EISNER AyD HAWLEY: THE CLINICAL VALUE OF THE GENTRIFUOE. [N. Y. Mbd. Joob.,
fuge in the examination of sputum for tubercle bacilli,
pneumococci, and otber bacterial and elastic tibevs. The
first are ofttimes present in such small order topamax canada numbers before
advanced pulmonary changes have taken place that it
becomes important to precipitate as great a number as
possible for staining. For. this class of cases Biedert
(20) and von Sehlen (21) each recommended a method
by which it was topamax generic price sought to dilute the sputum with alka-
lies, setting the mixture aside for precipitation. The
former diluted the sputum with water, then added caustic
soda, and boiled the solution until a homogeneous fluid re
suited, which he allowed to deposit, this process occupy-
ing at least twenty-four hours. In the Sehlen method the
sputum is thoroughly mixed with a hot solution of borax
and boric acid (twelve 'and a half per cent, of each), and
in four days the topamax generic weight loss sediment is gained for further treatment.
If the tuberculous sputum is mixed with either of these
fluids the centrifuge will precipitate the bacilli in from five
to eight minutes, more completely than by the older
methods alone and migraine prescription topamax with a great saving of time, an advan-
tage which we often need prescription topamax appreciate. We have experimented
with dried sputum, dilating with the von Sehlen solution,
and centrifugalizing with very topamax generic brand pleasing and positive results.
The practical advantage of topamax mg for weight loss this method was demonstrated
in a recent case which we saw in consultation with Dr.
Weidman at Marcellus, where the sputum, all that could
be obtained while there, dried on the plate. The diagnosis
depended largely on the result of bacteriological examina-
tion which we made after the method above described.
The attending physician received his report in less than
eighteen topamax generic availability hours after the. consultation. It is not always
necessary to dilute the sputum, but in many cases it is of
The element of time plays an important role in the ex-
amination of serous fluids and other exudates. With |)lcural
effusion there is ofttimes such a rapid coagulation (the mi-
cro-organisms being held in the coagulura) that no desira-
ble precipitate can non prescription topamax be obtained. Such fluids have yielded
characteristic and satisfactory results with the almost im-
mediate use of the centrifuge. In all of our cases of pleu-
ral effusion we found with the centrifuge the presence of
pneumococci, either of Fraenkel or of Friedliinder, as well as
In cancerous disease of the urinary tract, particularly
the bladder and kidney, the centrifuge has precipitated epi-
thelial elements topamax 50mg and weight loss and cliarncteristic stirc(ls wliicli wcri' not
always found by ordinary sedimentation.
The conohisions which are forced u])on us after a care-
ful coHHideration buying topamax online of this subject from a practical point of
view arc :
1. That buy topamax online without script the time gained by centrifugalizing iiriin! is of
great Jid vantage in many cases where an get prescription topamax unaltered urine is topamax order online
(ieHJred (fermentation not having taken ()lacc), such early
pri'eipitaleH Hliowing the epithelial casts and other structures
before changes in Hhiipe, size, and contour occur, without
2. The rcMtrifngi' does n'lt yield a pri'cipilale in all
iirinr'H, liiough in llie majority of tliiise urines in which no
■ lecifjed depimil lakes piiice there is a haze or clondini'ss
near the bottom of the eprouvette which with care can be
gained and ofttimes gives a valuable microscopic picture.
In some urines absolutely 100 mg topamax no precipitation or haze can be
3. Centrifugalizing demonstrates, as no other method
can, the insoluble and suspended elements present in topamax generic vs brand an
4. The presence of lilood in the urine can often be
demonstrated by the aid of the centrifuge when the older
method fails to show it.
5. In cases of transitory, cyclic, or permanent albuminu-
ria, without marked subjective or objective symptoms ac-
companying, the centrifuge will ofttimes.aid in establishing
the underlying pathologic condition ; hence, for the insur-
ance examiner the instrument becomes invaluable.
6. No other inethod of urinary examination will be as
likely to demonstrate primary genito-urinary tuberculosis.
The repeated examination of suspected urine is necessary,
as failures are topamax 100 mg weight loss frequent and tubercle bacilli are present in
small numbers only.
7. The centrifuge precipitates albumin with picric acid
in from five to ten minutes, the test being equal in value to
Esbach's, having the decided advantage over the topamax order latter
(which requires fully twenty-four hours) that only a short
time is needed, and that the mucin and other insoluble
elements can be measured or weighed.
8. The prompt bacteriological examination of serous
exudates and other pathologic fluids can be made by the
aid of the centrifuge more thoroughly and do i need a prescription for topamax with greater
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