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831 IProfcctriitgs 0f ^ocirtus. BROOKLYX Lotrisone Ointment MEDICAL SOCIETY. Meeting of March 17, 1S99. The President, Dr. Jacob Fuhs, in the Chair. The Voice in Diagnosis. — This was the title of Buy Lotrisone Online a paper read by Dr. AlexjlXDEb J. C. Skene. (See page 809.) Dr. Joseph Meyer said it was not often that one Lotrisone Price had the pleasure of Order Lotrisone Online hearing so interesting a paper as that read by Dr. Skene. He had left very little room indeed for discussion — in fact, so thoroughly exhausted was the subject that, to those who had not had the opportunities to read and learn Lotrisone Creme these things as completely as the doctor Lotrisone Uses had done, especially with regard to the emotional, Clotrimazole And Betamethasone psychical, and psychopathological characteristics of the human voice, the paper's importance was apparent. The speaker cited the histories of a few cases which were interesting on account of their rarity. First he alluded to the condition of apathy referred to as a prog- nostic sign. In peritonitis following operation, and in diseases of the pelvic organs, he always regarded the condition of apathy as a bad sign. He cited the case of a young lad who Order Lotrisone had lost his voice during an attack of whooping-cough. A complete examination of his larynx had revealed no visible cause. The defect had been due to a central lesion, and he had improved Lotrisone Otc under treatment. Another was a case of bradylalia in a man thirty- two years old, in whom the defective speech had been the means of making an early diagnosis of paresis, of which the man had died two years later. Still another case was one of apiionia and dyspnanx due to a calcified lymphatic gland Purchase Lotrisone Online near the bifurcation of the trachea, which had Buy Lotrisone caused a perforating ulcer of Lotrisone Generic the trachea. Laryngeal examination had been almost impo-ssible on account of the inability of the patient to remain in an uprifrbt jwsition. The patient had been Buy Cheap Lotrisone re- moved to a ho.spital in a suffocating condition, and tra- ciieotomy had bti-n performed by the house surgeon. The breathing had improved slightly, but the patient had died tlu- nc'Xt day. At the post-mortem, a hole about a quarter of an iiicli in width had been found in the trachea. The wall bad been very much thickened about it. The air bad passed into the mediaslinuni and cellu- lar tissue of the neck and chest. There bad l)een n". It had Ix-eri almost iniiKisxible to understand the jiatient's Bpei'di. After a luiswagc had Iwen opened in llie iioste- rior end of the HM'ptiiiii and also Lotrisone Lotion into the vault his Hpeecli had Ih-cohic normal after prnctict!. Dr. Meyer tlioiight that many deferttt in himh'cIi in the young were due to bad or eareless teachint;. I'e- feeln which had la>«tcd for yeeeh Generic Lotrisone : Pa- tients in both groups were apt to talk rapidly and leave out and misplace words, but Lotrisone Online the neurasthenic recognized his mistakes and corrected them, the paretic did not. The tremor of the lips and tongue, when present, added an indistinctness to the paretic's speech which was very characteristic. In hysteria we often found voice changes of a paralytic or emotional character. The most fre- Lotrisone Cost quent in the speaker's experience was a complete apiionia and a higli-pitehed nasal voice. In the organic affections we also found some well-marked changes. In multiple sclerosis the patients frequently sjX)ke in a slow, monot- onous manner, nuiking a distinct separation between syllables, and. from the tremor of the lips or tongue, the speech was thick. In bulbar paralysis the earliest signs were often those due to loss of power in the lips and Betamethasone Cream tongue, and consequently there was an inability to Purchase Lotrisone

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