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PITUITARY LIQUID
(ARMOUR)
A pure, potent preparation of the Posterior Pituitary Body. Uniform and reliable
alike, in surgical and obstetrical work.
PITUITARY LIQUID (Armour) is entirely free from local anesthetics and other
objectionable preservatives. *
PITUITARY LIQUID (Armour) standard strength, Purchase Medroxyprogesterone is supplied in two sized am-
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* Vide Hygienic Laboratory Bulletin No. 109.
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Patronize our advertisers — mention the Journal when you write them.
SOUTHERN MEDICAL Buy Cheap Medroxyprogesterone JOURNAL
JOURNAL OF THE SOUTHERN MEDICAL ASSOCIATION
PUBLISHED MONTHLY AT BIRMINGHAM, ALABAMA
Volume X
MAY 1, 1917
Number 5
MEDICINE
(INTERNAL DISEASES, PEDIATRICS, NEUROLOGY, DIAGNOSTIC
METHODS, ETC.)
THE MANAGEMENT OF THE EARLY
STAGES Purchase Medroxyprogesterone Online OF HYPERTENSIVE
GARDIO-VASGULAR
DISEASE*
By W. S. Thayer, M.D..
Baltimore, Md.
In that part of this discussion which has Buy Medroxyprogesterone Online
been allotted to me it has seemed to me
well to treat of. a special class of cases out
of the very large number of possible con-
ditions which might be included under the
heading of "cardio-vascular-renal dis-
ease," — essentially the same sort of case
to which Dr. Barker has referred at the
opening of the discussion. In a word, I Order Medroxyprogesterone Online
shall discuss the management of those
common instances of hypertensive cardio-
vascular disease, with or without marked
renal or arterial change, which so often
come into the hands of the physician.
And, moreover, I shall limit myself to the
management of hypertensives who come
under our observation at a stage before
there has been any serious cardiac failure.
The instances of hypertensive cardio-
vascular disease which consult the physi-
cian at a time when the heart is still in
reasonably good functional condition may
roughly be divided into three classes:
1. Those patients with little or no evi-
dence of vascular or renal change who
show a beginning or well-marked hyper-
tension.
*Read in Section on Medicine, Symposium on
Cardio- Vascular-Renal Disease, Southern Med-
ical Association, Tenth Annual Meeting, Atlanta,
Ga., Nov. 13-16, 1916.
2. Those cases that show some albu-
minuria as well as more or less demon-
strable changes in the peripheral arteries
or those of the eye-grounds.
3. Those instances associated with well-
marked renal change with impairment of
function, polyuria, decreased 'phthalein
output, fixation of the specific gravity.
Many of the patients belonging to all
these groups consult the physician because
during the examination for insurance, or
for entry into some mutual benefit organi-
zation, Buy Medroxyprogesterone an unsuspected hypertension is de-
tected. Others may have noticed a throb-
bing of the vessels, especially at night, or
a slight vertigo, or headaches, or, perhaps,
a little dyspnea on exertion. These men,
as we all know, are very apt to be persons
of a nervous temperament who have been
heavy smokers or eaters or engaged in an
occupation involving tense mental effort or
physical strain. It is in the stevedore on
the one hand or in the overwi'ought stock
broker on the other hand that such pic-
tures are especially common.
With regard to all three classes of pa-
tients there are certain points of treat- Order Medroxyprogesterone
ment in this stage of the disease which
we may consider in common.
REGULATION OF THE MANNER OF LIFE
In the first place one can not too strongly
emphasize the truth that at this time more,
often, can be accomplished for the patient
by a deliberate, careful inquiry into the
habits of life and surroundings and by a
quiet, earnest exposition of the proper
course that he should pursue than by any
medical treatment that can be suggested.
368

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