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to further development and improvement, diflucan cost but the tyro must keep his costo del diflucan hands off until he has studied the work of the masters generic diflucan online of the past and has digested the lessons of the war. While Duval's famous dic- tum, "that the surgery of gunshot wounds of the lungs must be governed by the principles diflucan 150 costo of surgery as applied to any other gunshot wounds," requires a number of exceptions, it diflucan cost without insurance is in the main true, and should lead us to the point where we can open the chest as safely as we now open the abdominal cavity. REFERE^XES. 1. Otis: Medical History of the War of the Rebellion. 2. Brewer : Keen's Surgery. 3. Waters : Journal A. M'. A., November, 1919. October 23, 1920.] RCTZ: OCCULT BLOOD L\ ClASTRlC CONTEXTS. 619 THE FUTILITY OF EXAAIINING THE FILTR.\TE FOR THE PRESENCE OF OCCULT BLOOD IX THE GASTRIC CONTEXTS. By Axthoxy A. Rutz, AI. D., Brooklyn, X. Y. Certain clinical and laboratory observations have recently impressed tipon me the futility of examin- ing the filtrate for the presence of occult blood in the gastric contents. Not infrequently it has been observed that gastric contents which on macro- scopic examination contained blood when filtered become negative to occult blood tests. Furthermore, negative results from examination of the filtrate were too often at variance with the history and other findings. In view of these facts it diflucan compresse costo was determined whenever possible to make separate tests upon filtered and un- filtered gastric generic diflucan no prescription contents, and the results showed that in the majority of cases, in which the unfiltered con- tents were positive the filtrate was negative to occult blood tests. In a series of twenty-four cases in which the imfiltered contents were positive the filtrate diflucan cost with insurance was faintly positive in two and negative in the re- how much diflucan cost maining twenty-two cases. In these twenty-two cases the unfiltered contents were strongly positive in thirteen, and faintly so in the generic diflucan over counter remaining nine cases. Among the thirteen former were two cases of inoperable cancer of the stomach. In one of these the contents were light coffee ground in character diflucan costo and in four successive examinations the filtrate was negative. The tests employed were at first both the guaiac and the tablet benzidin test of Dudley Roberts. As the results were similar, and as the latter is slightly more sensitive and far less time consuming, the ben- zidin test alone was employed in the later examina- ā€¢ tions generic diflucan fluconazole of the gastric contents and in the pfizer diflucan costo subsequent experimental tests. The objections to the use of buy generic diflucan online pure benzidin in the examination of the gastric con- tents for blood do not apply to the use of the prepared tablets, as these, though slightly more sen- sitive than the guaiac, are far less so than the pure benzidin. The test meals consisted of three L'needa biscuits and twelve ounces of water, the contents be- ing removed discount diflucan one hour after ingestion. It is evident from the foregoing that a distinct contrast exists between the filtered and the unfiltered gastric contents in their action toward occult blood diflucan 150 mg costo tests. To diflucan gel costo determine the various factors responsible for this difference the writer conducted a series of studies : 1. Filtrates of solutions of blood (1 in 1000) in plain water or in sodium citrate solution were ex- amined for blood. These were invariably as strongly positive as the solutions before filtration, showing that mere filtration without some change in the blood is not responsible for this difference. 2. Soda crackers were macerated in plain water generic diflucan cost and in gastric filtrates which were negative for blood. These gave negative tests showing generic diflucan 150 mg that the pres- ence of the crackers is not responsible for the posi- tive reactions in the imfiltered contents. This is also evident from the fact that unfiltered speci- mens containing crackers are frequently negative.

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