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menstruation has been painless and regular, ex- cept when interrupted by pregnancy. She has been delivered of four children, the first eight vears ago, and the last on ]\Iarch 2, 1903. Her labors have been non-instrumental and not difficult, and she has had no fever except with the present Purchase Lotrisone con- finement. On March 2nd the patient was deliv- ered of a full term child. The labor was easy and all seemed to go well until March 6th, the fifth day of her puerperium. The discharges were appar- ently normal in character, but by this time had be- come quite scanty. The patient had a chill with a rapid rise of temperature to 103° F. The fam- ily physician attempted Buy Cheap Lotrisone a digital exploration of the uterus without much success, and as the symp- toms were not relieved Buy Lotrisone he curetted the uterus, fol- lowing the curetting by a carbolized intrauterine douche, the patient having had -three such douches prior to the curetting, which occurred on March 9th, the eighth day after delivery. The following day the patient was brought by ambulance to the hospital. On admission her temperature was 104°, her nulse 128, and her respiration 28. A bacterio- logical examination of the uterine discharges re- vealed thfi. presence of streptococci in abundance. At 9 a. m., March nth, the day following the patient's admission, Order Lotrisone Online the temperature was 103°, the pulse 120, respiration 26. At six o'clock in the evening of the same day the temperature had risen to 105°, the pulse to 130, and the respiration to 36 per minute. The patient's general condition was much worse, her face was pinched, her expression anxious, her skin extremely pale and bathed in cold sweat, her respiration rapid and sighing, her pupils dilated. Her nails were deeply cyanotic, her abdomen was distended and tympanitic, her bowels were constipated. At 7 a. m. 750 cubic centimetres of i to 5000 formalin was introduced into the median basilic vein by Dr. Niles, of the house staff. One hour afterwards the patient had a sharp chill. At 9.30 o'clock the temperature was 104°, pulse 120, and respiration 36. At 10.30, two hours after the infusion, the temperature was 106°, the pulse 128, and the respiration 36. The tem- perature then fell rapidly Lotrisone Generic until at midnight the thermometer registered 101°, the pulse was 104, and the respiration 28. The patient's general con- dition Lotrisone Price seemed greatly improved, and she had fallen asleep. At 6 a. m. of the next day her temperature was 99°, her pulse lOO, and her respiration 24. By 12, midnight, of the same day, the temperature had risen to 103°, but the pulse was only 104, and the respiration 28. The following morning, March 13th, at 9, the temperature was 102% and the pulse 112. At three in the afternoon the temperature again began to rise, and by six it had reached 104.4°, but the pulse was only 108. At 7.15, Lotrisone Otc a second intravenous infusion of 1,000 cubic centi- Lotrisone Lotion metres of I Order Lotrisone to 5000 formalin in normal salt solu- Purchase Lotrisone Online tion was given by Dr. Xiles. This was followed by a chill, and by 9 o'clock the temperature had risen Lotrisone Creme to 107.6°, the pulse being 100, and respira- tion 36, but the patient did not seem in an alarm- ing condition, and expressed herself as feeling very comfortable. Within an hour the temperature had fallen to 100.4°, and the respiration to 28. The rapid respiration was doubtless due to the abdom- inal distention. As this Lotrisone Cost continued, and as the pa- tient's general condition had improved so much as to warrant it, an Betamethasone Cream incision was made into Doug- las's cul de sac and a small quantity of pus lib- erated, perhaps a drachm. From this time on the patient continued to make a satisfactory convales- cence, and on April 22nd went back to her house- hold duties entirely well. Repeated examinations of her blood during her convalescence and Lotrisone Online follow- ing the formaldehyde infusions, showed no mor- phological changes in the cellular elements. Case III. — Generic Lotrisone This case occurred in the practice of Dr. F. B. Littlewood, one of my colleagues on the visiting staff of the New Rochelle Hospital, and the treatment was carried out with my eooperation. The case is reported by Dr. Littlewood. Mrs. B., thirty years old, colored, third child. First two labors were difficult, and patient's conval- escence after second labor was protracted. . Third labor began January 24, 1903, with premature rup- ture of membranes. Dr. Littlewood was called at 7 a. m.. January 26th, and after an unsuccessful attempt to Clotrimazole And Betamethasone deliver with forceps, at 6.30 p. m. of the same day, he resorted to version and craniotomy of the after- coming head. The surroundings were such as to render it impossible to practise asepsis or anv near approach to it, and considering the extensive lacera- tion of the vaginal and uterine walls, as a result of the operation, it seemed inevitable that the pa- tient must suffer from septic infection. At 11 o'clock on January 27th, the morning following de- livery, her temperature was 100.6°, her pulse 102, and her respiration 18 per minute. The lochia were sufficient in quantity and not offensive. At 4 p. m., the temperature was 101°, and Lotrisone Uses pulse no, with a respiration of 20 per minute. The patient's condi- tion grew steadily worse until on February 3rd, at 4 p. m., her temperature was 104°, pulse 140, and respiration 34. At this time the patient's abdomen was enor- mously distended and tympanitic, there was a con- July 4, 1903.] RIES: APPENDECTOMY. slant involuntary f;ecal discharge from the rectum, Lotrisone Ointment and control of the bladder was lost. The patient was extremely Buy Lotrisone Online weak, a low, muttering delirium luing present. The lochia were not offensive, and rareful exploration of the interior of the uterus irvoalcd nothing. Dr. Littlewood, assisted by Dr. lunberson, then gave an intravenous infusion of 1 ,000 cubic centimetres of i to 5000 formalin in

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