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wet dressings of T in i.ooo mercury bichloride applied until the pus had disappeared, Then five per cent, ich- thyol in ten per cent, ammoniated mercurial ointment was applied. No doubt this treatment had a very beneficial effect. The blood test was negative upon admission and has so remained. This anomaly of a negative test in the presence of active skin lesions is not by any means un- Viagra Tablets Price In Karachi common. The case is to be marked one in which the diagnosis of syphilis must he accepted on its clinical signs. The serum test on Decemher 20th, negalive ; December 2.id, almost negative. Eyes, normal. 872 PEDERSEN: THERAPEUTICS OF SYPHILIS. Venerea, disease, tS' o.ht.^^?- .^^S '^Z^t Case XVII.— t \tr[ ,,r^^ „,:„ J .MCi^. pre^,cntmg pustules and rupials tleTbdZl'^^rsrabovfth^'^'f" =.''?,""'= ^PP-«d on on the right side Tv,^^ , P"''"' f°"ow-ed by a bubo applie'd If th^:1hanTre°f'o^,I^;^erbv"^^'"l'^^"f?^ ^"^ and intramuscular treatment i " r °""^ °^ internal rash appeared, fouV^rT ' ..irs'tllT^'T '''''''' the legs and body. Mucous Z,^hL u ^ chancre, on themselves five or six week/, J? lu" '^ '°"g"e showed examination, evkien W a man ,7 nnn '^-^^ru*^- Physical nourishment. Pupils renV^ V uP°°/ ,'?^'''''h and of ill coated and trem Xus m, en I'^ ^"f ^''*='""' T°"g"e lungs, and abdomen negadeTr'^'"'"""- ^"'^ "^'-"l- s.cal examination upon ?dmfssio,T WuJ°T '' "'^ f"''-^- tober 20th, at mv office there « as in ^-r ^"' '''''"■ Oc- going a distinct rash rKanduhr in , '''''°" '" "^^ fo^^" every where in the motfth ' the na° ^eT""' "''"^ P""^'^« the usual manner and intram, .V-nlf • ■ ^'"'^ ^''^^'t"' "' cury cyanide given witho .r.^rvicl? eff °" "' '^ '"^'- except very slowlv The mtiJnf S ''" "" ^''^ rash from visit -to visit threatening iHHY"'^T."' ^ «'"' ^^'^^ h.s decidedlv nervou. den es?io, tht- r ^' '"'^^ *" ^n^o' It to him. The benefit. ,,n!.n 1 ■ '"* ^ consented to give titude were mani e,"t a so'^Zrhif' Jf'"' '"""^ ^"^^t- patches cleared up The blood nl '°^^ '■" ^^'^'"ch tl>e to IA2. The weight gaiied . V ''"'■^'■''';■'^^ f™"^ '20 I245rpounds. The Wassermann",er:'"': J''"'" ''^V. to negative. NotwithstandingTb f,A ^" • ""^ P^*'«"* "■'-•« wh.ch was given him rath^'|i;:,/?-t"K^?,^ [New Vokk Medical Journal prSc^-'^^i^Hs l^i^L'^^r-' ^-- - ^h. disturbed. It ,s not 'Sssthf. ,7 ^° '"'^^ ^° '"'^"tallj psychK ^ffect or^r^^ ^he^^xi^^^" ^^'^ "•- ^ nedy. '5li ied,^U s'police'offic"'^ °'- ^^^les Ken- Admitted October seriS^^atlv hTi^"'^"'"^ >'^"^ °'d. cept father died of heart disease jf th.^^'' "fg^^^e. ex- years. Xo chronic disease VnK , '•''^ ^^^ °^ forty-nine v.ous h.story. CC veFs'^'et'i'^e"^^"'"^'!' °' '^'P'^"'^' P^«- cess.ve steady smoker Measles and f'?,.,""™^'- ^- hood. Malaria and denCe d, rint f .^'Phthena m child- "choccasi^. Pl^r^l^S,-:;;^---^:^-" da;"by"^^y;:^s^^Ss^,^^^^ /°'^°-'' - '- orrhcea and sores were wM- '"^"'"a' adenitis. The gon- time a chancre developld on" the""' 'Tu "'°"'^'- ^t this and lower lips. This wa-' fnH- "'^""^ -nvolving upper rash which lasted a hon i„e T,f ^/ P^''^'^" ^"d the ■nternal and despatc led t le ., f "■««^'"^"t has Viagra Tablets Price In Karachi been ■espatcnen the symptoms, excepting the- SUMMERS: TYPHOID CHOLECYSTITIS. 8/3 tches which have been persistent ever since. October :th. 0.6 gramme was injected. In this case the method Viagra Tablets Price In Karachi f Herxheiraer was used and the medicine Viagra Tablets Price In Karachi injected in the lorra of an emulsion. The injection was followed by a very prompt disappearance of the obstinate lesions on the tongue. The serum test became negative in a few days. The injection was made subcutaneously into the fat of the abdomen. This was followed by a verj- unusual degree of redness, oedema, and infiltration, Viagra Tablets Price In Karachi which e.xtendcd down- ward upon the thigh and upward toward the navel, mak- ing a mass, eight or ten inches in diameter. Under wet dressings this slowly disappeared, so that si-\ weeks after the injection nothing remained but the point of softening in the centre where the medicine had been deposited. Ex- amination here showed deep peculiar feeling similar to fluctuation. The patient had at no time ran a temperature above 99" and except Viagra Tablets Price In Karachi for the temporary pain at the point of injection suffered no inconveniences. The serum test, October 22d. was positive; October 31st, November 2d, and November 7th, almost negative ; December 14th, nega- tive. The blood pressure in this patient was 14254 on admission, remained at 137 from October 27th to 31st, and until January 14, 1911, varied from 122 to 132. His weight increased from igi to 208H pounds. The urine on admission showed a slight trace of albumin, Viagra Tablets Price In Karachi which decreased to negative on second exam- ination. Arsenic was also present on October 27th in the Viagra Tablets Price In Karachi urine. The site of the injection became a necrotic centre wnth a black slough, very little pus, no visible infection. and a very sluggish course. The slough was hard to remove and had in part to be cut away. Case XIV. Referred by the courtesy of Dr. Hideyo Noguchi. C. K. U. S., white, twenty-thret years old, male, single. Plumber. Syphilis, second stage. Gonor-