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on the sides by tympanitic resonance ; the patient expressed
great desire to pass his water. A catheter was passed nat-
urally enough till it reached a point about one inch in front
f the prostate, when the point of the instrument was turned
one side, and evidently passed out of the canal ; upon Avith-
drawing it a few drops of blood came away, but no urine ;
many attempts were made, with various sizes and forms of in-
strument, but all to no purj)ose. Twice a few drops of urine
were discharged from the urethra between its walls and the
catheter. The ecchymosis which now appeared in the perinse-
um rendered it beyond doubt that the urethra was ruptured,
and it was evident that other means must be adopted to re-
lieve the distended bladder. Accordingly, a curved trocar and
canula were introduced into the rectum, and the bladder punc-
tured from behind, but no urine came away — why, was in-
explicable — and puncture over the pubes suggested itself, but prescription retin acne
was not performed, as the man was at the time in collapse, and
died within thirty-six hours from the time of admission.
A partial autopsy only was allowed. On opening the
abdomen, the pelvic cavity was found filled with fluid and
coagulated blood ; there was diff'use peritonitis ; the bladder
was firmly contracted and* contained two drachms of urine,
not at all tinged with blood ; the puncture made by the trocar
was seen between the openings of the ureters; the urethra
was torn across one inch in front of the prostate. The pelvic
bones were very much comminuted. retin a micro order A small spicula of bone
CASES TREATED I?f BROOKLYN CITY HOSPITAL. 529
projected at the point where tlie laceration of the urethra took
place.
The case presents many points of interest, and illustrates
very forcibly the fact that blood effused into the peritoneal
cavity can simulate perfectly a distended bladder.
Compound^ Comminuted Fracture of the online retin a Skull ; Lacera-
tion of the Brain and Meninges / Becovery. Service of Dr.
S. Fleet Speie. — P. F., aged sixteen years, factory -boy, was
admitted June 17, 1871. While lowering a sewing-machine
from the second story, the rope gave way, and the machine prescription retin a micro fell
to the bottom floor, closely followed by the patient, wlio struck
his head against the corner of the stand. He was found to have
a online retin-a prescription compound, comminuted fracture retin-a buy uk of the skull in the left tem-
poral region ; the membranes were lacerated, and a small por-
tion of the brain which protruded from the wound was re-
moved. A small piece retin a order uk of bone which was depressed was
raised and removed. From the time of his admission till the
day of his discharge, August 5th, he had not a bad symptom.
Compound Fracture of B^dius and Ulna; Wound sealed
hy Carholized Collodion. Service of Dr. S. Fleet Speir. — J.
F., aged fifteen years, a laborer by occupation, was received intO'
the hospital on the 25th of November, 1871, suffering online retin a canada from a
compound fracture of both bones of the left forearm at a
point retin-a micro order online about two inches from the end of the olecranon. The
upper fragment of the ulna was protruding through the
wound, which was on the anterior surface of the forearm.
The fracture was reduced, and the wound closed by a piece
of surgical lint thoroughly soaked in carbolfzed collodion;
the forearm was put on a straight splint. After three weeks
the sealing was removed, and the wound found entirely
healed ; there was excellent union. On the 11th of January prescription retin a brands
the patient was discharged with a good arm, the case ha"\'ing
pursued the course of a simple fracture,
31
530 CLINICAL EECOEDS.
II. — Electro-therapeutics, Electrolysis, and Electro-chemical
Action on Cell-tissues. With a Case of Scirrhus of the
Breast. Head by John J. Caldwell, M. D., before the
Electro-Tberapeiitical Society retin a buy in mexico of ISTew York.
Sejptemher 25, online retin a micro 1871. — Mrs. J. I^. B. called at my office,
for treatment of a tumor of the right breast, which her physi-
cian (Dr. Thompson, of Islip, L. I.), and several other medical
gentlemen of that neighborhood, had pronounced cancerous.
From all prescription retin a canada its clinical bearings I fully concurred in their retin a mail order opin-
ion, and prescription retin-a for stretch marks commenced treatment by application of retin a order on line a constant
current of electricity from eight to ten cells, duration from
ten to fifteen minutes.
Mrs. B. informed me that her attention was drawn to her
trouble in April last ; first noticed a small, hard growth, about
the size of a walnut, which became larger and more painful,
until it reached its present size, occupying the base of the
gland, and involving the nipple ; surrounding tissues were
hard and irregular, skin tense and purple, with two or three
ulcerating points discharging the ichorous matter pathogno-
monic of carcinoma. In this case I online pharmacy retin-a micro could trace no hereditary
taint.
September '2^th. — Continued the galvanic treatment, and
ordered her a retin-a cream order online wash of carbolic acid and glycerine as a disin-
fectant.
September ^^th, October 1st, Sd, 7th, 12th, :i4:th, 16th, ISth,
22d, 27th, and SOth. — Continued treatment.
October 5th. — Consulted Drs. Beard and Gregory. Dr.
Gregory takes a specimen for microscopic examination.
October prescription retin-a cream I'^th. — Two or three small nodes are all that is left
■of the tumor.
Last evening her case, as well as one of Dr. Beard's, was
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