction after severe injury producing compound fracture and loss of the whole shaft of the tibia in a boy. We have in the child two forces as against one in the adult, the natural growth from both ends of the shaft coming to our aid. Dr. Ella Burns, of Alabama, inquired as to viagra pill markings the possibility of subsequent growth taking place in the shortened limb, making it in time as long as the other. Dr. Manley could not state if this ever took place. He thinks plaster of Paris has been the cause of nu- merous deformities. Dr. Work thought the paper replete with conser- vatism, which he believed all should practise, more es- pecially in children. He used binders'-board splints almost exclusively. Put on wet, they help to keep down the inflammation. Dr. Slagle thought the theory of growth being sus- pended would explain some mysterious cases of short- ening. Dr. Cotton said no absolute viagra tablet 100mg rule can be devised to fit surgical procedures. If we want the primary union mentioned, we must have coaptation as well as the comfortable position on a pillow the speaker had advised. A Conservative View on Antitoxin, a paper by Dr. Love, was read by title. SECTION ON DERMATOLOGY AND SVPHILOG- RAPHY. Dr. L. Duncan Bulkley, of New York, Chairman. Chronic Ringworm of the Scalp was the subject of a discussion opened by Dr. viagra pill markings L. D. Bulkley, of New York. He said this disease belongs especially to childhood. In his private practice there is viagra pill markings only two and a half per cent, of affected patients over thir- teen years of age, and the same ratio holds good for public practice. Many of those affected go for years unrecognized and untreated, endangering all children with whom they associate. Children certified to have been cured are found on careful examination to show 782 MEDICAL RECORD. May 30, 1896 abundant evidence of the disease. Its recognition is not viagra pill markings always an easy matter. The typical case exhibits one or more bald patches of a more or less leaden color, with stubbed hairs over viagra pill markings the surface, but in cases which have lasted any length of time a simple tonsure may be found. The disease is often masked by the growth of hair over the patch, hiding a few broken stumps. Few cases viagra tablet 100mg can be thoroughly cured in a short time, and from three to six months is an average time of treatment. The subject of treatment is a large one and could but barely be touched upon, he said, in this opening of the discussion. It will often tax the ingenuity of the physician to the utmost. Time is a very essential element. Reports of rapid cure are to be accepted with caution and the element of faulty diagnosis not overlooked. It is now generally ac- cepted that cases exhibiting the microsporon variety of fungus are more likely to be rebellious than those howing only the megalosporon. The next paper was presented by Dr. Henry A. Pulsford, of South Orange, N. J., entitled Experience in the Treatment of Ringworm of the Scalp in the New York Skin and Cancer Hospital. The paper was based upon seventy-five cases treated and constantly under observation. Only twenty were discharged cured. I'nna has reported viagra tablet 100mg cures in two or three weeks' time, but few if any others have seen sim- ilar brilliant results. Wickham has cured only from