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sis of the levators of both sides seen by Dej^rine. It is impos- sible to fathom the cause of phenomena so Lotrisone Otc bizarre in any brief 'survey of the subject. They may be due to irritation simply; to nuclear scleroses ; to sclerosis of the vertebral artery and its branches, as Schmeichler suggests ; or to peripheral neuritis, according to D6jerine's theory ; or, let us say with Brown-S6- quard, considering the flitting character of these motor paraly- ses, they have a cause as yet indefinite. Lotrisone Online The pupil of the tabetic Purchase Lotrisone Online eye is a Clotrimazole And Betamethasone source of much valuable information. There may be single or double myosis of the pin- hole variety, rendering an examination of the fundus extremely difficult ; or mydriasis may exist, most frequently on one side only. Sometimes there is paralysis of accommodation without mydriasis, in which case Galezowski has noticed circumorbital anaesthesia. In some cases light does not affect the pupil, but its reaction in accommodation is normal. In others, on the contrary, the Argyll-Robertson pupil in itself is a guide to a correct diagnosis. Berger calls attention to an elliptic deformity of the pupil. The tabetic eye is also subject to an affection of the gravest moment, to wit, atrophy of the papilla. Erb notes it in twelve out of a hundred cases ; Mfeli, in thirteen in a hundred ; and Schmeichler finds it forty times in a hundred cases. Its chief characteristics are steady progress Purchase Lotrisone and the well- known appearance that the ophthalmoscope reveals. The gray- ish color of the papilla has been alleged as a pathognomonic sign of ataxia. Clinically, this fine distinction can not be ad- mitted. It is not rare to come across ataxic papillao that are very white. While the papilla is progressively losing its normal Lotrisone Generic color — indeed, Buy Lotrisone Online before there is any change in the tint — there is narrowing of the field of vision, which is preceded by a dimi- nution of color perception according to the following order : green, red, blue. At the same time there are lacuna3 and sco- 434 LEADING ARTIOLBS.—MINOR PARAGRAPHS. [N. Y. Mbd. Jour., tdiiiatii in till' visiiiil fit'ld. AI)iiicttirc> of ataxic at ropliy. Cliarcot Lotrisone Creme |MiiiitK init tlio fact, that sclerosis Lotrisone Lotion «)f tlio o|>tic iicrvc inay |irocctlc typical ataxic plio- iminoiia ami lictokcii tlniii a loiif,' time in iKlvaiicc Whatever the i)t«iio(l Buy Lotrisone (if its appearance, it cDiiilomns the iinliiippy victim to a t'erlaiii ami total hlimlnens that can luit l)e ilelayed mj^- lieveii. Generic Lotrisone I t)lin(lneHs tliat can luit /■ l.AIUHiATOKY WoiTK AND MKDK'AI- I'KACTICiv It is ill the matter of tlu' Imildiii^', eiiiiipmont, ami maiii- toaance of hihoratoriea that our means for tnrtherin}; metlical study are mainly advancing,' in this country. Almost every one of our larjre schools now has lahoratories for tlio study of chemistry, emhryolojry, histolofry, pliysioloi/y, ixicteriolo- jiy, and other s|)ocial hranches of knowledf,^^ that siiould un- derlie tlie pursuit of medical learniuf; in its strict sense; and tlie prnmiueiu'c witii which tliey lifj;ure in coIU';j;e aiuioniico- inents lias almost come to eclipse that with wiiich the clinical facilities of the schools are set forth. Moreover, the laboratory teat'liers are accorded a far iiioro exalted station than tiieir prototypes, the old demonstrators of anatomy, were in times gone hy. In short, this is the age of laboratories. The reason of this state of things is not difficult Betamethasone Cream to perceive. Laboratory work is not a mere " fad," nor are the Order Lotrisone laboratories of the pres- ent day simply manifestations of the evolution of the old dis- sectiDg-room. So many of the questions on which the medical doctrine, and consequently the medical practice, of Lotrisone Uses the period turns are of a nature to be settled only by laboratory study that laboratories are established and kept up Lotrisone Price as a matter of neces- sity. That they have before them many a problem of prime importance to struggle with can not be doubted Lotrisone Ointment ; the medicine of the future is unquestionably to be founded in great measure on laboratory research. It is not to be wondered at that the brightest of our young men, perceiving this state of things, are in many cases ambitious of distinction in laboratory work rather than in the clinics. Yet it must be confessed, we think, Buy Cheap Lotrisone that laboratory work, while it calls for acuteness and for methodical ways, makes no such demands upon the intellect as are encountered in the pur- suit of pure excellence in medical practice — in the diagnosis, prognosis, and treatment of disease. It is true that the art of diagnosis is largely reached by proficiency in chemical and mi- croscopical examinations and by skill in other ways of detect- ing objective signs; it is also true that the treatment of disease calls for Lotrisone Cost a considerable development of precision in the use of the senses and of means that must be regarded only as their adjuncts; but in the matter of prognosis, which Trousseau held to be the truest test of Order Lotrisone Online medical skill, the problems are such as tax the understanding and the judgment almost exclusively, and

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