act especially on neuromuscular structures, and the
results of such action are generally in evidence long
before cough or expectoration, or other indication
of local lesion, is forthcoming. The chief error in
the past has lain in too exclusive attention to the
local manifestation, wherever presented, while too
little purchase bactrim has been paid to the bacillarj' invasion as such.
In this sense, the common separation between so
called medical and surgical tuberculosis is artificial
and unscientific. The tuberculized patient should
be viewed pathologically and therapeutically from
the same kind of standpoint as the syphilitic one ;
each being the subject of a definite systemic infec-
tion which is insidious, bactrim for mrsa tenacious, and protean in
manifestation. If the pathological position pre-
sented be conceded, the first great move toward
effective treatment will be the adoption of a bactrim prices com-
plete revision of the standard and methods of diag-
nosis. The earliest manifestations of tuberculosis
must be better defined and studied. Especially does
the lymphatic stage require accentuation ; and fine
multiple enlargement of glands must be searched
for. Symptoms of neuromuscular intoxication
must be viewed with bactrim bactrim care, and of special signifi-
cance is genera! muscular dystrophy. In respect of
visceral (more particularly pulmonary) antibiotics bactrim lesions,
there is room for much greater refinement of diag-
nosis than is usually practised or taught. Bacterio-
logical evidence must not be restricted to the
demonstration of the tubercle bacillus; if we wait
for the actual appearance of the bacilli in dis-
charges, we wait much too long. The more recent
tuberculin bactrim and tests have contributed greatly to ease
and exactness of diagnosis, and there are signs that
we are within no great distance of more satisfac-
tory serological tests. Accumulating experience at
the tuberculosis dispensary led the author many bactrim generic
years ago to institute what he termed the "march
past" of the infected households, and the facts
educed by this systematic examination led to the
conclusion that tuberculosis was far commoner
among children than had been supposed. If the
principle of generic for bactrim the "march past" were universally car-
ried out, not merely at the tuberculosis dispensary,
but likewise in general practice, tuberculosis in its
grosser forms would disappear. Tuberculosis has
been shown to be most tractable, when taken in
hand sufliciently early and sufficiently bactrim 800mg firmly. In
speaking of direct therapeusis the author states that
he has employed tuberculin continuously since i8qo.
August 9. igijl
77 77/ OF PROGRESSIVE LITERATURE
•'>7
with results proving it to be a specific remedy of
great value, provided it is used early enough and
properly administered long enough.
Treatment of Hemorrhage in Typhoid Fever.
— llardee johnslon deprecates the application uf
the ice bag. raising the foot of the sulfa bactrim bed, and the use
of opium. antibiotic bactrim The mrsa bactrim treatment which he has found most
satisfactory is irrigation with three or four gallons
of cold water, allowed to How slowly into and out
of the rectum. Were the patient in severe shock
from the hemorrhage, he would prefer to use warm
w ater. .\s a rule, however, the first hemorrhage is
not sufficient in amount to cause much shock ;
though, of course, the ulcer might be bactrim and uti so located
that the first hemorrhage would be the only one,
and cause death,
INTERSTATE MEDICAL JOURNAL.
.'rciu-. /oi;.
Kinetic bactrim tablets Theorj' of Surgical Shock and Anoci
Association. — (i. W. Crile says that while we
have long known that disturbance of any part of the
vasomotor mechanism might cause sliock, it re-
mained for an extended series of laboratory experi-
ments and clinical observations to teach us that the
vasomotor and otb.er disturbances were intermedi-
ary between the cause and the effect. The key to
the final cause of shock was found in a study of the
phylogenetic bactrim 800 mg history, not of the vasomotor system
alone, but of the whole motor mechanism. As a
result of a train of reasoning and certain researches,
he formulated what he calls his "kinetic theory of
surgical shock." This assumes a number of points,
among which are the following : That traumatic
stimuli of sufficient number and intensity lead
inevitably to exhaustion and bactrim price death : and that bactrim 400 mg when
the expenditure of energy caused by emotional
stimuli cannot take its normal course and produce
motor activity, the condition reacts upon itself ; the
stimulation thus being automatically increased, and
the resultant expenditure of potential energy pro-
portionately active. The final condition in either of
these two instances is designated shock. In solving
the question, \Miy is not the administration of
an inhalation anesthetic a sufficient preventive of
shock? cost of bactrim the author made a series of experiments
upon animals which showed conclusively that if the
connection between the brain and the traumatized
])art could be broken, the brain cells would be pro-
tected from damage ; and he found that this could
be accomplished by a thorough infiltration of the
tissues to be bactrim cost traumatized with a local anesthetic.
By the use of a nonoxidizing general anesthetic,
nitrous oxide, and of a local anesthetic, novocaine,
he achieved the thorough protection of the brain
cells from danger during the course of the opera-
tion itself. As psychic strain may be as active as
actual trauma in producing shock, the search was
made for a drug or drugs which would do away
with the preoperative dread of the approaching
ordeal, and it was found that morphine and scopo-
lamine, in physiological doses, prevent psychic
shock. If one could now discover a procedure
which would diminish or eliminate postoperative
^uf?ering, the protective cycle would be complete ;
and bv continued experimentation he found that
this end could be secured hv an infiltration of the
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