It would be interesting to search the mortality
statistics of our large cities, and to know tlie small
number of deaths for which a widespread and
often malignant disease like syphilis is held re-
sponsible.
In the Toprol Xl Vs Generic Toprol Xl Beta Blocker diagnosis of the nephritides. the clinician.
and also occasionally the pathologist, is sorely be-
set. We have experienced the truth of Cabot's
statement when he sums up, saying, "Aside from
the immediate results Cost Of Toprol Xl of acute infections (such ?s
scarlet fever, diphtheria, tonsilitis, and pneumonia)
"acute' nephritis usually turns out to be 'chronic' ''
To this group of infections we may add the acute
toxic nephritis of pernicious malaria. Tlie term
acute nephritis in these cases we take to be synony-
mous with the pathologist's acute degenerative
nephritis or cloudy swelling of the kidneys. At-
tempts to subdivide cither the acute or chronic
nephritides clinically have been so unsuccessful
with us that they have been given up to a great
extent. In the presented series the differentiation
of "acute" and "chronic" has been the only one
required for a correct diagnosis. It is true that
chronic nephritis can often be subdivided into the
chronic diffuse and chronic interstitial types, but
in determining the cause of death Generic For Toprol Xl these niceties of
diagnosis are of little value. An acute toxic
nephritis, superimposed by an intercurrent affec-
tion like lobar pneumonia, so completelv hides the
underlying Generic Name For Toprol Xl chronic diffuse or interstitial condition,
that the latter often becomes a mere guess.
Organic disease of the heart, Is Toprol Xl A Beta Blocker excluding aneur-
ysm, is a diagnostic tenn which we have been
permitted to use, and which we think entirely too
liberal, and too broad in its meaning. A simple
dilatation of a chronically hypertrophied heart in
a chronic nephritic with arteriosclerosis, is quite
another condition of affairs from acute vegetative
endocarditis, and each should be diagnosticated as
such. In this series of Toprol Xl Generic Recall cases we have accepted the
term organic heart disease as sufficient. Any case
diagnosticated tuberculosis a- the cause of death
is deemed correct, even if the localization and ex-
tent of the infection have not been determined.
Under this agreement, a case diagnosticated pul-
monary tuberculosis, in which the pathologist finds
an acute disseminated infection with the bacillus of
tuberculosis, is accepted as correctly diagnosti:ated.
Considering the great benefit we Toprol Xl Generic Name have derived ,
from the commendable system in the Canal Zone,
of performing an autopsy on the great Metoprolol Vs Toprol Xl Generic Name For Toprol majority of
natients Toprol Generic Equivalent dying in this hospital, a plea for more
frequent post mortem examinations in our large
hospitals in the United States mav not be amiss
here. If the general public w'ould once grasp the
fact Toprol Xl Coupon that, everything eUe being equal, the com-
munity that allows and advocates the most thor-
ough post mortem examinations will have Toprol Xl Vs Metoprolol the most
competent and trustworthy physicians, and religious
prejudice and superstition would fade away more
rapidly than at present. Furthermore, imported
and so called sporadic cases of nuich to be feared
epidemic diseases, in which the patients die before
a clinical diagnosis is possible, are detected, and
proper precautions observed to prevent serious loss
in life and property. An imported case of septi-
cemic plague demonstrated the value of autopsy to
us in this direction, very forcibly, several years
ago. A careless or incompetent physician fears
the autopsy as much as some of the deceased pa-
tient's sentimental relatives. So long as autopsies
are as common in European hospitals as they are
rare in many American, so long will Europe excel
in diagnosis, the key to Toprol Xl Vs Metoprolol Tartrate successful treatment.
In our total series there are 448 males, forty-
five females, and seven infants whose sex has been
omitted in the records. As to the age, we have 470
adults, one boy of six years, and twenty-nine in-
fants. Of the total 500 cases, Toprol Xl 100 Mg 450 are in tropical
negroes, mostly from Metoprolol Tartrate Vs Toprol Xl the West Indies (particularly
from Jamaica and the Barbadoes), forty-six white
European laborers (Spaniards, Italians, an 1
Greeks), two white Americans from the United
States, one Chinaman, and one Hindoo.
MoRT.\LiTY Causes.
The entire 500 cases of this series have been
divided into the following groups, according to the
c,ause of death as given by the pathologist:
Group. Comprising. Number.
I — Pulmonary and pleural (including pulmonary
tuberculosis) 162
II — General infections (including disseminated and
miliary tuberculosis) 141
III— Renal 59
IV — Gastrointestinal (including peritoneal) 45
V — 'Cardiovascular (including pericardial Toprol Xl 50 Mg Recall and aneu-
rysms) i2 Toprol Xl Generic Equivalent
VI — Is Toprol A Beta Blocker ^Cerebrospinal 19
VII — Undetermined or questionable 17
VIII — Neoplasms 13
IX — Hepatic 11
X — Pancreatic i
Total 500
Group I comprises in order of case frequency •
Lobar pneumonia. 102; pulmonary tuberculosis,
forty-six ; pulmonary gangrene, si.x ; bronchopneu-
monia, five; pulmonary abscess, pleurisy, and un-
qualified pneumonia, each one.
Group II. Disseminated and miliary tuberculosis,
seventy-four ; estivoautiuunal malaria, twenty-one :
purulent infections and pyemia (excluding those
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