cord are regarded by some as due to special trophic changes, but it seems

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of the urine are made. Frequently, the abnormal conditions of the urine

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have returned to its normal size. The splenic enlargement is apparently

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kidneys, however, may be little if at all affected, w'hile the morbid change

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being transmitted by the air and having an independent existence. It is probably contagious.

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of the larynx. The papillary growths which surround these ulcers are

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•' _ . , -1. Thtcketnng of tlitt Endocardium on thf free

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the poison must remain in the hody before symptoms of the disease are

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attachments are such that the dislocation can be reduced without oper-

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Any heart disease (organic), great anaemia, or evidence of the "neuro-

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in other diseases where small capillary hemorrhages occur in the stomach.

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bulging of the hepatic and splenic regions. The sharp edge of the liver

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of urine ; when in the jejunum or ileum, there is marked diminution ;

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An antiseptic is an agent which retards or inhibits the growth and

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pneumonia and during resolution, and in '^bilious pneumonia." When res-

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depress the patient. Between the attacks, which occur at intervals of days

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charge in caries may be thin and more or less watery, whereas in the

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adherent to the colon, stomach, diaphragm, and abdominal walls. In

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adjacent parts, especially ulcers of the stomach and duodenum. It may be

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membrane of the pharynx, nose, mouth, larynx, trachea, vagina, or upou

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' Quite recently Cornil, in examining many specimens, fonnd no change in the hepatic cells.

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line. It is almost the universal practice to use pins and sutures.

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In an advanced stage of the disease, in addition to cerebral symptoms al-

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The countenance in this pneumonia, although the cheeks may have a pur-

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accomplished by exaggeration of the deformity, the thumb being placed

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but one — the initiatory — chill. In pyaemia there are profuse sweats which

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duct, accessory nasal sinuses and cavities may secondarily become involved.

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the diminution of their calibre, the passage of urine from the kidneys to

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If the exacerbation begins at noon it will usually decline about midnight,

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increased ; their walls then become thickened by infiltration or deposit, so

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soft parts. The exit of the bail is in some cases marked by much more

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ice-bag " to the cold compress. When cold is used at all, I prefer the coil.

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petechial spots are present they indicate a severe form of the disease,

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which may finally lead to general pyemia. On post-mortem examination

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swallowing, and by pressure. Both glands maybe simultaneously affected

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Dislocations of the Tibia. — Dislocations of the tibia may occur (a)