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be washed out Avith warm water containing some demulcent substance
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to really get down to serious, hard study, periodicals offer but little
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Among the pathogenic germs which invade the mouth from
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Nature of the Obstruction. — This is even more difficult of discovery
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rise to ascites, and the latter causes in many instances hydroperitoneum,
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The cystic kidneys usually met with in adult life (acquired) are of
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from the acute variety consist in the greater amount of sclerosis, the
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revealed, should they come to autopsy, as open ulcers or cicatrices, (b)
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apoplexy of the kidney. After the engorgement subsides then
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dubious in cases of severe injury, inflammatory troubles, or infections.
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tion, and hence there is no stridor ; as they cannot be approximated,
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cells with fragmented nuclei are common. Gigantoblasts may be pres-
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agents with most telling and gratifying results without any pre-
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normal one, and our efforts should always stop short of fatigue.
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show a marked degree of emaciation and anemia. T. R. BroAvn ^ found
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the general chronic form {e. g. rheumatism). Certain irritants that usu-
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become involved, so that the affected half of the face is distinctly smaller
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fered Avith the presence of considerable amounts of uric acid in the
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the bacterium most generally present : it is well known, moreover, that
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caused death (Wormley). The duration is usually from one to six days,
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chiefly) to their imperfect development. Since there is usually an
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frequently impossible to diagnose this disease in its early stage from
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Pathology. — This affection is characterized by the formation of
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toxins or too much elimination of normal waste products it may
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in the blood is unknown. In some fatal terminations of this character
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since they are considered in detail under the tuberculous variety. In any
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gagement which prevented his coming, and said that he would have
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analysis of the stomach contents, the blood, and faeces. To un-
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tion of sensation to touch, temperature, and electricity, and ordinarily
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bral form the reader is referred to the discussion of Purulent Meningitis.
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(1) To bring relief during the paroxysms we should ascertain the ex-
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orrhagic nephritis and in severe renal congestion free red blood-cor-
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cesses which produce anemic necrosis and abscesses), fatty degeneration,^
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vent error, as a rule. The fulgurant pains of tabes, in the early stage of
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legs, as if paralyzed, hence pulse small, weak and quickened. Debility
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The affections of the mediastinum may be divided into four classes :
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Prognosis. — This is generally unfavorable, though in unilateral
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The affections of the mediastinum may be divided into four classes :
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tric ulcer is often due to the fact that but little nourishment is supplied
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lated urine. There may be obstruction in the bladder and urethra, as
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ened if in addition he has urinated involuntarily or if blood-spots are