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and others will show, that is no cause for surprise. Dr. J. W. Wright ("New York Med. Jour.," February 2, 1884, p. 116) reports a case of a child of ten years sick with catar- rhal pneumonia after measles. On the tenth day, and by mistake on the part of the nurse, twenty-five grains of qui- nine were given by the mouth and twenty-five by the rec- tum. Within two hours the child went into collapse, but subsequently recovered. Of course, it is impossible to tell, either in liis case or ihe one reported by me, how much of the drug was absorbed. The case appears, therefore, to prove that a child of three years, at the end of the first week of typhoid fever, may die generic prozac price in a little over an hour, and from syncope due to the ingestion of forty-two grains or less of quinine, the quan- tity absorbed being indeterminate. The case is of further interest in view of the infrequency with which post-mortem examinations are held on the bodies of children dead from tyjihoid fever. Henoch reports but ten from prozac cost uk his large clinical experience. A CASE OF CEEEBRAL CONGESTIVE APHASIA. By GRAEME M. HAMMOND, M. D., buy prozac uk LECTURER ON KLKCTR0-THERAPEUT1C8 AT THE NEW YORK POBT-ORADUATE MEDICAL BCBOOL. Cases of aphasia from localized cerebral congestion, though not rare, are of such infrequent occurrence as to prove interesting, both from a clinical and from a diagnostic point of view. The patient, wlio presented himself at Professor William A. Hammond's neurological clinic at the Post-Graduate Medical School, is a man filty-two years of age, unmarried, and was formerly a liquor dealer, though for the past five years he has not been engaged in any business. lie denies empliatically any history of syphilis, and states that up to the time he was first taken buy prozac canada with bis present complaint he had never had occasion to employ the services of a physician. About the first part; of March, 1870, he began to suffer from insomnia, dreams of an unpleasant character disturbed what little sleep ho could obtain, and there was a constant singing noise in the ears. He prozac price without insurance did not consider prozac cost per pill these symptoms alarming, believing they would pass off by themselves in a little while. On the 10th of prozac discount coupons that same month lie went discount prozac into generic prozac a store to buy some nails, and, without any previous warning of what was about to occur, found he was unable to ask for the articles he wanted. His aphasia was of the ataxic variety; there was no confusion of ideas, or loss of memory of words, but the power of co-ordi- nating the muscles necessary for articulation was lost. This attack lasted about half an hour. At the expiration of that time his speech was suddenly restored and he was apparently as well as lie ever had been. On Deconibcr 3, 1880, nine months after his first attack, he awoke in the morning and found he was unable prozac purchase uk to move either his arms or his legs. On attempting to call for help he ccnild only give utterance to inarticulate cries, the ataxic ajihasia Iiaving supervened with the purchase prozac paralysis of the extreniitios. His spooch. as in the previous attack, was resitored in about half an hour, but it was generic prozac no prescription a day before he could move his arms and legs, and three days elapsed before sufficient strength returned to enable him to walk. Two years and four months later, on March 2, 1883, he was again suddenly seized with ataxic aphasia, but no paralysis accompanied this attack. It lasted half an hour. On February 8, 1884, he had his last attack. It was similar in every respect to those preceding it, except that it was unaccompanied by paralysis. At the expiration of half an hour he recovered his speech entirely. At the present time he .seems to be perfectly well, his object in appearing at the clinic being to prevent, if possible, the occurrence of prozac price per pill buy prozac online no prescription needed any more attacks. It is impossible to buy prozac online no prescription canada attribute these seizures to any other cause than a purchase generic prozac localized congestion of the speech tract, and, in the second attack, to an extension of this congestion to the motor areas for the arms and legs. The transitory charac- ter of the aphasia and the brief duration of the paralysis exclude the existence of any severe lesion, such as haemor- rhage, emboli, or a tumor, while localized congestion is more clearly indicated by the precursory symptoms of in- somnia, noises in the ears, and unpleasant buy prozac online no prescription dreams which preceded each attack of aphasia. The treatment prescribed for him was based upon this view of the case, and bromide of sodium was given in fifteen-grain doses three times a day. This treatment will be continued for a considerable length of time, the patient being ordered to report his buy generic prozac no prescription condition every two weeks. A CASE OF (EDEMA GLOTTIDIS FROM SYPHILITIC ULCER OF THE LARYNX; TRACHEOTOMY. By R. B. JESSUP, Jr., M. D., HOUSE SURGEON TO THE CHAMBERS STREET HOSPITAL. Gerard Rookwoods, aged forty-five, a native of Italy, was brought to the Chambers Street Hospit.il, in the ambulance, at 10.12 p. M., February 25, 1884, suffering great dyspnoea. It was learned from his prozac price ireland relatives that he had been coughing for four or

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