EXHIBIT 4.2 
                                 AMENDMENT NO. 1

         THIS AMENDMENT NO. 1 (the "Amendment") dated as of April 27, 1998, to
the Credit Agreement referenced below, is by and among OWENS & MINOR, INC., a
Virginia corporation, (the "Borrower"), the Guarantors and Lenders identified
therein, and NATIONSBANK, N.A., as Administrative Agent.

                               W I T N E S S E T H

         WHEREAS, the Lenders have established a $225 million credit facility
for the benefit of the Borrower pursuant of the terms of that Credit Agreement
dated as of September 15, 1997 (as amended and modified, the "Credit Agreement")
among the Borrower, the Guarantors and Lenders identified therein and
NationsBank, N.A., as Administrative Agent;

         WHEREAS, the Borrower has requested certain modifications to the Credit
Agreement;

         WHEREAS, the modifications requested hereby require the consent of the
Required Lenders; and

         WHEREAS, the Required Lenders have consented to the requested
modifications on the terms and conditions set forth herein and have authorized
the Administrative Agent to enter into this Amendment on their behalf to give
effect to this Amendment;

         NOW, THEREFORE, IN CONSIDERATION of the premises and other good and
valuable consideration, the receipt and sufficiency of which are hereby
acknowledged, the parties hereto agree as follows:

         1. Definitions. Terms used but not otherwise defined shall have the
meanings provided in the Credit Agreement.

         2. Amendment. The Credit Agreement is amended and modified in the
following respects:

         2.1 The following definitions are amended or added in Section 1.01 to
read as follows:

                  "Consolidated Fixed Charges" means, for the applicable period
         ending as of a Determination Date, the sum of (i) all Interest Expense
         on all Indebtedness during such period (including for purposes hereof,
         dividends paid on the Preferred Securities without duplication for
         interest payable under the Junior Subordinated Debentures), (ii) all
         Rentals (other than Rentals on Capitalized Leases to the extent such
         Rentals are included in Interest Expense or as a current maturity of a
         Capitalized Lease under subsection (iii) hereof) payable during such
         period, (iii) current maturities of Funded Debt and current maturities
         of Capitalized Leases as of such Determination Date, and (iv) all
         dividends paid in cash or property and redemptions made of capital
         stock (other than dividends paid to, or redemptions of capital stock
         owned by, the Borrower or a wholly-owned Subsidiary, and without
         duplication for items treated as Interest Expense hereunder in respect
         of the Preferred Securities and Junior Subordinated Debentures) during
         such period, in each case for the Borrower and its Subsidiaries on a
         consolidated basis determined, except as provided above, in accordance
         with generally accepted accounting principles.


                  "Consolidated Net Income Available for Fixed Charges" means,
         for the applicable period ending as of a Determination Date, the sum of
         Consolidated Net Income

                           plus (to the extent deducted in determining
                  Consolidated Net Income) (i) all provisions for any federal,
                  state or other income taxes, (ii) depreciation, amortization
                  and other non-cash charges, including without limitation any
                  accrual necessary for purposes of conforming with Financial
                  Accounting Standards Board Statement Number 106 (as defined by
                  generally accepted accounting principles) to the extent that
                  the accrued portion thereof constitutes a non-cash charge,
                  (iii) Interest Expense (including for purposes hereof,
                  dividends paid on the Preferred Securities without duplication
                  for interest payable under the Junior Subordinated
                  Debentures), and (iv) all Rentals,

                           minus (v) all Capital Expenditures,

         for the Borrower and its Subsidiaries on a consolidated basis
         determined, except as provided above, in accordance with generally
         accepted accounting principles.

                  "Consolidated Net Worth" means total stockholders' equity for
         the Borrower and its Subsidiaries on a consolidated basis as determined
         in accordance with generally accepted accounting principles (but
         including, without duplication, in any event, for purposes hereof, the
         Preferred Securities and the Indebtedness evidenced by the Junior
         Subordinated Debentures).

                  "Consolidated Tangible Net Worth" means Consolidated Net Worth
         minus goodwill, patents, trade names, trade marks, copyrights,
         franchises, organizational expense, deferred assets other than prepaid
         insurance and prepaid taxes and such other assets as are properly
         classified as "intangible assets", for the Borrower and its
         Subsidiaries on a consolidated basis as determined in accordance with
         generally accepted accounting principles.

