NEW YORK — The Dow Jones industrial average surpassed 19,000 for the first time Tuesday as a post-election rally drove indexes further into record territory. Discount store chains made large gains, but health care companies tumbled.

Stocks opened solidly higher after setting records on Monday. They gave up some of their gains around midday but reached new highs late in the afternoon. Health care stocks slumped after weak results from medical device company Medtronic. Retailers soared after strong earnings from Dollar Tree and Burlington Stores.

"The consumer in general is far more budget-conscious than they were in previous generations," Ken Perkins, president of research firm Retail Metrics, said of discount chains.

The Dow picked up 67.18 points, or 0.4 percent, to 19,023.87. The Standard & Poor's 500 index added 4.76 points, or 0.2 percent, to 2,202.94. The Nasdaq composite gained 17.49 points, or 0.3 percent, to 5,386.35.

The Russell 2000 index, which tracks smaller companies, continued to set records as it traded higher for the 13th day in a row. It jumped 0.9 percent.

The Dow has closed at a record high six times in the two weeks since the presidential election, but trading volume has fallen in recent days. U.S. trading will be closed Thursday for Thanksgiving and markets will close early on Friday.

Shoppers continued to flock to discount stores. Dollar Tree raised its profit and sales forecasts after the chain reported solid results in the third quarter. Burlington Stores also raised its outlook after it posted a larger profit than analysts expected. Dollar Tree jumped $6.69, or 8.2 percent, to $88.68 and Burlington Stores added $11.86, or 16 percent, to $86.04.

Other retailers like Home Depot, TJX and Signet Jewelers also rose as consumer stocks reached all-time highs. Perkins, of Retail Metrics, said chains like Dollar Tree were able to win over new customers after the Great Recession, and low-cost clothing companies like TJX, the parent of TJ Maxx, have also performed well since that time.

Health care stocks, which are still trading lower than they were at the start of this year, took hefty losses after weak results from Medtronic, one of the world's largest medical device companies.

Matt Miksic, a medical device analyst for UBS, said some investors worried that Medtronic's results mean a lot of drug and medical device companies will face slower growth. Miksic said Medtronic reported weak sales "across pretty much every one of their categories in the U.S."

The company also cut its profit guidance. It sank $6.98, or 8.7 percent, to $73.60. Health care products giant Johnson & Johnson slid $2.26, or 2 percent, to $112.74 and Abbott Laboratories, which makes infant formula, drugs and medical devices, gave up $1.66, or 4.2 percent, to $38.10.

Medical supplier Patterson Cos. plunged, touching a three-year low, after it said its dental business struggled in the second quarter and its animal health business was hurt by weak prices for brand-name drugs. Patterson cuts its profit forecast and its shares dropped $7.95, or 16.7 percent, to $39.56.

Campbell Soup's profit in its fiscal first quarter was better than expected thanks to lower expenses and better sales of snacks like Pepperidge Farm. Hormel, the maker of Spam, reported better results from its refrigerated foods business and its Jennie-O turkey unit. Hormel also gave solid guidance for the current fiscal year. Campbell Soup gained $1.98, or 3.6 percent, to $57.02 and Hormel rose 92 cents, or 2.6 percent, to $35.86.

Dr. Pepper Snapple Group said it will buy fruit drink maker Bai Brands for $1.7 billion. Bai Brands markets its drinks as having fewer calories than other brands and doesn't use artificial sweeteners. Dr. Pepper Snapple stock picked up $2.25, or 2.6 percent, to $87.50.

Industrial companies, including makers of aircraft and engines and other equipment, continued to rise. Companies like Boeing, Lockheed Martin and Northrop Grumman were trading around record highs before the election and they have done better than the broader market since then. Boeing climbed $2.50, or 1.7 percent, to $149.52 Tuesday.

Oil prices wobbled and energy companies fell. Benchmark U.S. crude lost 21 cents to $48.03 a barrel in New York. Brent crude, the international standard, rose 22 cents to $49.12 a barrel in London. The price of oil rose about 4 percent Monday.

Investors continued to sell short-term bonds, which sent their prices lower. The yield on the two-year Treasury note rose to 1.09 percent, its highest in six years. Longer-term bond prices held steady. The yield on the 10-year Treasury note remained at 2.31 percent.

The dollar, which is trading around 13-year highs, was little changed. It rose to 111.14 yen from 111.07 yen. The euro inched up to $1.0624 from $1.0612.

In other energy trading, wholesale gasoline picked up 1 cent to $1.41 a gallon. Heating oil remained at $1.53 a gallon. Natural gas rose 3 cents to $2.98 per 1,000 cubic feet.

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Gold rose $1.40 to $1,211.20 an ounce. Silver gained 11 cents to $16.63 an ounce. Copper added 3 cents, or 1.2 percent, to $2.54 a pound.

Britain's FTSE 100 rose 0.6 percent. France's CAC 40 added 0.4 percent while the DAX in Germany gained 0.3 percent. Japan's Nikkei 225 dipped after a powerful earthquake in northern Japan, but the index finished 0.3 percent higher. The earthquake set off a small tsunami, but it appeared to cause only minor damage and injuries. South Korea's Kospi rose 0.9 percent and the Hang Seng in Hong Kong climbed 1.4 percent.