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the other valves of the heart, is recognized by all
the authors. Allbutt^- states that even in the la-
tent and stealthiest phases of aortic insufficiency
we may note certain mental perturbances which
are not unknown atarax 25 mg in other heart diseases. The
delirium that is here observed buy atarax online is usually one of
place, the patient acting under the delusion that
he is in a strange house, or far away from home.
Recently, Telgmann'^ reported five cases in which
the delirium was very active and atarax 10mg in each case
marked by the delusion that the patient was
among strange surroundings and prevented from
returning to his home.
*Traiti de midecine, Paris, 1894, Vol. vi.
"L. c, p. 134 and 140.
"Allbutt's System of Medicine, Vol. viii., p. 404.
'"System of Medicine, purchase atarax Vol. purchase atarax online v.
^'Deutsche m^'ficinische Wocheitschrift. May 11, 1899.
The correlation between insanity and cardiac
disease has been studied by many, thus by Fau-
conneau," Ball," Vallin,^*' and Blandford." Eich-
horst^* describes a condition, termed by him
"toxsemic atarax price delirium," which he has observed in
cases of uncompensated valvular disease, when
the use of digitalis was followed by sudden poly-
uria and a complex of violent mental symptoms.
They gradually subsided when the diuresis atarax 50 mg re-
turned to the normal. He believes that the men-
tal disturbances in such cases are due to the ab-
sorption of a toxic substance present in the drop-
sical blood. RiegeP" generic atarax also reports cases of that
kind with extensive dropsy where delirium of a
character similar to that in Eichhorst's cases oc-
curred simultaneously with the removal order atarax online of the
dropsy. He corroborates the hypothesis of in-
toxication by substances contained in the drop-
sical fluid. Telgmann"" denies these toxic influ-
ences, and is inclined to attribute the mental out-
breaks to a sudden overstrain of atarax online the heart.
Mania and melancholia seem to be altogether
the most common forms of mental alienation in
connection with cardiac diseases. It is strange
that these two manifestations are also atarax mg the most
prevalent in cases of so-called puerperal insanity.
Another analogy between these two predisposing
causes of mental disturbances is to be found in
the sudden onset of the symptoms in both of
these diseases ; also in the favorable prognosis,
and in some other particulars which need not be
further dwelt on here.
The causes which lead to puerperal insanity
are as yet an obscure field of theories, guesswork,
and controversy. That a normal process, which
the great majority of women have buy cheap atarax from time
immemorial gone through without any damaging
consequences to their mental health, should in
certain easy and otherwise uneventful cases be
followed by severe mental disturbances, is at first
sight incomprehensible and, therefore, a matter
of atarax tablets 25mg great interest to the medical student. It is
not, as we should expect, in priiniparce that we find
the largest percentage of these occurrences. Here,
the novelty of the event, the apprehension of the
possibly grave results of the pregnancy, the psy-
chic effects of the awakened instinct of mother-
hood, and where to buy atarax atarax tablets last, cheap atarax but not least, the trials during
parturition itself, could to a certain degree serve
^*De la folie cardiaque et des troubles psychiques dans order atarax tes mala-
dies du ccenr, Paris. 1890.
^f-De la folie cardiaque, Medecine moderne. Julv 10, 1S90.
^*De la nature du rapport qui existe entre Ics affections du coeur atarax cost
et celles de I'encephale. Gazette hcbdomadairc de medecine, 1865.
^'Insanity, in Twentieth Century Practice, Vol. XII.
^Deutsche medicinische Wochenschrift, 1898, No. 25.
^^Deutsche medicinische Wochenschrift, 1898, No. 51, Vereins-
Beilage.
=»L. c.
158
ZEDERBAUM: buy atarax MENTAL DISTURBANCES.
[N. Y. Med. Jour.,
as setiological factors of this complication. In
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