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ment in all his symptoms. The improvement may be continued or
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cine vesicle, — the axillary gland, if the vesicle is upon the arm, the inguinal,
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is manifested by a change in the color of the affected part, which becomes
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wound being pulled apart. In case of lacerated perineum, the suture
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disease is much more common in hot climates and among the negro ra< j e.
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The appetite returns slowly. An anaemic murmur, which is often very dis-
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After the cold stage has continued for a longer or a shorter period, the
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The patient must be placed under the best hygienic conditions, in a uni-
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should be made to determine, if possible, the nature of the injury.
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Auscultation. — A systolic murmur is heard with its maximum intensity
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Tentilated and well-lighted rooms with a southerly or westerly exposure.
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power to prevent it. Ex})erience does not lead me to accept any of these
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ment may be applied after voiding stool. Each time after defecation
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Nerve grafting has been done successfully. It consists in removing
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the body, as occurs in the lungs by the inhalation of coal dust, soot, and
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the pericardium filled with blood, or extravasated blood will be found either
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digestion which they cause. In many cases, after the disease has passed
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means. In some cases it may be because of disease of the vessel wall.
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Morbid Anatomy. — The new tissue formation in this variety of pneumo-
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chronic typhlitis, etc., etc. Tumors may excite local chronic peritonitis
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monary emphysema, although for a time the symptoms are urgent, it rarely,
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an angesthetic advisable in all cases. Fluctuation is a late rather than an
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Cancer, abscess, or cirrliosis of the liver would give i^liysical signs which
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steady, tottering gait of the patient, and is more marked in the early stage
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membrane of the pelvis in the urine, and the constitutional symptoms are
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ysmal. Old people with pneumonia often have no cough. When present
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it rapidly proves fatal, and will 1)C found at the autopsy of many cases of
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circumstances under which it is possible for this aflPection to pass unrecog-
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result. Bronchial catarrh, when present, may precede the paroxysm, or it
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differential diagnosis can be made between them until some time after the
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the back of the head and neck — they have no chills, but after twenty-four
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tions have been offered for the injury. Some operators say that extension
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scanty and contains pus. There is loss of appetite and emaciation.
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to. In chronic (follicular) ])haryngitis a nutritious diet is especially im-

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