base of the brain may prevent one from reaching
the lumbar portion of the spinal canal, hence a dry
tap-." Again, one may also get a dry tap as a
result of adhesions around a point of a previous
puncture (17). It is, therefore, advisable, in the
treatment of a case of meningitis, where you expect
to give serum injections, to begin at the lowest point
possible in order to avoid such occurrence. When-
ever such adhesions have taken place we must utilize
the lateral Clonidine Dosage ventricle^. Holt (4) reports a dry tap
in four out of thirty-nine cases. In a case of cere-
bral hemorrhage in a newborn baby admitted to the
Post-Graduate Hospital, Clonidine 0.1 in May, 1918, on which
several attempts to obtain some spinal fluid made
by myself as well as by two mett of the house staff', Clonidine Dose
were unsuccessful. The necroosv findings bv Dr.
l-NJEDM.IX AND GREENFIELD: MIDDLE EAR DISEASE IN CHILDREN.
McNeal justified the dry tap by disclosing a large
blood clot extending from the brain into the spinal
canal. These facts are sufificient to prove that a
dry tap is not always explained by an inefficient
A word concerning possible accidents in the course
of or following lumbar puncture. Breaking of the
needle happens occasionally, and should not frighten
one. If you are careful and avoid using a long
pointed needle, and if you do not bend the needle
while introducing it, you may save yourself that
accident. If the needle should break, unless the
broken end can be easily extracted, it is Catapres Clonidine best to
defer its removal to a future time when the patient
has recovered from the acute stage of his illness,
and even then you may decide to leave it alone.
Koplik (21) Clonidine Catapres reports two cases of apnea from,
shock more alarming than a broken needle, but he
does not tell us the state of health of the patients
at the time of the puncture. In such an occurrence
one Clonidine Hydrochloride should stop the operation immediately, lower
the patient's head, resort to artificial respiration,
administer adrenaline, Clonidine Tablets and apply external heat to
In cases of Clonidine Tablet chronic hydrocephalus, where one
expects to Clonidine Patch remove large quantities of fluid, the
patient should always be kept on his side during
puncture, in order to avoid undue shock. Clonidine Clonidine The
wound should always Withdrawal Clonidine be properly dressed, with
cotton and collodion, or with adhesive plaster. It
is not advisable to use What Is Clonidine collodion when repeated
punctures Buy Cheap Clonidine are planned. Occasionally a bloody fluid Buy Clonidine
complicates the procedure. By using Clonidine Mg a short pointed
needle this may be avoided. This is not a dangerous
accident, but a bloody specimen is useless for the
purpose of examination. Occasionally only the first
few drops are bloody, when a fresh test tube will
collect a desirable specimen.
The operation is simple, with practically no danger
to the patient. Its usefulness for diagnostic pur-
poses is indispensable, and should be done early in
the cotirse of the illness. The technic should be
learned by all physicians.
1. Cook. E. P.: New York Medical Journal. Feb-
ruary 25, 1905.
2. Neal: Clonidine Buy Archives of Pediatrics, 1916, p. 596.
3. Idem: Archives, Buy Clonidine Online 1916, p. 403.
4. Holt: Infancy and Childhood, Appleton & Co.
5. KoPLiK, Osu;r and McRae : Modern Medicine. 1913.
6. Heiman : Archives of Pediatrics, 1916, Cheap Clonidine p. 581.
7. Michael: Archives of Pediatrics, 1916, p. 281.
8. Cook : New York Medical Journal, 1905.
9. Clonidine Dosing McDonald: New York Medical Journal, 1905.
10. Weinlander: Wiener klin. Wochenschrifl, vol.
11. Regan: Archives of Pediatrics, March, 1919.
12. Quincke: Thcrapeut. Monatschdfte, July, 1914.
13. Kausch : Therapeut. Monatschdfte, July, 1914.
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