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next five months with 300mgms of INH, 1000 mgms of Ethambutol with or without pyrazinamide. Surgical intervention is necessary in cases of stricture.

The primary care physician can advise the elderly to have a urine analysis once in 6 months and to maintain an intake of 2000 ml and output of 1500 ml of fluid per day.

THE ABOVE LECTURE LASTED FOR AN HOUR FOLLOWED BY DEMON- STRATION OF TWO CASES OF URINARY TRACT INFECTION AND TWO CASES OF ENLARGED PROSTATE.

-V. Ravindranath

MALIGNANCY

Cancer is a dangerous illness. Nevertheless, when detected in early stages, many types of cancer are curable. The beginning of cancer always tends to be painless. When pain is complained of, it is an advanced stage of the illness. The following symptoms should arouse a suspicion especially when there is a family history of cancer.

Cancer of the Mouth

1. Tobacco chewing is likely to produce cancer of the mouth
2. White patch in the mouth
3.. Ulcer in the mouth.

Cancer of the Food-pipe

1. Difficulty in swallowing of short duration
2. A sensation of food being arrested beneath the chest
3. Change in voice
4. Difficulty in swallowing solids initially and liquids later
5. Regurgitant vomiting
6. Swelling in the neck on either side.

Cancer of the Stomach

1. Persistent change in feeding behaviour i.e. quality of food taken and frequency of food intake
2. Heaviness in the abdomen
3. Persistent loss of appetite
4. Progressive loss of weight
5. Tarry stools
6. Vomiting and constipation
7. Vomiting blood.

Cancer Rectum

1. History of bleeding per rectum
2. Change in bowel habits

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