source is neglected by many physicians. This neijlect does
not arise lasix 40 mg from ignorance, because this subject has been
fully and scientifically exploited in various periodical and
systamatic publications. It is more akin to the feeling
with which one regards some of the English classics — as
most worthy of regard, but not suited for practical every-
In prescribing exercise the supreme im|)ort»nce of ex-
act attention to detail should be en)phasized. It is impor-
tant in all things, but a matter of necessity in this. The
title of a paper by Weir Mitchell may well stick in the
mind. "Precision in the Treatmunt of ('hrt>nic Disease buy lasix online "
in a most felicitous phrase, and lasix with potassium beautifully descriptive of
the mental attiludi- which should exist in the mind of the
physician who is treating pulmonary tuberculosis, imminent
There are two cinitses of cases in which exercise is of a
|>eculinr value ;
I, The pretubercular status.
9. Incijiienl tuberculosis.
The boundary linei« can not be laid down wiin ii.-oim.-
aocnracy. lasix furosemide The pernonal equation of the obnorver lasix renal is a fac-
tor in njuiigning an indixiduni cane to its pn>per claw.
Hroadiv -(peaking, the fir-at I'laM ronipriacn tlioiM< in
BUTLER: SUPERVISED EXERCISE IN THE PROPHYLAXIS OF PHTHISIS. [N. Y. Med. Jodb.,
which the conditions presented iv lasix give rise to a reasonable
probability that phthisis will develop ; the second class
those in which the signs and symptoms are such as to show
bevond peradventure that tuberculosis exists, but only to
an extent that warrants one in terming it " incipient."
The classification is a good working formula, if not scien-
The lasix for symptoms and signs, in greater or less number,
and to a greater or less degree, presented by the pretuber-
cular status are : Progressive loss of weight, languor, dysp-
noea, irregular or absent menstruation, anorexia or capri-
cious appetite, insomnia, tubercular family history, online lasix neuras-
thenia, poor chest expansion, deformity of chest — viz.,
non physiological asymmetry or depressions — slight cough,
afternoon temperature normal, or 99° F. : finally, absence
of decisive pulmonary physical signs.
The symptoms and signs of the second class — incipient
phthisis — are lasix purchase so familiar that it is unnecessary to recapitu-
late them. Haemoptysis is an event that is well-nigh
pathognomonic. The physical signs may be so slight as to
require the most careful and repeated examinations for
their detection or so well marked that the diagnosis is at
once indubitable. The history may include a previous pul-
monary or pleuritic afiection. The clinical picture should
not exceed in its coloring the limitations understood by
the term " incipient."
Exercise may be either general or local. The benefits
of general exercise may be briefly mentioned : Increase in
bulk and strength of muscles, stronger action of heart, im-
proved circulation — arterial, venous, lasix buy and lymphatic; in-
crease of respiratory capacity, better action of skin, in- potassium lasix
creased depurative functions, improved lasix 40mg sleep, appetite, and
diu'cstion, and last, but by no means least, a decided bet-
tering of the nervous lasix and potassium system. The motor mechanisms of
the body are not solely muscular, they are neuro-mnscular.
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