bilities in lasix cheap the treatment of certain rather inacces-
sible forms of cancer and because it procures an
increase of therapetitic efficiency in the treatment of
relatively insensitive and bulky tumors. While
highly efficacious, radium puncture is harmless only
when radiation of healthy tissues is avoided. An
illustrated description of the armamentarium and
technique is presented.
Treatment of Congenital Dislocation of the
Hip.— Calot {Bulletin de I' Academic de medccine_
April 20, 1920), from extensive anatomical and
pathcjlogical studies, as well as from x ray, clinical,
and therapeutic observation in several thousand chil-
dren treated for congenital dislocation, found that
hitherto x ray specialists and surgeons lasix renal have nearly
always misjudged the location of the upper margin
of the primitive cotyloid fossa, into which the head
of the femur must be finally adjusted if true ana-
tomical cure is to be obtained. This upper limit is
not situated at the uppermost and outermost point
of the diagrammatic V representing the cotyloid
region in x ray textbooks, but at the apex of the
V, i. e., at lasix 40mg the upper part of the Y cartilage. Be-
cause of this anatomical error, incomplete and false
reductions, rather than true reductions, have been
obtained. The primitive cotyloid fossa corresponds
in iv lasix small children to the ischial and not the ilial por-
tion of the coxal bone. A mistake has also been
made in placing the axis of the head and neck of
the femur in an oblique direction. Instead, this
axis .should, on x ray observation, be found hori-
zontal. The head tablet lasix should be opposite the ischial
portion ; the neck should appear in its greatest
length, and contact, or better, insertion of the potassium lasix head
and cotyloid fossa should be obtained. If this is not
possible at first, it may be gradually secured by
pressure with cotton upon the great trochanter
through an opening lasix buy for it in the plaster apparatus
opposite the trochanter. A broad, horizontal vault
for the head must be created at the proper point.
This is accomplished both by keeping the axis
of the head and neck transverse througliout the
period of immobilization and by flexing the thigh
to an angle of 135° in the first apparatus buy lasix online used.
This overflexion also serves to correct the frequent-
ly existing anteversion and antetorsion of the head
and lasik lasix neck. Autopsies and radiographs showed that a
roof for the cotyloid fossa as horizontal, strong,
and extensive as on the normal side can thus be
created in from eight to twelve months. The newly
formed roof or online lasix vault lasix and potassium appears in the x ray picture lasix 40 mg
as stalactites and islets of bone which later become lasix purchase
confluent. Equivalent changes take place even in the
very small children, in whom ossification is normally
less advanced. To avoid undue encroachment upon
the femoral head lasix order by the bony proliferations above
it, the head is not left in a fixed position through-
out the eight to twelve months, but is moved
through the use of three successive plaster dressings,
the first holding the thigh lasix to buy flexed at 135°, the second
at 90°, and the third at 45°.
Chemotherapy of Chroilic Tuberculous Infec-
tions. — II. Grenet and H. Drouin {Bulletin de
r Academic de medccine, March 9, 1920) refer to
the experiments of A. Frouin which showed that
intravenous injections of the sulphates of samarium,
lanthanum, neodyniiuni, and praseodymium induce
an intense, progressive, and lasting mononuclear
leucocytosis, and that in vitro the same salts cause
definite alterations lasix mg in the vitality, morphology, and
chemical constitution of the tubercle bacillus, the fat
content of which is reduced from thirty-five or forty
per cent, to twenty-two or even sixteen per cent.
Clinically, intravenous injections of a two per cent,
solution of one of the above mentioned compounds —
usuall}' neodymium sulphate — were given in series
of twenty or twenty-five, daily or on alternate days,
repeated after intervals of fifteen or twenty days.
The dose was gradually increased lasix for from two to five
mils of the two per cent, solution. The injections
were well borne in cases of local tuberculosis or
with small pulmonary lesions and in fair general
health. In more severe pulmonary cases the treat-
ment caused temporarily slight lassitude and loss of
weight. In hectic cases and those with extensive
cavities the treatment was not tried. In eight cases
of tuberculous lymphadenitis marked improvement
followed one or two series of injections, the glands
becoming smaller, lasix with potassium movable, hard, and fibrotic, and
long standing sinuses closing in fifteen to twenty
days. In eleven cases of lupus erythematosus and
two cases of indurated er>-thema rapid improve-
ment usually occurred, the lupus cases sometimes
being cured in a few days, or, where of longer
standing, after one or two series of injections.
Among twenty-four cases of true skin tuberculosis,
weeping and suppurating lesions were soon dried up,
and later healing took place, in some lasix furosemide instances with
scarifications or the cautery as auxiliary measures.
Lujioid tubercles of the nasal mucosa were cured
without local treatment. The pulmonary cases
648
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