ography. — Hulzknecht. Lenk. Porcles, Kriser. purchase prednisone online prednisone mg and
W'internitz (IViencr hlinische U'ochcnsehrift. ?ilarch
.^0. 1922) report a case which showed a fistula
closely behind and l)eIow the greater trochanter.
The question arose whether the focus of suppura-
tion was in the right hip purchase prednisone joint or in buy prednisone the sacrum. The
rontgenogram without the use of a contrast medium
filling the sinus revealed a destructive process with
absorption and sequestration at the body of the first
sacral segment, at its left and appareittly anterior
half, but the right hip showed no pathological con-
dition whatever. The clinical examination gave no
definite information as to the site of the involvement.
.\ rontgenogram of the fistula filled with a contrast
medium in the anteroposterior direction showed a
sinus running obliquely inward and upward, with a
short branch running toward the femoral neck, and
the sinus tlien followed a straight cheap prednisone course to the b'odv
of the second sacral vertebra where there was a cav-
ity : the question prednisone price of the involvement of the hip re-
mained unsettled. A transverse exposure of the
sacrum and hip with a contrast medium filling the
sinus revealed the sinus to be behind the femur,
running upward. The previously described branch
(if the sinus seen in the anteroposterior plate of the
femoral neck, became lost prednisone online in the main tract and
therefore lay in the frontal plane. The sinus left
the pelvis in the region of the great sciatic foramen
and enierged near the great trochanter.
End Results in Obstetrics. — C. J. .Andrews
[American Journal of Obstetrics and Gynecology,
May. 1922), going over 150 private case records,
found a comparatively large number of instances
of retroverted uterus at "discharge examinations"
after labor. He urges that obstetrical cases should
be not finally discharged until the uterus is in order prednisone posi-
tion, if this can be secured by simple office treat-
ment. For replacing the uterus he uses a method
suggested by J. C. Hirst in which the double tenacu-
lum is first placed on the anterior lip of the cervix
and the fundus released by gentle traction. The te-
naculum is then held by an prednisone 20mg assistant, while the fundus
is lifted and held forward by two fingers in the
vagina. order prednisone online The assistant now pushes the cervi.x down-
ward and backward, and prednisone cost thereby assists the other
hand on the abdomen in catching the fundus aitd
bringing it forward. This maneuvre makes it un-
necessarv to buy prednisone online use the knee chest posture and is much
more effectual and satisfactory. After the uterus
is replaced, it is in some ca.ses let alone, while in
others a hard rubber pessary is used.
Proceedings of Societies
AMERICAN BRONCHOSCOPIC SOCIETY.
FoiuiJi Annual Meeting Held in Atlantic City. N. J..
June 1. n2L
The President. Dr. Henry L. Lvn.\h, in the Chair.
President's Address. — Dr. Lynah. in his ad-
dress as president, said he thought that attention-
should be called to the object of the society. Mem-
bers were wanted, particularly those practising bron-
choscopy, direct laryngoscopy and esophagoscopy.
Of course those members who were taking courses
with Dr Jackson, Dr. Forbes or the chairman, became
proficient in bronchoscopy, laryngoscopy or esopha-
goscopv in a short time, but it meant that they
inust practice for a long time after they received
instruction. Among recent amendments to the con-
stitution was one which provided that a man should
present a thesis when applying for membership in
the society, as in the American Laryngological and
Triological, and that would now be required. It
would also be a good plan to have each man present
something on endoscopic work to show that he was
familiar with the work on that subject. The re-
mainder of Dr. Lynah's brief address dealt with the
matter of changing the name of the society prednisone 10mg from the
Association of American Peroral Endoscopists to
American Bronchoscopic Society.
Bronchoscopic Cases of Dental Origin.— Dr.
H. H. Forbes, of New York, read a paper on this
subject which appears on page 738 of this issue.
Dr. Thomas H. Halsted, of Syracuse, in dis-
cussing the subject, cited a case in which a tooth
was inhaled and remained in the lung fourteen
years. The patient, a man over fifty, came to him.
he said, two years ago, complaining of fetid expec-
toration, which was profuse. Suspecting a foreign
body, incjuiry was made regarding its possibility,
but only after much questioning did it develop that generic prednisone
cough followed extraction, under ether, of several
teeth fourteen years before ; his trouble evidently
began at or about this time. An x ray was made,
and, as in Dr. Yankauer's case, there was much
difference of opinion as to whether the plate showed
anything abnoriiial. Dr. Halsted said prednisone tablets he thought
he' detected a shadow at the junction of rib and
sternum, but the rontgenologist thought there was
nothing abnormal. A second plate was not much
more satisfactory but he was convinced there was
a shadow, and advised bronchoscopic examination
and removal if possible. Bronchoscopy, under ether.
was done and a stricture with cavity beyond found,
but the foreign body was not located. It was the
most difficult bronchoscopy in many respects that he
had had. Cough was uncontrollable, dyspnea serious
and threatening, so that it was a relief to have him
leave the table alive after an hour's fruitless effort.
Dr. Halsted referred him to Dr. Chevalier Jackson,
who saw him a month or so later. He confirmed the
diagnosis, and operated, finding the stricture and
cavhy. but not the foreign body. He also had a
very serious time with the patient. A second opera-
tion by Jackson six weeks later was more successful,
dilating the stricture and remcwing a ]iart of the
tootli. .\ serious cardiac disturbance developed fol-
lowing the second operation, necessitating his being
in bed for weeks. However, on buy cheap prednisone a subsequent opera-
tion, Jackson removed more tooth particles, the pa-