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fever or increase in pulse-rate, the rule being rather a sloived pulse. In
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failure. In cases where there is a large amount of fluid effusion the pain
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electrical changes take place in the muscle. These electrical changes
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the vessel wall, through which it succeeds in escaping (diapedesis). In
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perature range, and of characteristic surface phenomena, the fact that the
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history of high living, and of a sedentary life, or of some phthisical com-
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injury, are an indication of fracture of the base of the skull.
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The temperature in a mild type of this fever rarely rises above 103'' F.;
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stopped. The amount of fluid that can be withdrawn at the first aspiration,
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the larynx. There is often soreness and tenderness of the laryngeal carti-
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spinal pia mater are occupied by the exudation, which- occurs either as
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Intestinal obstruction may be mistaken for colic (or cnternlgia) peri
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Symptoms. — Frequently those who have had extensive pigment deposits
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Although this degeneration is a constant accompaniment of old age, it
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from the other. If the previous history is known, the chronic character
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the chisel may be used as a lever and the depressed bone elevated. In
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nature of a leather casing, or a pasteboard and starch-paste dressing,
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followed by a saline. It is not often that a physician is consulted for sim-
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sinuses are so distended as to interfere with free nasal respiration. Hyper-
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pecially in pneumonia and Bright's disease. The rest of the inorganic con-
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In the vertical fracture, the diagnosis is equally easy. It is so rare
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aneurism. The lower tliinl of the u>>opha<,ais is said to he widely dilated in
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Etiology. — The disease is propagated only by contagion ; it is a disease
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Surgical dressings consist of gauze, cotton, lint, lamb's wool, or
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tumid, distended, and doughy to the feel. The urine looks somewhat like
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small boils over a certain area, may lead to gangrene of a mass of the
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occur at all and even if the teeth appear they may decay early and fall
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bladder but also in the pelvis of the kidneys. As a result of such retention
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lows the acute form where recovery is not entire, or it happens incasesof
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Concentrated nutriment should be administered frequently in small quan-
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ment of sub-acute i)leurisy. The remedial agent which seems to me to have
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tissue elements of the brain are shaken up and the connections between
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be found either hypereemic or anaemic, according as the hemorrhage has
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ics of remittent fever, vomiting of " Ijilious " material, and jaundice are
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monary structures. Syphilitic fibroid infiltration originating about the
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stored. The most rational raethod of treatment is that i)y which wo aim
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red, grayish, or, rarer than all, a greenish color. In some instances the in-
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the lower part of the trunk. At the autopsy the liver may be found irreg-
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the bone is displaced farther inward, while flexion

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