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 |   Related post: pitable thing, while the railroads offer the usual concessions. Apropos of the railroads I have a pleasing bit of news for the New Yorkers. Mr. Rinearsou, of the Erie, informs me that his line purposes making special efforts not only for the com- fort but for the pleasure of delegates Buy Paxil Cr Online from New York. These efforts will probably materialize in the form of the elegant new hotel cars of the line, which will be placed at the exclusive dis- posal of the medical party. i.HADisa .1 irncLKS.—Miyoi: r.\/:.i(;/:.i I'lis. (N. V. Mki,. Jouu., YOIIK Mb]l)lCAL JOURNAL. .1 ll'ftkly Knnew of Affdicine. Ilxhfil l>y ■O. A I i-I.KTON A Paxil Cr 37.5 ('y KllANK r. KOHTKII, M. I». NEW YORK, SATURDAY, JANUARY 28, 1888. i;i;i'K(>vi:usioN ok tiik uterus and tumors. In w roroiit issuo ot" the '" ('ontnilblaU. filr (lyiiali) toward the abdominal cavity. Such tumors, iio sajs, usually dis[)lace the utorus to Paxil Or Paxil Cr the side opposite to that in wliioli tlioy are situated; exceptions to tliis rule oc- cur, but they are neitlierof diajijnostic nor of pro!.^nostic import. IIo lias reference to submucous growth.s, or, to speak more defi- nitely, polypi, which, jj;r()wiu}j; toward the vagina, bring about oertaiu displacements of the uterus; but he discards a class of Ottsos described by Schultzo in which the tumor, after passing out of the uterus, grows rapidly and presses against the vaginal wall. In so doing it naturally elevates the uterus, which at the same time must undergo a disi)Iacenient depending upon the site of the insertion of the pedicle of the tumor ; if this is on the anterior wall, the uterus is retroverted, while, if it is on the posterior wall, it is anteverted. The class of cases to which the author draws attention, which are far commoner than those just mentioned, are those in which the polypus reaches tiie vagina, but does not grow so rapidly as to elevate the uterus, and yet produces retroversion of that organ, no matter whether the pedicle is inserted on its anterior or its posterior wall. In such cases the tumors are of a diameter of from two to three inches, spherical, and sur- rounded by the margin of the os externum. The pedicle is Paxil Cr 37.5 Mg drawn tense, and Paxil And Paxil Cr consequently the uterus is straightened and retroverted ; it moves with the tumor as a whole, the fundus being carried in the opposite direction to that which the tumor is made to take. But the pedicle must have its insertion bt- yond the internal os, or the uterus will not be fully put on the stretch and will not undergo the necessary straightening. It is immaterial, however, as already stated, whether the pedicle 8 inserted into the anterior or the posterior wall. These cases, the author says, are of practical importance from the fact that the displacement does not disappear on the removal of the tumor, as in the other forms, except in the very early stages. and then only with the aid of subsequent treatment. Out of a great number of cases of this Paxil Cr Coupon kind which he has ob- served, he can recall only one in which replacement of the uterus took place spontaneously after the removal of the polypus. Several cases are cited which appear to bear out his state- ments, and they are further sustained by experiment. A small hook was inserted, first into the anterior and then into the pos- terior wall of the uterus of a woman on the tenth day after delivery. To the hook was attached a silk thread, and, when tliJH W8f
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