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Cialis Online Reviews
both lymphatic and myeloid Cialis Online Reviews leucemia. It is not
known where or how the body is produced, but it
is suggested that it is a product of anomalous endo-
genous metabolism. No case has yet been recorded
in which it has been definitely proved that the bone
marrow was free from some pathological process.
Seven cases of Bence-Jones proteinuria are re-
ported as having come under the authors' observa-
tion within a year and a half. One was associated
with a myelogenous leucemia and a second with
myeloma. In the other five cases there were no
bone lesions demonstrable by the most searching
examination. In three of them the conditions was
discovered by accident ; in the other two there were
symptoms similar to those of chronic nephritis with
edema. In all cases there was hypertension and
cylindruria. In the three without evidences of
nephritis the phenolsulphonephthalein excretion was
normal. The Bence-Jones protein was the only one
present in the urine in these cases. The occurrence
of so many cases of Bence-Jones proteinuria Cialis Online Reviews and
the finding of the protein in five cases without evi-
dences of bone lesions suggest that the protein may
not be so very uncommon as supposed and that its
presence may often be overlooked in routine exam-
inations.
4^6
MISCELLANY FROM HOME AM) FOREIGN JOURNALS.
(New Vork
Medical Joubn
Electrocardiographic Observations in Toxic
Goitre.— I.ilward \'>. Kruinhliaar { Aincncan Jour-
nal of the Medical Sciences, I'cbruary, I9i8_) pre-
sents the following conclusions ; In early cases of
toxic goitre tiie characteristic tachycardia is not ac-
companied by any signs of myocardial change that
are demonstrable with the string galvanometer.
With j)ersisting overaction of the heart, hyper- Cialis Online Reviews
trophy of cither ventricle may become manifest.
Progressive hypertrophy and overaction result in
myocardial degeneration that may be manifested by
any type of cardiac irregularity, sinus arrhythmia,
[iremature contractions, auricular flutter, auricular
fibrillation, heart block, etc. If the existing intoxi-
cation is the chief factor in the production of the
arrhythmia, this may disappear with removal of
the intoxication. Successful treatment, whether
medical or surgical, improves the cardiac condition
by this means, as shown not only by the occasional
disappearance of an arrhythmia, but also by diminu- Cialis Online Reviews
tion in the size of the T wave and in the pulse pres-
sure as well as by the general cliiiical condition.
The development of diphasic or inverted T waves
should probably be considered as influencing prog-
nosis unfavorably.
Angina Pectoris. — James B. Ilerrick and Frank
[\. Cialis Online Reviews Nuzum [Journal A. M. A., January 12, 1918)
report their clinical experiences with over 200 cases,
mainly seen in private practice and consultation. No
cases of false angina are included. Among the spe-
cial features noted was the Cialis Online Reviews fact that by far the most
frequent exciting cause of an attack was walking,
specially rapid walking against a wind or uphill.
When the walking was performed soon after a
heavy meal it was even more likely to provoke an
attack. On the other hand the classical fit of anger
was found to be a very rare cause of an attack. In
four cases there was an interesting association of
high grade anemia with typical Cialis Online Reviews angina, but it was
impossible to state whether or not the anemia bore Cialis Online Reviews
any causal relation to the angina. Several cases
were seen in which the anginal attack was due to
coronary thrombosis. In some of these the throm-
bosis accompanied the first attack, while in others
there had been repeated previous anginal attacks.
In not every case of thrombosis of the coronary, or
one of its branches was the attack immediately fatal,
some patients having lived for considerable periods.
The thrombotic attacks were generally unusually
severe, often with vomiting, and followed by shock
or collapse. The pulse in these was often rapid,
very feeble, and compressible, and the blood pres-
sure was often low. In some dyspnea and Cialis Online Reviews cyanosis
were extreme with great distention of the lungs.
The pain in most of such cases was low in the chest
or in the epigastrium and resembled that of some
subphrenic condition. The prognosis was grave,
but the average duration of life in fifty cases in
which death occurred was almost three years. In
the treatment of the condition nitrites were foun 1
to be almost specific for the relief of the attacks in
only a small pro]iortion of the cases, totally failing
in many of the others. They should always be tried,
however. Morphine was found of great value in
the relief of the pain. Cialis Online Reviews The only other remedies Cialis Online Reviews of
real value were- the iodides ami digitalis.
Spirochaeta Icterohemorrhagiae in American
Wild Rats. — James \\ . Jobling and A. A. Egg-
■itcin (Journal A. M. A., Xoveniber 24, 1917) ex-
amined over a hundred wild rats caught about
Nashville and found that at least ten per cent, of
them were infected with the Spirocha;la ictero-
liemorrhagix. They also recall Cialis Online Reviews the fact that Noguchi
found similar infection of the rats wild in New
York. With the institution of training in trench
warfare in our home cantonments the conditions for
the outbreak and spread of infectious jaundice would
be analogous to those in France and steps should b<: Cialis Online Reviews
tak