layed rash, although rather rare, is given as an
example. The ofttimes close similarity in appear-
ance of a streptococcus patch to that of the true
Klebs-Loeffler membrane on the tonsils needs but
to be mentioned. Even syphilitic patches may be
confounded with both.
My object in this paper is not to present any
new theories or set of facts, but to call the atten-
tion of throat specialists more closely to an inter-
esting condition which is occasionally observed.
Fig. II. — Koplik's eruption on the mucous membrane of the left cheek
of the case illustrated in Fig. I.
the mechanical introduction of the wooden tongue
depressor as almost to prevent temporarily an in-
terpretation of their real nature.
The patient who furnished the accompanying
pictures was a child five years of age, an inmate
of the Massachusetts Charitable Eye and Ear In-
firmary. He had been directly exposed to the
contagium. A slight, infrequent, but gradually
increasing cough was noticed eight days, the first
Koplik spots three and one-half days, symptoms
or coryza two daj's, and moderate temperature
one day, before any eruption on the skin. The
cough was the rather hard, dry, hoarse laryngeal
cough almost peculiar to the condition.
As measles is perhaps the commonest of the
infectious diseases of childhood and very few in-
dividuals arrive at adult age without having had
an attack, the necessity of an early diagnosis for
quarantine purposes cannot be emphasized too
strongly. The Koplik eruption practically re-
moves the greatest element of uncertainty in the
early diagnosis, hence there can be little excuse
for the continued and wide extension of the dis-
THE MEDICAL MUSEUM.*
By D. BRYSON DELAVAN, M.D..
In every great metropolis peopled by men of su-
perior intelligence the museum is a preeminently
well-recognized institution. Thus, the treasures of
art and science contained in the British Museum and
the Louvre, in the Museum of Northern Antiquities
of Copenhagen, in the vast collections of Vienna,
Berlin, Venice, Florence, Rome, Naples, Seville,
and New York constitute at once order singulair online the chief orna-
ments of these respective cities and one of the most
potent of their educational factors.
Among the various departments of science thus
represented medicine has by no means been neglect-
ed. All great cities which by any courtesy can be
called centers of medical learning have their medical
museums. Washington, Philadelphia, Boston, not
to speak of many of the cities of the old world,
have famous collections, too well known to you to
require mention. Strange to relate, our city, the
greatest and most progressive of them all, has prac- buy cheap singulair
tically none. For many years it has been my hope
that a collection worthy of the fame and wealth of
New York might be established buy singulair here. Thanks to
the gentleman now in the presidential chair of the
Academy of Medicine, the initiative in this direction
has been taken, for he has recognized the possibili-
ties of the situation, and bv his own generous exam-
ple and by the inspiration of his enthusiasm has
opened the way for us to follow him in the accom-
plishment of this important work.
Should any question arise as to the value of the
suggestion which he has generic singulair made, it may easily be an-
swered. A collection singulair price such as is proposed for the
Academy of Medicine has the same reason for its
existence as has that of the Historical Society, or
even the written pages of history itself.
♦Remarks on the presentation of a collection of laryngo-
logical instruments to the New York singulair online Academy of Medicine,
October 4, igo6.
Oct. 20, 1906]
To be of use our collection should represent levocetirizine montelukast a
truthful record of the past. Its scope, for the pres-
ent at least, should be mainly historical. It should
include old instruments, most especially such as have
been original models of new inventions or as offer
good examples of standard instruments of the time.
Many good specimens of this kind are now available
which in a few years will be surely lost.
Again, old prints and illustrations representing
the men, the methods, and the customs of our pro-
fession in the past will have great and ever-increas-
ing value. Without such a collection a great library
would certainly be incomplete.
Finally, while the shelves of a practical working
library should never be encumbered with obsolete
trash, there are certain classes of ancient books
which are of almost priceless value, for many rea-
sons besides purely sentimental ones.
Many of the objects contained in such a collection
would be unique. If lost they could not be replaced.
Their permanent preservation, therefore, is a matter
of vital necessity.
As to the functions of our museum, the speci-
mens which it presents may be lively reminders of
great men, and therefore worthy of contemplation.
They are, moreover, mementoes of notable achieve- montelukast tablet
ments, full of inspiration to the thoughtful mind.
