lie had sei'ti Dr. ( iriiciiing's ciihc of sliglit wlio()|)iiig-<;ougli fol-
lowed by optic neuritis with perfect recovery. In such a case
a diagnosis of an intracranial growth could not be made.
Another oaao that had come under his observation was tiiat of
a ton-year-old boy, in whom snddcn blindneHs had develo|)ed
while he was in Order Lithium Carbonate Online apparently good health. There had been
headache and optic neuritis, and two neurologists had made the
diagnosis of a tumor. The patieiit had recovered. In the case
that had just been detailed it was not justifiable to imike Lithium Carbonate Online a diag-
nosis of either meningitis or a tumor.
Dr. Lehzvnskv remarked that tho causes of intracranial
tumor in children could easily be summed up as syphilis, tuber-
cle, and trainnatism, of which there had been no history in his
case. When the young man came to him he had typical cere-
bral vomiting and constant headache. Tlie attack of scarlet
fever had occurred fourteen months previously.
NEW YORK CLINICAL SOCIETY.
Meeting of Fehruary 22, 1889.
Dr. W. II. Flint in the Chair.
Sporadic Cretinism. — Dr. L. Emmett Holt presented a boy
aged four years, born in this country, who showed almost Eskalith Cr all
the symptoms typical of the disease. The parents were Swedes,
healthy, well developed, and intelligent; no Buy Lithium Carbonate trace of any such
condition in the family history upon either side could be learned
of. The father was an artisan in comfortable circumstances.
In the family there were two other children, one older and one
younger than the patient, both of whom were reported to be in
good health and well developed.
The patient was very short, measuring Buy Eskalith only thirty-one inches,
and had a large head, open fontanelle, flat nose, thick lips, and
open mouth. The hair was ligiit, coarse, and straight. Behind
the clavicle at Purchase Lithium Carbonate the outer border of the sterno-cleidomastoid
muscles the characteristic fatty tumors were seen, nearly as large
as a hen's egg. Fatty growths of a small size were also seen
below the axilla on either side, and in the calves. Lithium Eskalith The belly was
pendulous, the ribs were slightly beaded, the epiphyses of the
different Eskalith 450 Mg bones were not enlarged, and the upper and lower ex-
tremities were very short, with stubby fingers and toes, but were
straight. The thyreoid gland could not be felt. The boy could
stand with assistance, but had never walked. When excited he
made a peculiar crowing sound, somewhat resembling that heard
in laryngismus stridulus, but without any dyspnoea. He was
good-natured, but very backward in mental development, and
seemed rather imbecile ; he was just beginning to say a few
words. He was well nourished, but suffered from habitual con-
There had never been any acute illness which could have any
relation to the disease. The hair in Generic Lithium Carbonate early infancy had been dark
and curly ; when the boy was about a year old it had gradually
become light and straight. The first teeth had appeared at the
age of sixteen months. The cervical tumors had first appeared
at eighteen months, and those in the axilla soon after. The
former had grovv'n slowly, but were now stationary. The axil-
lary tumors seemed to be diminishing. The case was of interest
from its rarity, from its typical symptoms, and from the absence
of any aetiological factors which could be discovered.
The speaker remarked that the fatty tumors were not seen
in endemic cretinism, and that the thyreoid gland was never
enlarged in the sporadic variety.
April 13, 1889.]
PROCEEDINGS OF SOCIETIES.
The Relations of Bacteria Buy Lithium Carbonate Online to Gastro-intestinal Diseases,
especially in Infancy. — Dr. Holt read^^a paper with this title.
(See page 405.)
Dr. J. S. TiiAOiiER thoiiffht that experience liad taught us
more, on the whole, in relation to diet and treatment in intes-
tinal fermentation than the results of bacteriological study had.
Perhaps in the future some practical improvements might arise
from Lithium Carbonate Buy the latter.
Dr. J. H. Emerson suggested that some of the old-fashioned
remedies, such as the evacuants, were having their value ex-
plained by the modern studies on bacteria.
Dr. W. G. Thompson considered the science of intestinal
medication as in great measure yet to be developed. The anti-
septics given by the mouth were probably changed before reach-
ing the intestine by the chemical action of the digestive fluids,
besides being diluted to an extent we could not estimate with
any accuracy by the volume of those fluids poured out in the
successive stages ofdigestion.
Dr. M. A. Starr and Dr. Tiiacheb had supposed that naph-
thaline was being used to counteract fermentation in the intes-
tine, or, at least, that it caused some disappearance of bacteria
from the faeces.
Dr. Holt said that he had abandoned Eskalith Cr 450 the use of naphtha-
line about a year previously, on clinical grounds. Moreover,
it had been found Eskalith Er inert as regarded any power to check the