                  "Consolidated Total Debt" means all Indebtedness of the
         Borrower and its Subsidiaries on a consolidated basis determined in
         accordance with generally accepted accounting principles plus to the
         extent not included under generally accepted accounting principles,
         items referenced in the definition of "Indebtedness" (but excluding,
         without duplication, in any event, for purposes hereof, the Preferred
         Securities and the Indebtedness evidenced by the Junior Subordinated
         Debentures and the Borrower's Guaranty Obligations with respect to the
         Preferred Securities).

                  "Funded Debt" means, for any Person, (i) all Indebtedness of
         such Person for borrowed money or which has been incurred in connection
         with the acquisition of assets, in each case having a final maturity of
         one or more years from the date of origin thereof (or which is
         renewable or extendable at the option of the obligor for a period or
         periods more than one year from the date of origin), (ii) all
         Capitalized Lease obligations for such Person, and (iii) all Guaranty
         Obligations by such Person of Funded Debt of others. For purposes
         hereof, Funded Debt shall include, without duplication, payments in
         respect of Funded Debt which constitute current liabilities of the
         obligor under generally accepted accounting principles, and shall
         exclude, without duplication, the Preferred Securities and the
         Indebtedness evidenced by the Junior Subordinated Debentures.


                  "Junior Subordinated Debentures" means junior subordinated
         convertible deferrable interest debentures or other similar
         subordinated debt securities issued by the Borrower or any Subsidiary
         the interest payments on which are used to make cash distributions on
         Preferred Securities, on substantially the terms described in Exhibit A
         to Amendment No. 1.

                  "Permitted Investments" means (i) cash and Cash Equivalents,
         (ii) receivables owing to the Borrower or its Restricted Subsidiaries
         or any of its receivables and advances to suppliers, in each case if
         created, acquired or made in the ordinary course of business and
         payable or dischargeable in accordance with customary trade terms,
         (iii) subject to the limitations set out in Section 7.05(b),
         investments by the Borrower and its Restricted Subsidiaries in and to a
         Credit Party, including any investment in a corporation which, after
         giving effect to such investment, will become an Additional Credit
         Party (provided such Additional Credit Party shall execute a Joinder
         Agreement), (iv) loans and advances in the usual and ordinary course of
         business to officers, directors and employees for expenses (including
         moving expenses related to a transfer) incidental to carrying on the
         business of the Borrower or any Restricted Subsidiary in an aggregate
         amount not to exceed $3,000,000 at any time outstanding, (v)
         investments (including debt obligations) received in connection with
         the bankruptcy or reorganization of suppliers and customers and in
         settlement of delinquent obligations of, and other disputes with,
         customers and suppliers arising in the ordinary course of business,
         (vi) investments in a Securitization Subsidiary or Special Purpose
         Vehicle relating to a Qualified Securitization Transaction, (vii)
         investments in a PS Affiliate of up to $5,000,000 in the aggregate; and
         (viii) additional loan advances and/or investments of a nature not
         contemplated by the foregoing clauses hereof, provided that such loans,
         advances and/or investments made pursuant to this clause (viii) shall
         not exceed $10,000,000 in aggregate amount at any time outstanding. As
         used herein, "investment" means all investments, in cash or by delivery
         of property made, directly or indirectly in any Person, whether by
         acquisition of shares of capital stock, indebtedness or other
         obligations or securities or by loan advance, capital contribution or
         otherwise.

                  "Preferred Securities" means pass-through securities, capital
         securities or other preferred securities issued by a statutory business
         trust or other similar special purpose entity owned or controlled by
         the Borrower or any Subsidiary the proceeds of which are invested in or
         exchanged for Junior Subordinated Debentures.

                  "PS Affiliate" means any trust or other special purpose entity
         which is the issuer of Preferred Securities.

                  "Restricted Subsidiary" means any Subsidiary other than a
         Securitization Subsidiary or PS Affiliate (i) which is organized under
         the laws of the United States or any State thereof; (ii) which conducts
         substantially all of its business and has substantially all of its
         assets within the United States; and (iii) of which more than 50% (by
         number of votes) of the Voting Stock is beneficially owned, directly or
         indirectly, by the Borrower.

