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By RUPPRECHT. 9. Tlie New Method of Treatment of Essential Pruritus Vulvas and of Other Sacral Neuroses. By Schubert. ID. Sugar and Albumin in the Urine Following an In- fected Wound of the Buy Viagra Now Uk Head, By Eisengraber. 11. ITrohilinogenjcmia. B\- v. Jaksch 12. Milk .Albumin and the Different Prescriptions for Its Use in Buy Viagra Now Uk Sick Infants. By Siegert. 13. Treatment with Carbonic Acid Sno\\-. By Strauss. 2. Formation of Concretions. — Schade pre- sents //( rxtcnso the results of his investigations con- cerning the formation of concretions and concludes that the first and commonest form is that of layers, in the composition of which colloid deposits are as- sociated. Certain colloids, like filirin. form layers when precipitated, and if this precipitation takes place about a freely suspended little body the lami- nation is concentric. If crystalline substances are associated with the colloid the laminated construc- tion predominates primarily and a radiating crystal- line structure becomes more or less distinct secon- darily. This is the usual law for inorganic sub- stances, from which are formed urinary calculi, sali- vary calculi, pancreatic calculi, intestinal calculi, and the inflammatory calculi of bilirubin and lime form in the gall bladder, as well as the preponderatingly colloid formation such as the concretions met with in the prostate and joints, Cholesterin concretions are dift'erent and are produced by the separation of drops. When the process proceeds undisturbed the cholesterin concretion has a radiating form, but when pressure is exerted upon it it is transformed into the scaly form. The combination of this form with subsequent crystallization is also comninn. Both kinds of formation are united by transition forms. The great importance of the colloids in the formation of the laminated stones is pointed otit. 3. Buy Viagra Now Uk Pancreatitis Associated with Gallstones. — Arnsperger says that while acute and chronic pan- creatitis associated with gallstones in the ductus choledochus are naturally Buy Viagra Now Uk explained through the in- timate anatomical relations of the eft'erent ducts of both the swelling of the head of the pancreas is not so readily explained in cases of simple cholecystitis without involvement of the deep biliary passages He thinks that the latter probaiily originates from Buy Viagra Now Uk the lymph passages of the inflamed gall bladder. In many cases it may not be a true pancreatitis, but a lymphadenitis pancreatica, a swelling of the lym- phatic apparatus of the head of the pancreas which rapidly recedes after the removal of the inflamed gallbladder. . 4. Complement Deviation in Carcinoma. — Caan reports that in 85 cases of carcinoma in which there was no history or clinical indication of syphi- lis 35 gave a Buy Viagra Now Uk positive, or weakly positive reaction to Wassermann's test. The most marked were the cases of carcinoma of the lip ; of seven cases six re- acted positively. 5. Nerve Troubles under Salvarsan Treatment. — Benario has collated from literature 126 cases, out of a total of at least 14,000, in which the cranial nerves were affected. Of these 126 cases he ex- cludes eight as cases of latent syphilis, tertiary syph- ilis, or parasyphilitic disease. Of the Buy Viagra Now Uk remaining 118, 5 patients were in the primary stage, 22 in the combined priinary and secondary, 82 in the second- ary, and q not accurately classified, but almost cer- tainly Buy Viagra Now Uk secondary. The small number of primary aft'ections in comparison with the total number of nerve recurrences shows that the very important preventive treatment of the primary affection does not appear to offer special danger as regards nerve recurrence with the salvarsan treatment, especially as the number of primary affections preventively treated with salvarsan is evidently very great. Yet it will be well to Buy Viagra Now Uk consider and to treat as dangerous all chancres which are three or four weeks old, which are associated with large swellings of the lymphatic glands, and in which Wassermann's re- action is positive. The nerves affected were the optic, oculumotor, trochlear, trigeminus, abducens, facial, and auditory. Twenty-six and one tenth per . cent, occurred in the first month after the injection, fortv per cent, in the second month, twenty-three and five tenths in the third month, and Buy Viagra Now Uk seven per cent in the fourth month. The age of the patients was from 17 to (^ years: between 17 and 20 years PITH OF CURRENT LITERATURE. S49 the patients were women only, while from 30 to 50 years the number of men was double that of women. He believes the nerve affections to be not of a loxic nature, but clinical symptoms of a swelling ;nductd by the pathological process, because I, of :I;e long interval between the injection and the on- -ct of the nervous manifestations; 2, of the nature I the morbid process itself, as is specially shown 11 the affections of the optic nerve; 3, because the i>ease appears almost exclusively during a certain ,>eriod of syphilis; 4. because it has not been ob- -crved in nonsyphilitic affections treated with sal- arsan; 5, because of its curability by specific treat- ent, particularly by renewed treatment with sal-