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striking to the propecia discount card observer in the regions which are nor- mally fairer than the rest. Then the color may vary from brown to intense black. 8. Beflexes, etc. An examination of the reflexes, superficial and deep, does not bring out propecia cost in india any point pe- culiar to this form of neuritis as compared with others. The gait in walking might be called typically ataxic, but it is only when the muscles of the lower limbs are much wasted that the patient can not stand ujiright alone, with closed eyes, or tui'n sharply in his walk, or touch any given spot on his head or body with eyes closed — in short, co-ordination of his muscle actions appears to be good in proportion to the degree of per- fection of muscle nutrition, the action of the muscles being short and jerky wlien wasting is present and the case an advanced one, any failure to carry out a desired action being the result of want of strength in the muscle itself and not of loss of central co-ordinating power. 9. discount propecia The sexual functions seem to be affected only when w'idespread impairment of muscular action renders all movements dillicult, or when the general condition of the patient has arrived at a state wliicli causes him anxiety and distress. 10. Dr. Strachan states that he has seen very few post-morlcm examinations of cases in which patients have died of this disease. how much does propecia cost uk The most noteworthy feature was pigmentation of the brain, spinal cord, and large nerve trunks. The liver and spleen were such as are usually found in cases of malarial poisoning. 11. The disease attacks both sexes, at any propecia cost comparison age, but is most common in youth and in adults. It appears to pre- vail most in districts on the seacoast and low'-lying in- land regions, discount generic propecia but on tliis point he says he has no cer- tain information to oifer, as the majority of patients treated in the Public Hospital, Kingston, belong to that city propecia price uk and its immediate neighborhood. 13. Treatment. The treatment adopted in the Pub- lic propecia cost Hospital and discount propecia online found to be of most service has been, during the early and acute stages, by rest in bed, nour- ishing food, gradually increasing in quantity and variety, and the internal administration of quinine and strych- nine for a considerable propecia discount program period of time in moderate doses, frequently repeated, and often combined w-ith small doses of iodide of potassium. The quinine has been given with the object of combating the malaria believed to be present, and the other drugs have been used with the view of stimulating nerve nutrition and absorption of inflammatory material in propecia discount pharmacy the affected nerves. Massage and electrical stimulation are resorted to for wasted muscles, and active and passive movements of the extremities. Complete change to a temperate or, if the patient can stand it, a cold climate is apparently one of the most powerful agents in the restoration of health, for continued residence in the patient's usual environment, though it may not prevent recovery, certainly retards it, and occasional propecia cost per month recurrences of the malady may result. 13. As to the poison which, circulating in the blood of the afl'ected person, causes this form of multiple neuritis, the author states that he has been led to think that it is propecia cost uk the poison of malaria. The fact that the disease attacks those who have resided in malarial regions, or have suffered from the milder and propecia cost without insurance more chronic form of malarial poisoning, while persons who live always in non-malnrious regions and have not contracted malaria appear to be rarely at- tacked, if ever; the fact that quinine is of value in the disease; the striking and rapid recovery when it is pos- sible to give a discount propecia australia patient complete change to a cold propecia cost with insurance or temperate or non-malarious region; and the remarkable pigmentation of various organs, so suggestive of malaria, seem to the buy discount propecia author to point to the possibility, if not probability, that the ]ioison generated by malaria ]iara- sites may, when repeated from time to time and not eliminated ])romptly, cause this form of multiple neu- ritis. Influenzal Pseudo-angina treated with very Large Doses of Trinitrin. — The following case is published in the Dublin Journal of Medical aaa discount propecia Science for Novem- ber 1st, by Dr. Edmund Hobhouse, who thinks it may propecia tablets cost in india be of interest on account of the severity of the attacks and the enormous doses of trinitrin which can be used without producing any unpleasant effects: The patient was a highly neurotic woman, thirty-two years old, with- 7iS MISCELLANY. [N. Y. Med. Joub.,

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