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among the class of • 'unsuspected cases, ,, as regards tu- berculosis. Local Irritation, — Swelling, tenderness, and redness about the point of injection, lasting one to two days, were the features noted; no suppuration. Local irritations were only occasional. Pain in the joints, suspected amitriptyline online uk to be tuberculous, generic drug amitriptyline was frequent but not constant. Pain in the chests amitriptyline cost in uk of patients reacting led to the suspicion of local- ized tuberculosis, but physical signs did not usually make cost of amitriptyline 25mg it certain. It amitriptyline cost canada was thought that the carbolic acid used to preserve the solution might be the cause of the local irritation at there was no evidence of how much does amitriptyline cost any resulting injury, nor is amitriptyline online purchase it the opinion of the writer, or of any observer, that there was the slightest evidence of injury to any individual Indeed, the patients after recovering from the reactions usually believed they were improved by its administra- tion, and believed themselves objects of especial care, profiting by new and improved methods of advanced medicine. Repeatedly the staff and myself, amitriptyline online in our rounds, had occasion to say that if we could come to these patients with buy generic amitriptyline the mental preoccupation that Koch's was a sovereign tonic remedy, we would feel assured of this correct judgment from what we saw and from what these patients told us. They avowed themselves much im- Digitized by Google 524 THE TUBERCULIN TEST. [Medical News proved, and were willing to remain in the hospital four amitriptyline hydrochloride generic days longer for the purpose of receiving another injection, however pronounced the reaction may have been, and however much they wished to go home. General Reaction. — A characteristic reaction consti- tutionally manifested elavil generic amitriptyline itself, usually, by rise of temperature above its habitual line, either the normal or the line of daily variations, the rise taking place six to twelve hours after the injection of tuberculin, the temperature contin- uing twenty-four hours or more above normal. In other words, the temperature-curve on the chart is character- ized by a rather sudden rise, a continuance average cost amitriptyline for a variable time at a high level, and a rapid amitriptyline online no prescription decline. The patient has been carefully generic amitriptyline hcl observed and faithfully recorded they will be accepted as a contribution to the discussion of tuberculin as an aid to diagnosis. In the following cases no tubercle bacilli were found and no local reaction occurred unless mentioned : /. Cases cheap amitriptyline online {sixteen in number) reacting in which clinic- amitriptyline cost without insurance ally a diagnosis of tuberculosis could be made from: (a) Presence of tubercle amitriptyline hcl generic elavil bacilli in sputum; (b) physical {chest) signs; {c) previous history, bone lesions, and gen- eral condition. Case I. — Male, aged twenty-four years. Tuberculo- sis of hip-joint. Diagnosis confirmed by Dr. N. buy cheap amitriptyline M. Shaffer. Treated several months amitriptyline costochondritis by extension. Reacted Case XLIV. .Mm?* c^c£^ilL^- ^ Dai* cTLLZLl* *JtlJ* ,r? } r Hour. At -LS-df i * r : j */ : jJL j 1 VW ^st K T$ * K <

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