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 |   Related post: cancer because of the yellow discoloration of the amethyst colored iron solution. But the yellow was not the canary yellow. On further discussion he confided to me that there were several cancer cases in the hospital. Very much interested in the dis- cussion, I asked for the progress of such cancer cases, and the answer was that they were getting along quite well. I then called his attention to my floating test for lactic acid, and we then proceeded to apply the floating test to, the chyme which he was then analyzing. The Lomefloxacin Hydrochloride chyme did not respond to the floating test; there was no lactic acid in that chyme. No wonder his supposed cancer cases got along well, they were not cancer. The fact that occasionally we get some patients who refuse to take the stomach tube has caused some investigators to devise a substitute. If the medical profession in general were to recognize that there is absolutely no contraindication to the introduction of the stomach tube, and that a test meal examination is absolutely essential — if our diagnoses are not to be based upon mere guesswork — there will soon be no objecting patient. Meth- ods have been devised to test the motility of the stomach and the very gastric secretions by having the patients swallow some chemicals or minute ap- pliances. My general criticism is derogatory to the employment of any such means ; they prove noth- ing and are a nuisance, leading to fatal mistakes. The question of motility of the stomach is still con- fusing the minds of the profession. It is unfor- tunately still held by a good many that a pro- longed sojourn of chyme within the stomach in- dicates atony of the stomach — a lessened motility. while a rapid emptying of the stomach evidences an increased motility of the stomach. Ewald de- vised the salol method for testing the motility of the stomach, in accordance with which the urine is tested for salicylic acid from half to three quar- ters of an hour after the taking of the salol. Many authorities have proved this test to be unreliable. The employm.ent of the iodide of potassium for a similar purpose has likewise been abandoned. A few years Buy Lomefloxacin ago Sahli, of Berne, devised a quite ingenious method, "the desmoid reaction," the object of which is to determine the presence of free hydro- chloric acid and the motility of the stomach. This method rests on the assumption that connective tissue and also catgut are digested only by hydro- chloric acid. A small quantity, or a small pill of methylene blue, is enclosed in a small rubber bag and Lomefloxacin Eye Drops tied with catgut. This is swallowed by the pa- tient. Normally the hydrochloric acid digests the catgut, which frees the methylene blue, which is excreted by the kidneys, giving the urine a blue color. This is to happen, normally, within six to seven hours after the swallowing of the rubber bag. Always ready to improve, Einhorn worked out his glass bead novelty, glass bead, and catgut, if the cat- gut is digested, then there was hydrochloric acid. .\nd if there is no digestion of the catgut (which is recognizable according to Sahli by the failure of the urine to be colored blue or greenish blue, and ac- cording to Einhorn by the glass beads coming out through the rectum with the catgut attached to it) , then the absence of hydrochloric acid or overmo- tility is diagnosticated. Neither of these methods 874 KNAPP: DIAGNOSIS OF INSPECTION. [New Yoek Medical Jodrnal. takes cognizance of the presence of the condition of a relaxed pylorus, of insufficientia pylori. In insufficientia pylori the desmoid bag of Sahli and Einhorn's toy beads will get beyond the pylorus, although there may be sufficient hydrochloric acid. And a too rapid disappearance of chyme or other matter from the stomach I have already proved not to indicate excessive motility, but rather a relaxed pylorus. Also, various devices have been recom- mended to circumvent the necessity for introducing the tube for the purpose of ascertaining the pres- ence of hydrochloric acid. Some advocate the pa- tient's taking some sodium bicarbonate, which in the presence of hydrochloric acid will be decom- posed, giving off carbon dioxide, which would give a hissing sound which could be heard. I confess I have not tried this simple method. But the objec- tion to it is that, at best, it would tell simply thL' presence of an acid. And, as the acid in Related links: Oral Lidocaine, Topamax Price Us, Order Malegra Fxt Online, Asacol Hd Dosage, Buy Relafen Online, cymbalta online prescription, Albendazole Price, Phenergan 12.5 Mg Iv, propecia over the counter, Cheap Pulmicort
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