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Confluent scarlet (pink) Nonconfluent, dark red rash. (violaceous) rash. Rash punctate. Rash macular. Onset sudden and more or Onset sudden, but not less severe. severe. Tongue, milk coated ; Not affected, later (about third day) "strawberry." Pulse, high tension and Not materially affected, increased. Buy Indocin Circumoral pallor. Rash starts about nose and lips. Vomiting. Indocin Tablets No vomiting. Rash appears quickly. Rash appears in one part spreads rapidly, and disap- at a Indocin Suppositories 100mg time, appears gradually pears gradually. in Generic Indocin other parts, fading at place of onset. Covers body in about twenty- four hours. Rash appears first on Rash first appears about neck and about clavicular nose and lips, spaces. Rash fades with yellowish Fades with a brownish shading ; leaving skin more red and later to a light or less injected. brown, and then disappears; leaving no mottling of skin. Desquamation in twelve Desquamation in about to fourteen days. three days. Desquamation in sheets. Desquamation furfurace- Squamous scales. ous. lias more or less severe ffas none, sequelse. Itching more or less Not present, prominent. Observations and Suggestions Indocin Sr 75 Regarding Lobar Pneumonia. — E. E. (Jornwall states that the toxines which most commonly make trouble in pneumonia can be divided into three classes: The specific toxine, autotoxines, Indocin For Pda and pharmaceutical toxines. The specific toxine, derived from the pneumococciis in the blood, does not Indocin Headache seem to be regularly a factor of grave pathological importance, though occasionally it may be so. The autotoxines, and particularly those of intestinal origin, consti- tute a very important element in the mixed toxemia of pneumonia. The pharmaceutical toxines are, of course, drugs given to Indocin 25mg the patient. The official al- kaloids, drugs belonging to the coal tar. phenol, and salicylic acid groups, mercury, and magnesium sul- phate, all of which are widely used in pneumonia, are familiar poisons, and even dangerous ones un- less given with caution. When we put a drug with toxic possibilities into a patient with such a grave disease, in which a very small Indocin 25 Mg thing may suffice to turn the scale, we should be reasonably sure that the advantage will be greater than the injury. For Order Indocin pain, restlessness, and sleeplessness, especially early in the Indocin And Ibuprofen disease, no drugs are so efficacious, as well as safe, as the alkaloids of opium ; later, they should be used with very great caution. The au- thor makes the following suggestions regarding treatment: i. Give the patient plenty of fresh, cold air, but after defervescence protect him care- fully from being chilled. 2. Keep down the pro- duction of Indocin Pda toxines in his intestines Indocin High by means of a fluid antiputrefactive diet supplying daily not more than forty grammes of protein, with a food value of not more than 1,250 calories — much less, should ahdoniinal .symptoms ajipear. _v luckuie in his diet sufficient i|nantities of the salts needed by the body, especially the calcium salts. 4. Do not delay too long the stimulation of the heart ; regulate the amount of this by the capacity of the heart muscle to respond, as well Indocin Vs Ibuprofen as by the requirements of his circulation. 5. Do not move Indocin Suppositories his bowels unneces- sarily, and let the means used to move them be gentle. Obsessions in Medicine. — It is the belief of r.everley Robinson that these exist to a greater ex- tent Indocin Generic to-day than heretofore, and two reasons which he assigns Indocin Iv are, first, exaggerated specialism, and, second, an undue estimate of science, evanescent though it be, as opposed to empiricism, i. e., the experience of decades, not to say centuries. The obsessions which he especially deplores are the fol- lowing: I. The exaggerated and widespread notion of the marked contagiousness of pulmonary tuber- culosis. 2. The neglect, in this disease, of such drugs as creosote, the Indocin Injection hypophosphites, and codliver oil in connection with hygienic methods of treat- ment. 3. Immediate operation for appendicitis. 4. The idea that little can be done to reduce the mor- tality of pneumonia. If. the author states, the tu- berculous patient is put to bed as soon as threat- ened, and creosote inhalations started and other judicious medical treatment employed, he will re- cover, provided he is not already too much handi- capped by previous disease, or by reason of great weakness or old age. or because the poison is verv virulent. Tumor of Omentum with Twist of Pedicle, Giving Symptoms of Appendicitis. — C Legiar- dai-Laura, who reports this case, says that in the Indocin Suppository literature of omental tumors he had not been able to find a single one recorded with twist of its pedicle. The patient was operated upon for ap-

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