Again, marking the advance of knowledge, they are
milestones in the onward progress of medical sci-
Practically studied, the objects which the museum
contains may be divided into two classes, namely,
the good and the bad. It goes without saying that
the suggestions to be gained from a good model will
always be valuable, not onlv in the department for
which the given article was intended, but, occasion-
ally, in other departments possibly remote from it.
No warning, on the other hand, is more eloquent
than the spectacle of failure. The exhibition of the
mistakes of others should certainly tend to prevent
Finally, the settlement of questions of priority of
invention is a matter of no small moment.
Aside from personal questions involved, the fact
that an instrument of ancient invention has been
lost to sight is often owing to the reason that it was
not singulair mg well adapted to the end which it was intended to
serve. To revive such a model every few years
under a new name is to confuse the mind of the
profession and seriously to hamper progress. In-
struments which to-day are bearing names contem-
poraneous with our own have been found among
the ruins of Pompeii, and may readily be seen in the
Museum of Naples.
For the furtherance of the various above-men-
tioned ends and of others which montelukast price may reasonably
occur to you, the collection proposed will be of great
value. Other institutions having the proper facili-
ties for so doing may establish museums of anatomy,
biology, or pathology. W ith us such a course may
not at present be open, either through favorable op-
portunity for collecting or through available exhibi-
tion space. There is plenty of room, however, for
rare old books, for instruments of the right kind,
and for interesting historical plates. If each one of
us will do what he can as opportunity affords, that
space mav soon be most satisfactorily filled.
With myself this has been a long-cherished idea.
In furtherance of it, I take pleasure in depositing
the accompanying instruments, the beginning of a
collection to which I hope from time to time to add,
until it shall well represent the history of the early
days of laryngolog}'.
DRIED TETANUS ANTITOXIN AS A
DRESSING FOR WOUNDS.
By J. J. KINYOUN. M.D.. Ph.D..
Some observations on the use of tetanus antitoxin
in a dried and powdered form as a dressing for
wounds have been made which seem to justify its
mention. It may be mentioned that Calmette' pub-
lished a note giving his experiences with purchase singulair online dried
tetanus antitoxin in powdered form as an application
to wounds infected with tetanus. I have confirmed
his experiments, but have little or no success in
preventing tetanus in the case of deep or penetrating
wounds. In these, the preventive power of the pow-
der is only slight, and in most cases its application
is without effect.
It occurred to singulair tablets me that it would be good practice
to apply this powdered antitoxin to the minor in-
juries, with a view of preventing tetanus, as many
of the montelukast tablets wounds were contaminated with dirt. Many
such injuries have come under observation. These
consist of abrasions, or incised, contused, and lacer-
ated wounds, and also a number of suppurating
wounds. None of these, however, was to be con-
sidered of a serious nature ; but not a few, such as
injuries to the hand, were sufficient to keep the
patient from work. Instructions were given that all
such wounds were to be treated buy singulair online in the usual manner
with addition of the powder.
After quite a number of these injuries had been
treated in order singulair this manner, it was quite evident that
they healed more rapidly and with less disturbance
than had been previously observed in those treated
in the ordinary way. Since then a more careful
supervision has been kept, and it has cheap singulair been demon-
strated beyond question that the powdered serum
was responsible for good results. A number of
infected wounds also, due principally to vaccination
and furunculosis, have been treated in like manner.
The inflammation subsides, granulation occurs, and
healing rapidly follows.
One observation has been made on an operation
for hypertrophy of the mucous membrane of the
nose. The first operation was done in the usual
manner, and it required three weeks before the
wound healed. A second operation became neces-
sarv. The nasal cavity was insufflated twice daily
with the powdered tetanus antitoxin, and the wound
healed within a week. Whether singulair cost this will follow in
other cases remains to be seen. It is, to say the
least, quite suggestive. No injuries of major char-
acter have been observed, so it cannot be deter-
mined what effect the dried serum would have on
The results which have followed the application
of purchase singulair dried serum to the wound show very conclu-
sivelv that it possesses qualities other than its spe-
cific body, the antitoxin. montelukast sodium tablets This must be of the
nature of an immune body, which, when brought
in conjunction with the serum or cells in the wound,
It may be that normal serum^ possesses this qual-
ity and is not due to the serum of an immunized
animal. It is believed, however, that, as a rule, we
should expect to have better results from the serum
Related tags: buy montelukast, buy montelukast online, buy cheap montelukast, cheap montelukast, order montelukast, order montelukast online, montelukast online, purchase montelukast, purchase montelukast online, generic montelukast