then the buy cheap atarax mother, and lastly the child.
In none of the cases cited as so infected was I
able in any other way to account for the infec-
tion, though my inquiry was of the most searching
Probably the majority of cases of gonococcus
vaginitis in little girls occur in families of the
poorer class, where of necessity the sleeping quar- buy atarax
ters are crowded, the bathing facilities poor and
adapted to the easy transfer of the gonococcus from
the mother to the little girl by means of the sheets
or wash rags, etc.
There are seven cases, or over 50 per cent, in-
fected indirectly by the father, and I think in this
series cases Nos. VIII and generic atarax IX ought rightly to
be included under the same, though infected by
their purchase atarax sister with whom they slept. We should have
then 75 per cent infected indirectly by the father.
In cases II, VIII, IX, and X the patients were
infected by sleeping with a child already suft'ering
from a vaginal discharge.
In case XI the patient was discovered to have
a discharge a day or so after her return from a
The following method of treatment was carried
out in all the cases except as hereinafter stated.
The mother was told to provide herself with a soft
rubber catheter, not larger than No. 15, French,
and given implicit instruction as to its sterilization,
that atarax 25 mg cheap atarax is, to boil it for from five to ten minutes before
» Read before the Section in PiBdiatrics of the New Torls
Academy of Medicine, December 14, 1905.
and after use. She also had to purchase a two quart
fountain syringe bag, and by means of a medicine
dropper she was able to effect very nicely a con- .
nection between the tubing of the fountain syringe,
and the catheter. The bag was filled with a warm
solution of potassium permanganate of the approxi-
mate strength of i to 4,000, then elevated some
three feet or more above the level of the buttocks,
the child reclining on a douche pan, with thighs
flexed and abducted to full extent. The catheter,
being atarax 10mg then lubricated with chondrus jelly or gly-
cerin, was introduced into the vagina, and the full
amount of solution allowed to flow. This was done
twice or three times a day, according to the severity
of the case.
A solution of potassium permanganate of the
strength of atarax tablets i to 100 was prescribed : 3vj of this to
Oij of water gives a solution of the approximate
strength of 1-4,000, and lends itself easily to any
desired changes in the strength of solution to be
After the discharge became slight in amount and
mucopurulent in character, the potassium perman-
ganate was stopped and douches of zinc sulphate and
alum, 5i to water Oj, were given morning and
At each visit of the patient to the clinic, virtually
the same treatment was where to buy atarax carried out, making use,
however, of a four ounce hand syringe and atarax 50 mg inject-
ing eight ounces.
This was done not so much for the good which it
did the child, but more for its moral effect upon the
mother, and to insure the keeping up of the treat-
ment. These cases atarax mg are often long in getting well
and the mother must be kept up to the mark in
some way, else she neglects the treatment and the
child suffers accordingly. What really seems to
count is the frequent douching of the parts with
large amounts of the solution, because the accumu-
lated mass of infectious material is thus mechanical-
ly washed away, and the early institution of the
treatment, for in every order atarax online case where treatment fol-
lowed promptly upon the discovery and diagnosis purchase atarax online
of the case, a cure was obtained in a comparatively
short time. The long, hard cases were those brought
for treatment after the lapse of some time.
When the discharge becaine slight, and the child
was using the zinc and alum douches at home, upon
the occasion of its visits to the clinic solutions of
silver nitrate were used in strengths of 1-2,000, i-
1,000, atarax online 1-500, 1-250, 1-125; 3j to 5ss was injected
into the vagina, using the child's own catheter and
a small instillation syringe, and held in for a minute
or two. This usually completed the cure.
The urethra in only two of this series became in-
volved, with the consequent frequency of urination buy atarax online
and bitter complaint of pain and discomfort during
the passage of the urine, and followed occasionally
perhaps by the passage of a few drops of blood.
The atarax price application of a 10 per cent, solution of silver
nitrate, on a suitable order atarax swab, directly to the inflamed
urethra, while causing a great uproar on atarax cost the part of
the patient atarax tablets 25mg at the time of application, nevertheless
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