mass, having a corrugated feel, could be detected. No pre-
senting part of the foetus could be felt. The finger was
carried around the uterine rim in the adjacent vicinity of the
internal os ; then withdrawing it, I jDroceeded as quickly as
possible to tampon the vagina with a long strip of roller that
had been previously soaked in vinegar-and-water. In the
momentary space of time that elapsed from cleocin t acne the withdrawal
of the finger to the effectual introduction of the tampon, tlie
hsemorrhage was exceedingly profuse. The patient fainted ;
the lips were thoroughly blanched, and no pulsation could be
detected in the radial artery. After elevating the hips with
the pillow that had been lying under the head, and applying
an abdominal bandage with a view to forcing the cleocin oral presenting
part of the foetus down against the placenta, I sent for a con-
sulting physician, J. R. Mowbray, of Bay Shore, Long Isl-
and. Reaction soon ensued, and during an interval of two
hours, embracing the doctor's arrival, the patient was in cleocin phosphate a
condition of comparative safet3^ When more rigorous pains
came on and the blood began to flow around and through the
jammed-up folds of the cleocin suspension tampon, the doctor easily and rapidly
withdrew it ; finding the os considerably dilated, he protruded
CASES OF OVAEIOTOMY. 287
two fingers through the placenta, intending to rnpturo the
membranes and bring down the presenting part. (I felt quite
certain that it was a breech-presentation, from the result of
several previous explorations of the abdomen.) Ascertaining
that two fingers were cleocin 600 mg not sufficient, the whole hand was intro-
duced, cleocin 100 mg the membranes were ruptured with a good deal of
difficulty, and a foot was brought down which was secured
with a fillet. After allowing the patient an interval cleocin cost of rest,
during wdiich the leg acted as an efficient tampon, the hand
was ao;ain introduced and the other leg was seized and the
foot brought down. Delivery cleocin topical gel of a dead foetus with a flaccid
and enormous cephalic extremity was soon effected through
the placental rent, leaving the placenta in utero.
The placenta was adherent anteriorly, and detached with
some little difficulty. The organ, in structure, looked more
like a liver than a normal placenta. buy cleocin t It would measure
scarcely more than seven inches in either diameter, and cleocin tablets was
fully two and three-quarter inches thick; the maternal sur-
face presenting a perfect cast of the lower fifth of the internal
uterine ovoid.
The mother made a slow but complete recovery.
II. — Cases of Ovariotomy. By A. S. Woodwaed, M. D.,
Brandon, Yt.
On the 19th cleocin t pads cleocin 2 day of December, 1870, I was called to Mrs.
O'Conuel, a native of Ireland, fifty-three years old, and the
mother of thirteen children. She claimed to order cleocin online be quite healthy
up to last June, when she noticed her strength was failing.
In July, menstruation suddenly ceased, and never appeared
afterward. For the past few wrecks she has been confined to
her bed, with entire loss of appetite, and rapidly-wasting
strength. Her frame is greatly emaciated ; pulse 90 ; constant
nausea witli occasional vomiting, expression anxious and de-
jected. The abdomen is greatly distended, to which her atten-
tion was first directed last June. The neighboring women,
however, say that they had suspected pregnancy for more than
a year. Palpation of the abdomen revealed the presence of
288 CLESriCAL eecords.
something of greater density tlian air ; fluctuation was not dis-
tinct. The uterus could not be reached through the vagina.
The roof of the pelvis was occupied by a resisting symmetrical
mass that completely blocked cleocin antibiotic up the superior strait, offer-
ing an obstruction to the passage of the finger beyond the
pubes, against which the vagina was pressed and flattened.
The girth of the abdomen at the umbilicus was forty-seven
inches. Patient has never been tapped. Diagnosis, ovarian
cyst. She was removed to an accessible room, and an at-
tempt made to rally her appetite and strength, but she soon
became unmanageable and impatient for the operation. On
the 26th of December, while under the ansesthetic influence of
sulphuric ether, and in the presence of Drs. Perkins, Wakefield,
Peck, Northrop, Pond, Bassit, Carpenter, and Atwood, an
incision was made in the usual manner, and with ordinary
care, from the umbilicus to the pubes, opening into the perito-
neal cavity. Neither the sound, nor hand, as far as it could be
introduced, revealed any formidable adhesions. A large-
sized trocar was introduced into the cyst just below the um-
bilicus, and about one pint of yellowish fluid containing
lymph-shreds evacuated, which was all that could be made to
escape. The trocar was withdrawn and introduced again
and again, in several different cleocin iv places, with no better success.
The cleocin suppositories walls of the cyst were now incised sufficiently to admit
the hand, which served to break up the internal structure and
evacuate several quarts of fluid. It was quite impossible to
get at the upper portion of the tumor without extending the
abdominal incision, which was done as cleocin 900 mg far upward as the
cuneiform cartilage. A strong fibrous band passed across that
portion of the cyst exposed by extending the abdominal in-
cision, segmentating it, and presenting the appearance of
having the transverse colon cleocin topical solution firmly bound to it. Each segment
was incised and the hand introduced, and twelve quarts of
water collected in a pail was the sum total from the entire
cyst. It now became evident that the remaining portion of
the tumor, which was composed above of the partially- col-
lapsed cyst, and below of fibrous tissue (upon which, and em-
bedded into it, was the womb, four inches long), must be re-
moved as expeditiously as possible and cleocin cream acne at all hazard, as a
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