                  "Subordinated Debt" means (i) the indebtedness evidenced by
         the Senior Subordinated Notes, (ii) the indebtedness evidenced by the
         Junior Subordinated Debentures and (iii) any other Indebtedness which
         by its terms is specifically subordinated in right of payment to the
         prior payment of the Loans and obligations hereunder and under the
         other Credit Documents on terms and conditions satisfactory to the
         Required Banks.

                  2.2 The reference in the second sentence of Section 5.15
to"(not including any Securitization Subsidiary)" is amended to read as follows:


                  (not including any Securitization Subsidiary or any PS
Affiliate)

                  2.3 The references in Section 6.12 to the phrase "(other than
a Securitization Subsidiary)" are amended to read as follows:

                  (other than a Securitization Subsidiary or PS Affiliate)

                  2.4      Section 7.01(e) is amended to read as follows:

                  (e) (i) Indebtedness evidenced by the Senior Subordinated
         Notes, (ii) Indebtedness evidenced by the Junior Subordinated
         Debentures in an aggregate principal amount up to $143,750,000, and
         (iii) other Subordinated Debt acceptable to the Required Lenders in
         their sole discretion.

                  2.5 In Section 7.03, clause (v) is renumbered as "(vi)" and a
new clause (v) is added immediately preceding to read as follows:

                  (v) guaranty by the Borrower of the Preferred Securities on
         substantially the terms described in Exhibit A to Amendment No. 1, and

                  2.6      Section 7.07 is amended in the following respects:

                           (a)  In subsection (c), clause (i) is amended to read
                                as follows:

                  (i) regularly scheduled non-default principal payments on the
         Senior Subordinated Notes and the Junior Subordinated Debentures, and
         regularly scheduled non-default interest payments on the Senior
         Subordinated Notes and the Junior Subordinated Debentures, and

                           (b)  A new subsection (d) is added to read as 
         follows:

                  (d) designate any other indebtedness as "Designated Senior and
         Subordinated Debt" within the meaning provided in the indenture or
         other governing instruments relating to the Junior Subordinated
         Debentures without the prior written consent of the Required Banks.

                  2.7 In the second sentence of Section 7.09, the "or"
immediately preceding clause (ii) is amended to "," and a new clause (iii) is
added to the end to read as follows:

                  or (iii) a PS Affiliate.

                  2.8      Section 7.11 is amended in the following respects:

                           (a) The parenthetical references to "(other than a
         Securitization Subsidiary pursuant to a Qualified Securitization
         Transaction permitted hereunder)" is amended to read as follows:

                           (other than a Securitization Subsidiary pursuant to a
                  Qualified Securitization Transaction permitted hereunder or
                  any PS Affiliate)


                           (b) There shall be inserted at the very end of
         thereof, immediately after the phrase "except as may be provided herein
         or in the indenture relating to the Senior Subordinated Notes" the
         following:

                           or in the indenture relating to the Junior
                  Subordinated Debentures

                  2.9 In Section 7.12 there shall be added at the very end of
subsection (ii) thereof the following:

                  (except that no such demonstration shall be necessary for
         payments made under the Preferred Securities and the Junior
         Subordinated Debentures)

                  2.10     A new section 7.14 is added to read as follows:

                  Section 7.14 Repurchase of Series B Preferred Stock; Issuance
         of Preferred Securities and Junior Subordinated Debentures.

                  As part of the refinancing contemplated by Amendment No. 1 to
         this Credit Agreement, the Borrower and the PS Affiliate will enter
         into a series of transactions to repurchase all of the Borrower's
         Series B Cumulative Preferred Stock pursuant to agreements with
         Wilmington Securities (copies of which will be made available to the
         Administrative Agent and the Banks), and to issue the Preferred
         Securities and the Junior Subordinated Debentures on substantially the
         terms described in Exhibits A and B to Amendment No. 1. It is
         understood and agreed that the execution and delivery of these
         agreements and performance by the Borrower and the PS Affiliate and
         their Subsidiaries of their obligations thereunder and under any
         related agreements shall not, in and of themselves, constitute a
         default under this Credit Agreement.

