are the physicochemical basis of physiological action.
But since these depend upon the chemical nature of
the atom, we are not convinced, as Mathews^^
would have it, that the chemical composition of an
ion is of no physiological importance. Is it reason-
able to suppose that all of these changes take place
during the Norvasc 5mg Price time that the ion changes to an atom ?
Probably these changes proceed simultaneously
both before and after the Buy Norvasc 5mg electrical exchange.
Assuming that the relation between the solution
tension of an ion and its physiological action as de-
duced by Mathews is proved, is this relation an
argument in Norvasc 50 Mg favor of the theory that it is the ion
and its charge and not the atom Norvasc Cmi which is physiolog-
ically active? This relation, if it be true at all, is
true whether the physiological change is eft'ected by
the physicochemical action of the atom (or group
of atoms) or by the electrical action of the ion. As-
sume that it is the chemical action of the atom, and
not the electrical action of the ion, which effects
physiological change. If the ions arc inactive, those
having a strong affinity for their charges, or high
solution tension, do not readily become active atoms
and are inert. The reverse is true for ions of low
solution tension. Norvasc Pi Obviously, a relation which is
true, whether the ion or tiie atom is the active agent,
cannot be used as an argument in Norvasc 2 Mg favor of
I'ond"" has recently conchided, from his study of
solution tension as a factor Norvasc 5mg Generic Norvasc Patent in lipolysis, that Mat-
hews's evidence in support of hjs view in this con-
nection is insufficient.
(To he coiicliidcil.)
■' Mnthow«. Amrticiin Journiil of I'IiiikIoIobii. xI, p. 240, 1001.
"II I'nticl. Ainrrlran Jniirnnl of Phyniotooy, xlx, p. 258, 1007.
PELVIC TUMORS IN LITTLE GIRLS.
IVith Report of a Case*
By James C. Kennedy, M. D.,
BrookhTi, N. Y.,
Visiting Surgeon to St. Marys and St. Catherine's Hospitals ;
Consulting Surgeon to the Eastern District Hospital.
The exanthematous inflammations, tuberculosis,
and indeed in some rare Norvasc Other Names cases gonorrhoea, not ex-
cluding cancer, are among some of the causative
factors which predispose the child to pelvic disease,
hence careful consideration given to the female sex-
ual organs will well repay the medical adviser, when
his diagnostic powers are now and again severelv
taxed in solving the complex problems presented
to him by an array of obscure abdominal symptoms
in the child. It is well to remember in this connec-
tion that the available avenue for digital examina-
tion in little girls, when absolutely necessar\-, is by
the rectum under Norvasc Canada the influence of an anaesthetic.
In the treatises on the diseases of children, there
is but little space devoted, as a rule, to juvenile pel-
vic disease in girls; while the textbooks on gvnse-
cology treat largely of diseases of the ovaries' and
tubes, including the various abdominal tumors in
The interest which attaches to abdominal tumors
in children is shown principally in the scattered
cases reported in the medical journals by individ-
ual observers. This fact, together with the com-
parative Norvasc 7 Mg infrequency with which ovarian tumors
occur Cheap Norvasc Online in little girls, offers sufficient excuse for the
publication of my own case.
In a list of one thousand ovariotomies reported bv
Sir Spencer Wells, but three operations on children
are recorded. Commenting on this. Dr. Howard
Kelly endeavors to show by it the relative frequencv
of ovarian tumors in child and adult life, the fact
remaining that children Norvasc Logo are not so readily brought
to the operating table as adults. Dr. Marion Sims
mentions a successful removal of a multilocular
ovarian cyst from a patient, eleven and a half vears
old, the tumor weighing sixty-one pounds, the pa-
tient seventy-nine pounds. Dr. Boldt has operated
upon a patient, four years old, for ovarian tumor.
The late Dr. Thomas, of New York, removed an
ovarian tumor from a little girl, twelve years old,
weighing sixteen pounds. In this case a tumor
equally large develojied in the other ovary later on. Generic Norvasc Price
and before she coukl be operated upon, it burst, and
she died suildenly. Tumors of this character are met
with in children of a still more tentler age, but it is
unnecessary to mention them here.
The little patient whom I present is Norvasc Coupons the Norvasc 7.5 Mg youngest
I have operated upon for tumor of the annexa. Norvasc Coupon In
Eiecember of last year, this child of slender build,
scarcely eleven Generic Norvasc 10mg \ears of age, was Norvasc 100 Mg compelled to leave
lier school room because of sudtlen and intense ab-
dominal pain. Home remedies were applied to no
avail, the family physician was called the following
day, he discovered the tumor and sent her into my
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