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6. Some Further Aspects of Obesity, By Leonard Williams. 7. Septic Infection of the Intracranial Sinuses, By William Taylor. 8. On the Treatment of Progressive Descent of the Uterus, By E. Scott-Carmichael. g. Radiographic Demonstration of Lane's Ileal Kink, By Alfred C. Jordan. 10. Acute Phlegmon of the Pharynx, with Some Notes on a Recent Case, By James Harper. 11. The Immediate Treatment of Retention of Urine Viagra Mg Strength in the Male, By W. Edmqnd. 12. Three Cases of Peroneal Paralysis, By William Bovd J.\ck. I, 2, 3. Hodgkin's Disease. — Eve begins by asserting that the o]3crative treatment may be summed up briefly to this effect, "Let it alone." He was Viagra Mg Strength surprised, in referring to a recent and widely lead work on surgery, to find under the heading of treatment of lymphadenoma the following advice : — "The e.xcision of all enlarged glands whenever practicable is usuallv Viagra Mg Strength desirable." This opinion should not be allowed to pass without remark, for his experience has been that the disease rapidlv re- turns. In former years he was Viagra Mg Strength often tempted to remove lymphadenomatous glands when occurring in an isolated group, Viagra Mg Strength and especially in those ca.ses of a more chronic character. Lymphadenoma is now assumed to be a parasitic disease, with good reason. The parasite has a predilection for lym- phatic and adenoid tissue. There is some clinical evidence for the belief that, in some instances, the disease originates in one group of glands and spreads by continuity to others. The surgeon may often observe it to begin high up on one side of the neck and to spread downwards ; then to extend to the axilla on the same side ; later to the opposite side of the neck, and thence to Viagra Mg Strength the corresponding axilla. Meanwhile, the spleen and distant inguinal glands remain unaffected. It seems theoreticallv possible that early e.xcision with subsequent pre- ventive treatment might be occasionally successful : but Eve has had, at present, no actual practical ex- perience of such an event. Any statement that local Viagra Mg Strength removal of lymphadenomatous glands has been fol- lowed by permanent cure should be received with scepticism, unless the glands have been examined thoroughly by a competent modern pathologist. The removal of lymphadenomatous glands is easv. owing to the absence of adhesions. Once the skin is reflected, the glands can be removed almost Viagra Mg Strength as easily as taking potatoes from a bag. As regards other treatment, that is dealt with by the medical writers. Arsenic and such products as soamin and orsudan will cause the enlargement to disappear more or less completely, but it returns when the ad- ministration of the drug is remitted. The two lat- ter drugs are shown now to be inadmissible owing to their eft'ect on the optic Viagra Mg Strength nerve. Hall agrees with Taylor that a varying temperature is common in lymphadenoma ; that definite recurrences occur in some cases, the recurrences alternating with period^ of complete apyrexia: that the temperature Viagra Mg Strength may be continuously high for long periods, and that periods of higher fever may then alternate with periods of low fever ; that the recognition of the relapsing forms of pyrexia may be of great assistance in the diagnosis of some doubtful cases. All Hall's cases terminated fatally ; there are occasionally remis- sions, which give rise to unfounded hopes, for the patient sinks lower Viagra Mg Strength than ever after them. Mercur^■ and the iodides are not only useless but depressing. Red bone marrow .should be tried. Sunshine and ?ystemic tonics are indicated, and the sea air. Rolleston states that treatment may produce verv considerable temporary effects, but does not cure the disease. Arsenic and the various organic prep- arations of it have a marked influence in diminish- ing the size of the glands, but the effects are not permanent. The new preparation "606" is being tried on lymphadenoma : it is, of course, far too early to judge of the results, but in one very ad- vanced case in \A-hich he saw it used it produced a most beneficial effect as rearards the glandular en- largement, which rapidly diminished : death, how- ever, occurred within two weeks of its administra- tion. Operative removal of the glands is disap- pointing; it is difficult or impossible to remove all the affected glands, and recurrence follows. Pos- siblv the use of x ravs very shortly after the opera- tion might delav recurrence. They produce a rapid diminution in the size of the glands, Viagra Mg Strength and it is said that life is thus prolonged : they destroy the lym- phoid tissue, but leave the fibrous tissue unaffected. Tt must be borne in mind that bv free application the lymphocytes and the healthv lymphoid tissue May 6. 191 1.] PITH OF CURRENT LITERATURE. 903 may be too extensively destroyed and that harm Viagra Mg Strength may thus be done. It has been noted that in some instances although rapid diminution in size follows, the glandular enlargement returns very rapidl}' when the treatment is stopped. It appears that ireatment by radium would be difficult from the large amount of radium which would be required to deal with the Viagra Mg Strength extensive lesions. 10. Phlegmon of the Pharynx. — Harper's arti- cle is a paean of praise for tincture of iron chloride in this and all other inflammatory Viagra Mg Strength conditions of the pharynx ; it is superior to the salicylates and to an- tistreptococcic serum. Opium is absolutely con- traindicated : insomnia should be met with chloral