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 |   Related post: swallowing. On the following day rheumatism attacked his knees, but not severe enough to confine hira to the house. On August 3d he came to the sea shore, and with difliculty walked from the railway station to his cottage, a distance of about an eighth of a mile. 1 visited him soon after his arrival. At this time his fauces were red and swollen, but the tonsils were not Buy Manxxx at all prominent. The knees, elbows, and shoulders were stiff and painful. Walking was slow and difiicult. His hands were raised to his liead with much effort. Physical ex- amination revealed no pulmonary or cardiac disease. Tempera- ture 101° F., pulse ion. He was put to bed in spite of his pro- testations, and ordered snlol in ten-grain doses every two or three hours nnd a diet of milk. On August 3d his morning temperature was 101 "3°, evening 103°. The skin was acting freely, joints painful, though only slightly swollen, and not particularly tender. On August 4th, morning temperature 101 -5°, evening 102'8°. The above-mentioned joints were improving, but the ankles also had now become involved. Tlie throat was relieved by topical applications of glycerole of iron. Urine was voided freely, and contained some allnimin. On August 7th, after taking salol, | ij, daily for three or four days, the urine was olive-green in color. The rheumatism not yielding to the remeily, ditliiosalicylate of sodium in three- grain doses was substituted. This was given every three or four hours, but failed to relieve. Morphine became necessary at night to induce sleep. * Rend hpfoic tlie Now York Cllnicnl Society, Kohruary -J?, 1891. June 6, 1891.] KLOMAN: SOilE OBSERYATIOXS UPON THE USE OF ERGOTOLE. 653 On August 9th a pericardial friction sound was heard, and the sac died with fluid. On this daj the temperature reached 104°, and on August 10th 101-6°. Dithiosalicvlate of sodium — -^ discontinued, and salol in combination with phenacetin, five ius of each, was given every four hours when temperature ■ ^ at or above 103°. These relieved the joint pains, improved tlje frequency and character of the pulse, and reduced the tem- perature 1'5° to 2o°. The tongue became cleaner, and albumin disappeared from the urine. Very free perspiration was in- .liiced. On August 13th pneumonia appeared in the right lower lobe: no cough or e.\'pectoration accompanied it. The fever continued, varying from 101° to 104°, only tem- porarily influenced by external and internal antipyretics. On August 17th the skin ceased to act. The pulse was regu- hir and steady from 112 to 120. Breatblessness was not marked, and cyanosis was not present. On August 18th a soft systolic murmur was heard at the apes of the heart; pericardial effusion had diminished in iiiiount, and pneumonia was resolving. From the evening of Aiiu'ust 18th to the morning of tlie 19th the temperature contin- 1 from 104° to 104'4°, and the pulse from 114 to 120, notwith- iiding frequent sponging and internal antipyretics. Cerebral iiptoms appeared, the eyes became brighter, every sense uer, and mild, mirthful delirium appeared. Sodium salicylate - ordered in twenty-grain doses every two hours, and tepid [bilging frequently. Physical examination revealed nothing new in the way of complication. Up to 8.15 p. m. he had taken 3 ij of sodium salicylate, and at this hour his temperature was 105°, and pulse 120, regular and of fair volume. As there were no facilities for a general bath, he was placed in a cold wet pack at once, and stimulated with whisky. At 9 p. m., tempera- ture 104'5°. Phenacetin, gr. xv, was given with whisky. His spine was rubbed with ice, and ice in cloths was applied to the head, chest, and abdomen. The pack was renewed. At 10 p. M. the sublingual temperature was ]fi4'7°; tlie rectal, 105'2°, although the external surface' of the body was cool. Under these circumstances the pack was discontinued. He was now unconscion.s. Respiration became rapid and irregu- lar — 50 a minote— but the pulse continued regular at 126. At 11.30 the rectal temperature was 106-3°; at 12.30 a. m. (August 20tb), 107-5°; at 1.10 a.m., 108°; pulse, 130; at 1.45 a.m., 108-9°. General convulsive movements occurred. The heart beats grew slower and weaker, and dsath occurred a( 2 a. m. SOME CLINICAL OBSERVATIONS UPON THE USE OF EEGOTOLE. By WILLIAM C. KLOMAN, M. IX. BALTmoRE, XD. I WILL begin with the staternont that I have no original irivestigationR to report concerning the therapeutic proper- ties of ergot or its representative ergotole. Those are gen- erally known to the profession from the various works on Related links: Tamsulosin Women, Buy Valacyclovir Online, Xylocaine Eye Drops, Dydrogesterone 10mg, Order Sulfamethoxazole Online, Cost Of Ceftin, buy seroquel xr, Arimidex Price, Effexor Sale, Fluticasone Cream
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