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Case II. — Ondansetron Zofran This .case resembles the former in all particulars, except that the instrument inflicting the injury was a scythe 638 CLiisncAL eecords. instead of a saw, and the seat of injury being the metacarpo- phalangeal articulation of the thumb. All the flexor muscles of the thumb were severed, and the joint fully opened, allow- ing the disarticulated thumb to rest upon the wrist. The treatment consisted in bringing the thumb to its proper place, securing the cut edges by sutures, and protecting the whole from air by the application Zofran Mg of isinglass-plaster. At the expira- tion of six days, on removing the dressings, I found the wound entirely healed, no inflammation having followed the injury. Sensation and motion perfectly restored, and mobility of joint unimpaired. From the result in these cases, and others simi- larly treated, I am disposed to think we are justified in mak- ing the attempt, at least, to save every and all portions of the hand, however much it may have undergone mutilation. There has been no artificial Zofran 4mg device or apparatus, nor can there be one discovered, which could be substituted for any part of the human hand ; and the surgeon confers a lasting benefit upon his patient Cost Of Zofran by remembering this fact, and with patience, judicious treatment, and attention, the result will be a reward beyond his expectation. III. — Surgical Clinic. Burlington ILedical College^ Bur- lington^ Yt. By Benjamin Howaed, M. D., Professor of Surgery. Reported by A. P. Grinnell, M. D. Case I. Adipose Tumor.— lA. W., forty-two years of age, by occupation a farmer, who received an injury of the thigh eighteen years ago, which resulted in the development of a tumor. It had gradually increased in size until the weight, at time of extirpation, exceeded eight pounds. No pain or in- convenience accompanied its development, but the Zofran Odt patient suffered annoyance from the weight and friction, which was always increased in the act Zofran Price of walking. Diagnosis, adipose tumor. Treatment, removal. The operation was performed in nine minutes. The usual dressings were applied, and in •six days from the time of operation the wound was entirely healed, and the patient allowed to go home. Case II. Cyanosis. Price Of Zofran — Female child, aged three. The blue and unhealthy appearance of the patient was indicative of an BEBLIOGEAPHICAL AND LITEEAET NOTES. 639 existing organic disease, and upon examination it was pro- nounced a case of cyanosis. No treatment recommended, be- yond attention to diet and general health. Case III. Ifasal Polypus. — D. M., aged nineteen, has a fibrous polypus of the nose, which completely fills the pos- terior nares, but is not discernible anteriorly. Complete re- moval effected from behind, allowing free passage of air through the nostril. Case IY. Multilocular Adipose Tumor. — J. E., aged forty-four, laborer, in good Zofran 8mg health, had been troubled for eighteen years by the development of a tumor in the posterior cervical region. Upon examination it was pronounced a mul- tilocular adipose tumor. The Zofran 4 Mg patient refused to take an anaesthetic, and submitted without a mui'mur to its removal, although considerable time was required in the operation, owing to Cost Zofran firm attachment of surrounding cellular tissue, mak- ing enucleation impossible, and necessitating its entire re- moval by dissection. Weight of tumor about one pound. The patient has suffered no inconvenience from the operation, Iv Zofran and the wound is healing by first intention. Art. I. — The Works of Sir James Y. Simpson, Bart., M. D. I^ew York : D. Appleton & Co., 18T2. Vol. I. Selected Obstetrical and Gynaecological "Works, containing the Substance of his Lectures on Midwifery. 8vo, pp. 852. Vol. II. Anaesthesia, Hospitalism, Hermaphroditism, and a Proposal to stamp out Small-Pox and other Contagious Diseases. 8vo, pp. 562. Vol. III. Clinical Lectures on the Diseases of "Women. 8vo, pp. 789. A REVIEW of the medical works of the late Sir James Y. Simpson is entirely unnecessary at 8 Mg Zofran this day. The profession in this country, as well as the world over, are ah-eady acquainted with his papers, many of which marked most positive advances in the science and art of Zofran 4 medicine, especially in the depart- ments of obstetrics and gynaecology. These advances have been incorporated into our systematic text-books and works of reference, and so have become Zofran 8 Mg as familiar Zofran Iv as household words ; and besides this, the former (but now incomplete) edi- 640 BIBLIOGEAPHICAL AND LITEEAEY NOTES. tion of Prof, Simpson's works, edited by Drs. Priestley and Storer, is well known, and has been widely circulated both in this country and Great Britain. Thus an actual experience Zofran Cost cov- ering a long series of years has set the stamp of approval upon his writings, and has indicated clearly their Odt Zofran worth, so tliat without hesitation we can now pronounce them among the most valuable contributions ever made to medical literature. Om' object, at present, is therefore Zofran Buy merely to call attention to the appearance of this superb and complete edition, Zofran Ondansetron and to

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