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In all cases of pulmonary suppuration in which the ctiolog)' is at all obscure, the possibility of syphilis must always be thought of. Again, it must not be forgotten that pulmonary sui)puration may be asso- ciated with tuberculosis, with cases in which lung abscesses occur which are independent of the tuber- culous process. Treatment of Pellagra by Autoserotherapy, by E. E. Palmer and W. L. Secor. — Seven consecutive and unselected cases have been treated with uniform success. A piece cipralex price india of cantharides plaster one and a half inch square, smeared with olive oil, is placed on the patient's chest at bedtime, and in the morn- ing the plaster is lifted at an upper corner and one c. c. of serum is withdrawn from the resulting blister with a hypodermic syringe and injected into the arm There should be no visible reaction, and the injection is repeated once a week. MEDICAL RECORD May 8, 1915. • Modern Phases and Treatment of Basedov/'s Disease, by O. Hensel. cipralex 20 mg tablet — For practical purposes we may include in the disease: i. Hyperthyroidism or the formes frustes; 2, Basedow's disease proper ; 3, Basedow's disease with pronounced thymic symp- toms. By hyperthyroidism is really meant dysthy- roidism, since Klose has shown that the expressed juice of the Basedow thyroid, cipralex⬠10/- 20 mg filmtabletten injected intravenously in small amounts into dogs, will cause pronounced symptoms with a change in the blood picture sug- gesting Basedow's disease and similar to an acute iodide poisoning; while the juice of a normal thv- roid, even in much larger amounts, will usually give rise to no symptoms. Clinically, in dysthyroidism. io8o PITH OF CURRENT cipralex 10mg weight loss LITERATURE [New York Mkdical Journal. the only cardinal sign generally present is the en- larged and vascular thyroid, but even this may not be very evident if the enlargement is chiefly down- ward. The characteristic feature, however, getting off cipralex 10mg is cipralex farmaco generico that usually one or more of the minor 10 20 mg cipralex symptoms (such, for instance, as persistent diarrhea) is present, and often so marican take 30 mg cipralex lymphocytosis of Basedow's disease is caused, not by the thyroid, but by thymus intoxica- tion, and a return of the blood picture to normal precio de cipralex 15 mg occurs only after thymectomy. In this affection the chief interest today relates to the participation coming off 10mg cipralex of the thymus in the pathogenesis. The influence generika f𴱘r cipralex of this upon the thyroid would appear to be both reciprocal and antagonistic. All cases of dysthyroidism and Basedow's disease, except the advanced ones, should be treated medically at first. More can usually be expected from sodium phosphate and glycerophos- phate than from the older drugs such as quinine and ergot. Nerve sedatives are almost always required, and for the milder cases bromides and the modern valerian preparations wull suffice, while in the severer ones resort will often have to be made to opiates. Preference should be given to the less habit forming ones, as codeine and dionine, but often the same results can be accomplished with veronal and medinal. The most recent veronal de- rivative, luminal, often exerts a markedly beneficial action upon the tremor, nervous excitement, and abnormal psychic state. Dietetic and hygienic measures are naturally of great value. Patients not cipralex 10 mg insomnia infrequently get well on a lactovegetable diet and a rest cure, with forced feeding, and hydrotherapy, and only such drugs as the symptoms may require. It cannot be too strongly emphasized that every case treated medically should be under constant control, for the result can never be foretold. The x ray may be used after a conservative operation such as liga- tion of the vessels, or in place of operation ; though many surgeons hold that a subsequent operation will then be more cipralex 20 mg fiyat difficult. After medical treatment, the X rays, and ligation have failed, it is probably ad- visable to remove as much of both the thyroid and the thymus as possible. Treatment of Epilepsy from Metabolic Disturb- ances in Adolescence, by T. A. Williams. — As the toxins responsible for the patient's ill health occur in consequence of an incapacity to metabolize an amount of protein which the average individual can take with impunity, the most important feature of correct management is limitation of the protein in- take ; it should not exceed tlie patient's maximum. No physiological inconvenience is caused by this limitation. P^nergizing material must not be insuffi- cient, and limitation of protein must be compensated by increase of carbohydrates and fats. These the patient may generally take freely ; experience show- ing that, in the absence of diabetes or pituitary dis- ease, the appetite does not exceed body tolerance for such substances. The third important feature is the giving of the vegetable salts, in the form of fruits an.d vegetables, to furnish inert bulk, by cipralex 20 mg 56 tablet fibre and cellulose, in an amount amply sufficient cual generico cipralex for free activity of the secretions. These points are em- l)0(lied in the model diet given to each patient with certain modifications which the case 15 mg cipralex may require. It is very unwise to give to patients, and cipralex 15 mg biverkningar especially young persons, a rigicl or lengthy dietary, for it will not be followed. The important point is that the patient should grasp the principles by which his dietary should be regulated by himself. As these are very cipralex 20 mg tabletten simple, he can then apply them to any menu placed before him, and thus with very little difficulty

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