Cheapest Generic Cialis Uk | OVERNIGHT Delivery!







































Stretching of Muscles and Nerves after Nerve Severance. — N. Cheapest Generic Cialis Uk J. Langley {British Medical Jour- nal, February 2, 1918) calls attention to the com- monly accepted dictum that all stretching of a para- lyzed muscle after severance of its Cheapest Generic Cialis Uk nerve Cheapest Generic Cialis Uk must be avoided, and brings forth evidence Cheapest Generic Cialis Uk to show that the intermittent stretching of paralyzed nuiscles to their normal extent does not appreciably promote their atrophy. On the other hand, such mild, intermittent stretching by movements of the joint upon which they act may be beneficial to the muscles, both by keeping the joint mobile, and by preventing contrac- tion of the muscles and aiding in maintaining their nutrition and removing waste products. With ref- erence to the effect Cheapest Generic Cialis Uk of such intermittent stretching on the nerves, the evidence indicates that it is not harm- ful and is probably decidedly beneficial in the period before nerve suture. After nerve suture, where there has been no shortening of the nerve, slight move- ments should be begun in a few weeks. These Cheapest Generic Cialis Uk do not jeojiardize the ner\-e's union, they prevent joints stiffening, aid nutrition of the muscles, and tend to elongate the connective tissue which binds the nerve to its neighboring tissues. Where the nerve suture has been accompanied by a reduction in the length of the nerve no movements should be made until there is reason to believe that the union is very firm, and then thev should be started vcrv gentlv and be very limited in extent. Sealing Medication in the Urethra. — Edgar G. 13alk-n,i,'cr and (Jmar F. Flder [Journal A. M. A., Alarch 23, 1918J strongly reconunend the practice of sealing the medication in the urethra in acute cases of gonorrheal infection as well as for the purpose of prophylaxis after exposure. The patient should be reclining, the penis washed and dried and surrounded with a sterile towel. Twenty-five minims (1.6 mil) of the drug are injected with a l^limt pointed syringe and tlie urethra compressed with the hand to prevent escape. The meatus is dried and sealed by the Cheapest Generic Cialis Uk application of plain colodion over it and for about a quarter of an inch around it. The urethra is kept compressed until the collo- dion has dried and a condom, containing a little absorbent cotton, is Cheapest Generic Cialis Uk drawn over the penis to prevent soiling of the clothes should the collodion be broken. Before treatment the patient should have avoided taking fluids and should have emptied his bladder so as to-be able to retain the medication for several hours. Then he can crack the collodion by pressure, remove it, and empty his bladder, after which he should drink copiously to flush out the urethra. The treatment should be repeated everj' morning for about five days unless the discharge continues or increases Cheapest Generic Cialis Uk or organisms can be found in it after the third day. all of which indicate that infection has spread beyond the reach of the medication. By this treatment acute anterior urethritis can be cured within five days in the majority of cases if the treat- ment is begun on the first day. It is suitable only for cases with infection limited to the anterior urethra or as a prophylactic against infection if used within forty-eight hours of exposure. Antenatal Treatment of Congenital Syphilis with Salvarsan. — Leonard Findlay {Glasgow Medical Journal. February, 1918) notes that if thor- ough treatment with mercury and potassium iodide is instituted early in a pregnant syphilitic mother, a healthy and nonsyphilitic infant will usually re- sult. According to I'inard, Champetier de Ribes, and Potocki the percentage of healthy infants thus obtained is 75.9. A drawback to this method is that if the treatment is interrupted after delivery, and not reinstituted during the next pregnancy, the subsequent child will almost certainly be syphilitic. Even when applied Cheapest Generic Cialis Uk thoroughly, the method was not invariably successful in the author's cases. Ante- natal treatment with salvarsan is far superior. Not only does it seem possible to start the treatment much later, and yet be successful, but apparently salvarsan enables the mother, in the absence of fur- ther treatment, to continue to bear healthy children to the same — untreated — father. Injecting neo- salvarsan intravenously in seven pregnant women. iMudlay secured a healthy child in each instance. Five of these women have since been pregnant once again, and three twice, and apparently in all in- stances with delivery- of a healthy infant. In no case had any subsequent treatment been received, except in one, Cheapest Generic Cialis Uk which had irregular treatment. All the cases received mercury either by injection or per OS, along with the salvarsan. Findlay urges that all records of miscarriages and stillbirths be kept, those due to syphilis determined, and the syphilitic mothers given salvarsan and mercury. Miscellany from Home and Foreign Journals Serum Sickness. — E. W. Goodall {Lancet, March 2, 1918) presents a study of the clinical as- pects of serum sickness as seen in 3,502 cases fol- lowing the use of diphtheria antitoxin. There are three distinct forms of serum sickness. The first occurs after primary injections of serum ; the sec- ond in persons who are reinjected more than ten days after a primary injection; the third after pri- mary injections in rare, susceptible jjersons. The first form is by far the most frequent, and its com- monest manifestation is a rash, generally urticarial or erythematous. A rash occurred in thirty-five l)cr cent, of 8,726 cases of diphtheria which re- covered. The rash sometimes appears first in the region of the injection, and it has a predilection for the extensor surfaces of the extremities. Two rashes may appear, separated by a free interval, and if one is urticaria and the otiier erythema, the urticaria usually api)cars first. Two different rashes may result from even a single dose of serum. The rash very seldom appears before the sixth day aftei' Cheapest Generic Cialis Uk the first injection, and is uncommon after the four- teenth day ; Cheapest Generic Cialis Uk the days of greatest incidence being the eighth, ninth, and tenth. No cases have been observed developing before the third day. Children are more often affected than adults, specially in tlie male sex. The rash may last from a few hours to a few days. With the rash there may Cheapest Generic Cialis Uk or may not be other symptoms. These include transient fever, moderate glandular enlargement, tonsillitis, slight edema of the skin, sweating, vomiting, albu- minuria, rarely hematuria, and transient joint pains or arthritis. There is also a leucopenia due to a reduction in the polynudears. The second type oc-