         3. In connection with the issuance of the Preferred Securities, the
Borrower is also seeking a consent from the holders of the Senior Subordinated
Notes and certain amendments to the indenture relating thereto in connection
therewith, a copy of which is attached as Exhibit B. The Administrative Agent
hereby confirms consent by the Required Banks to the amendments described in
Exhibit B hereto.

         4. This Amendment shall be effective upon satisfaction of the following
conditions:

            (a) execution of this Amendment by the Borrower and the
Administrative Agent;

            (b) receipt by the Bank of legal opinions of counsel to the Credit
Parties relating to this Amendment in form and substance satisfactory to the
Administrative Agent and the Required Lenders;

            (c) receipt by the Administrative Agent for the ratable benefit of
the consenting Lenders of an Amendment Fee of 12.5 basis points on the aggregate
amount of Commitments held by each of the Lenders consenting to this Amendment.


         5. Except as modified hereby, all of the terms and provisions of the
Credit Agreement (including Schedules and Exhibits) shall remain in full force
and effect.

         6. The Borrower agrees to pay all reasonable costs and expenses of the
Administrative Agent in connection with the preparation, execution and delivery
of this Amendment, including without limitation the reasonable fees and expenses
of Moore & Van Allen, PLLC.

         7. This Amendment may be executed in any number of counterparts, each
of which when so executed and delivered shall be deemed an original and it shall
not be necessary in making proof of this Amendment to produce or account for
more than one such counterpart.

         8. This Amendment shall be deemed to be a contract made under, and for
all purposes shall be construed in accordance with the laws of the Commonwealth
of Virginia.

                  [Remainder of Page Intentionally Left Blank]






         IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart
of this Amendment to be duly executed under seal and delivered as of the date
and year first above written.

BORROWER:                           OWENS & MINOR, INC.,
                                    a Virginia corporation

                                    By:_______________________________
                                    Name:
                                    Title:


GUARANTORS:                         OWENS & MINOR MEDICAL, INC.,
                                    a Virginia corporation

                                    NATIONAL MEDICAL SUPPLY CORPORATION,
                                    a Delaware corporation

                                    OWENS & MINOR WEST, INC.,
                                    a California corporation

                                    KOLEY'S MEDICAL SUPPLY, INC.,
                                    a Nebraska corporation

                                    LYONS PHYSICIAN SUPPLY COMPANY,
                                    an Ohio corporation

                                    A. KUHLMAN & COMPANY,
                                    a Michigan corporation

                                    STUART MEDICAL, INC.,
                                    a Pennsylvania corporation

                                    By:_______________________________
                                    Name:
                                    Title:


ADMINISTRATIVE
AGENT:                              NATIONSBANK, N.A., as Administrative Agent
                                    for and on behalf of the Lenders

                                    By:_______________________________
                                    Name:
                                    Title:







                           CONSENT TO AMENDMENT NO. 1


NationsBank, N.A.,
 as Administrative Agent
101 N. Tryon Street
Independence Center, 15th Floor
NC1-001-15-04
Charlotte, North Carolina 28255
Attn:    Agency Services

         Re:      Credit Agreement dated as of September 15, 1997 (as amended
                  and modified, the "Credit Agreement") among Owens & Minor,
                  Inc., the Guarantors and Lenders identified therein and
                  NationsBank, N.A., as Administrative Agent. Terms used but not
                  otherwise defined shall have the meanings provided in the
                  Credit Agreement.

                  Amendment No. 1 dated April __, 1998 (the "Subject Amendment")
                  relating to the Credit Agreement

Ladies and Gentlemen:

         This should serve to confirm our receipt of, and consent to, the
Subject Amendment. We hereby authorize and direct you, as Administrative Agent
for the Lenders, to enter into the Subject Amendment on our behalf in accordance
with the terms of the Credit Agreement upon your receipt of such consent and
direction from the Required Lenders, and agree that the Borrower may rely on
such authorization.

                                                Sincerely,



                                                -----------------------------
                                                [Name of Lender]

                                                   By:__________________________
                                                   Name:
                                                   Title:







                                    Exhibit A

     Description of Junior Subordinated Debentures and Preferred Securities







                                    Exhibit B

       Description of Amendments relating to Senior Subordinated Notes