the Kidney. — Dr. Edwix Beer, generic singulair of New York,
in a fiiriher discussion of the subject, asked whether
Dr. Cabot was of the opinion that singulair mg preliminary vac-
cination prevented comphcations with the colon ba-
cillus following prostatectomy and requested him
to discuss the question of ureteral catheter lavage
of the pelvis of the kidney. Personally he had seen
absolutely no results from this procedure. In cases
of acute pyelitis naturally one did not care to irri-
gate the pelvis of the kidney, but there might buy cheap singulair be
some benefit from washing out the ureter and thus
cleaning out mucus plugs that were causing some
interference with the outflow of urine. The reason
they did not get results by this procedure was that
they did not know what they were treating. The
only diagnosis made was made after pus had put in
its appearance. The diagnosis of kidney involve-
ment was not made until after the fifth day. He
did not believe lavage was effective. With the
patient in the Trendelenburg position the silver
nitrate might go to the pelvis of the kidney, but
he doubted if it reached the foci of infection in the
parenchyma.
Dr. Cabot said the question he had wanted to
hear discussed was the possibility of the sensitiza-
tion of the kidney with foreign protein. Dr. Keyes
had asked a question which he could not answer.
It was, however, beyond doubt that occasionally
there was a case in which the use of the ureteral
catheter with or without lavage of the kidney had
produced spectacular results. He could not sub-
scribe to the theory of stricture of the ureter.
These cases did not occur in his experience. He
had been asked whether he had retreated from his
position in regard to certain anatomical relations
which might account for the frequency of pyelitis
in little girls. The difficulty here was that there had
not been produced a sufficient amotmt of good work
to settle the question one way or the other. Dr.
Grimes and he had studied the length and position
of the large intestine in females as compared with
males ; it was possible that there was a definite ana-
tomical difference levocetirizine montelukast but it had not been shown thus
far. As to the relation of the intestines to the kid-
ney, he did not agree with Dr. Brasch. The rela-
tion between the intestine and the kidney was clear.
He had a series of twenty-five men between the
ages of twenty-five and thirty-five years whose
urinary tracts were sound, men in good circum-
stances and living out of town, who had had acute montelukast tablet
illness characterized by fever and diarrhea and evi-
dence of acute colitis, and it was observed in a few
days that colon bacilli were passed in the urine. In
many cases the colon bacilli disappeared from the
urine, but later the patients would have another
acute attack, singulair price with symptoms of kidney infection,
fever and bacilluria. The relation between pyelitis
and ulcerative colitis was often buy singulair online striking. Dr.
Brasch had laid a good deal of stress on the impor-
tance of the removal of focal infections elsewhere
in the body. Such infections were occasionally due
to the colon bacilli but they were oftener due to the
streptococcus group ; the condition he was montelukast price talking
about had nothing to do with that, for he did not
believe that the cheap singulair streptococcus produced pyelitis. He
believed in a search for focal infection, but he
doubted that there was order singulair a connection between colon
bacillus infection of the singulair cost kidney and infections of the
mouth and teeth. Silver nitrate purchase singulair online might affect the purchase singulair
organisms in the superficial epithelium and even
release organisms deeper down, but he doubted
whether silver nitrate did more than ameliorate
symptoms. Unless the colon bacilli were perma-
nently eliminated the pajtient montelukast sodium tablets did not stay cured. In
the group of little girls he should hesitate to use the
cystoscope or montelukast tablets to catheterize the kidney ; he did not
believe local treatment would buy singulair be of much help in
this group. He was inclined to believe their order singulair online hope
lay in vaccines, but here the difficulty was that there
was no measure of immunity and we did not know
whether immunity was produced by vaccines. There
were many strains of colon bacilli and it was not
known whether vaccination against the strains that
were producing the pyelitis could produce an im-
munity against those organisms.
SYMPOSIUM ON ENDOCRINE DISEASES.
Disturbance of Internal Secretions of Sex
Glands. — Dr. Willi.\m C. Quinby, of Boston, dis-
cussed the clinical and experimental evidence of
function of the gonads, that is, the sex glands, and
showed instances of distiu-bed function. The sper-
matozoa and ova might be considered analogous to
external secretion of other glands of the endocrine
system. The testicles and ovaries had a definite in-
ternal secretory function the products singulair online of which so
far had not been isolated as definite chemical prod-
ucts. A hypothetical substance called spermin had
been isolated but that was entirely impure and had
no value. In the male the endocrine portion of the
testis was situated in the interstitial tissue or the
cells of Leidig. These cells lay between the tubules
and showed different degrees of development. In
the female the endocrine function was subserved
also by interstitial cells and probably further by
corpora lutea, but certainly before menstruation oc-
curred singulair tablets the action of corpora lutea was not present.
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