mens in the New York Pathological Society, where it was exam-
ined by several of the most experienced microscopists of purchase doxycycline the city,
who unanimously declared that there was not the least doubt about
the correctness of my view that it was inflamed muscular tissue of
the smooth variety.
I think we have here to doxycycline where to buy do with a modification of metritis which
deserves the name of dissecting metritis. Yirchow * mentions that
difiuse metritis preferably extends in the outermost layers near the
peritoneal covering. Here abscesses are formed. When now we
remember that the case began as one with deep diphtheritic ulcers
in the visible parts of the genital tract, and a foul discharge from
the interior of the womb, we can imagine that similar ulcers were doxycycline 100mg
found in the body of the uterus, which may have circumscribed,
more or where can i get doxycycline less completely, how to get doxycycline the piece which was subsequently thrown
off in consequence of a deep-seated purulent metritis near the peri-
Two similar cases have been reported by the Russian physician
Siiromiatnikow,t and there doxycycline online is scarcely any doubt that the case
reported to this society % as a monstrosity, " probably composed of the
* Klob, " Pathologische Anatomic dcr weiblichen Scxualorgane," Wicn, 1864, p. 247.
f " Centralblatt fiir Gyniikologic," vol. v, p. 276, 1881.
X "New York Medical Journal," vol. xxxv, No. 5, p. 522.
590 GARRIGUES: DISSECTING METRITIS.
human heart," belongs to the same category. At least Dr. Kucher, doxycycline purchase online
to buy doxycycline whom the specimen belongs, declared in the meeting of the Soci-
ety of German Physicians, held June 23d last, that he had examined
a ffreat number of how can i get doxycycline sections taken from it, and that they all were
composed of smooth muscle doxycycline 100 fibers, and in every respect like mine.
I am surprised to see how slightingly Spiegelberg* speaks of
diphtheritic endometritis. According to him, the diphtheritic patch
is nothing but a so-called pyogenic membrane, formed by the con-
densation of inflammatory products on the surface of ulcerations.
Others have come to very difibrent conclusions. Dr. Luskf com-
municates the results of Dr. Steurer's special investigation in this
direction, made under the guidance of Professor von Eecklinghau-
sen. Steurer found, in all patients who succumbed during an epi-
demic of so-called puerperal fever in Strasburg, diphtheritic patches
about the vulva, or upon the mucous membrane of the vagina and
uterus. These patches were always associated doxycycline to buy with a loss of sub-
stance, and were composed of disintegrated fibrin, white and red
blood corpuscles, and colonies of round hacteria in great abun-
dance. From the patches the bacteria could be traced between the
molecular fibers, and deep down into the canalicular spaces of the
connective doxycycline order tissue, where their presence gave rise to cellulitis. From
the canalicular spaces they entered the lymphatics, with resulting
lymphangeitis. ... By perforation of the w^alls of the lymphatics
which directly underlie the peritonaeum they made their way into
the peritoneal cavity, and excited pysemic peritonitis. . . . The
wide stomata upon the abdominal surface of the diaphragm allowed
the facile entrance of the organisms into its lymphatics. where to get doxycycline From
the lymphatics the bacteria enter the blood, and are deposited in
various parts of the body. Steurer found almost invariably the doxycycline cheap
glomeruli and arteriolee of the kidneys tilled with micrococci (round
bacteria). Professor Hjalmar IIeiberg,:|; of where can i buy doxycycline Christiania, doxycycline mg has like-
wise found masses of zoogloea not only on the surface of diphtheritic
ulcers in the uterus, but extending into the adjacent tissue.
Our case exemplifies the vast destruction which may result from
diphtheritic ulceration of the genitals, and warns the physician not
to lose any time in instituting a most energetic treatment. I have
jn vain tried iodofonn and carbolic acid, but have found that chlo-
ride of zinc works admirably. Even this fatal case shows to some
extent the efficacy of the treatment, all the ulcerations having
healed. Had she not been accidentally killed she might, perhaps,
* " Lehrbuch d. Geburtshiilfe," Lahr, 1878, p. 725.
t " Science and Art of Midwifery," New York, 1882, pp. 617 and 631.
I "Die puerperalen und pyamischen Processe," Leipsic, 1873.
even have recovered as did tlie three other above-mentioned patients.
On the subsidence of the metritis, uterine contraction might have
expelled the foreign body, and the two fistulas leading into the in-
testine might have closed spontaneously. Besides the cauterization
and carbolized washings, when there is any rise of temperature, I how to buy doxycycline
give carbolic acid internally, about one minim every hour.
Note. — Since the foregoing paper was read before the Obstetrical Society, I have had
the opportunity to see the beginning of the process in 100 mg doxycycline another case, which explains how
such large and thick portions of muscular tissue can be thrown off. In that case, there
was not the least affection of the vagina to lead us to a diagnosis. The uterus had been
washed out with carbolized water, but no chloride of zinc had been used. At the au-
topsy we found the anterior wall of the uterus, where the placenta had been attached, two
inches thick, and the whole organ measured nine inches by five. Around the opening
of each Fallopian tube was found a diphtheritic patch of about the size of a three-cent
piece, and from this point the diphtheritic matter could be followed far away into the
deeper parts of the muscular tissue.
BEiriSH AND AMEKICAN OVARIOTOMY.
Doubtless it is well known to most of our readers that ovariot-
omy is far fi'om being so get doxycycline successful an operation in this country as
Related tags: doxycycline hyclate 100mg, doxycycline hyclate 100, doxycycline hyclate 100 mg, doxycycline buy online, where can i buy doxycycline online, doxycycline hyc 100mg, doxycycline hyc 100 mg, doxycycline 200 mg, buying doxycycline online, doxycycline 100mg capsule, doxycycline 100 mg capsule, doxycycline 50 mg, doxycycline caps 100mg, doxycycline order online, doxycycline 100mg for acne, doxycycline 100mg acne, buy cheap doxycycline, doxycycline 20 mg, buy doxycycline hyclate, cheap doxycycline online, buy doxycycline uk