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and he has had a frequent desire to pass it. Perhaps he has had some pain
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least resistance. The disease is more commonly found in the tibia
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themselves two or three days before the appearance of the eruption are
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Signs. — The first sign of the injury is a cracking sound, as if some-
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time it remains in the intestinal canal. When it comes from the "upper
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the local changes, there are constitutional influences in operation which
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Meningocele is a congenital tumor of the membranes of the brain
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age, overcrowding, etc. I have met with diphtheria in houses where
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Physical Signs. — On palpation the liver will be found intensely tender,
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large intestine. In some cases the stools become brownish, serous in char-
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costal space, at the junction of the axillary and infra-scapular regions.
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Streptococcus Pyogenes. — Chains of cocci found in phlegmons. Culture
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2. Does not precede the first evidences 10. Generally not painful.
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readily, and, with the pain, is the first well-marked sign of the obstruc-
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traction of the mesentery, the central part of the in-
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in any part of its course of descent. Cases are reported where it has
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most characteristic are the epithelial casts, which may contain blood-glob-
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Some claim that they are the result of certain plans of treatment, especially
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culation is not obstructed until the advanced stage of the disease. Hyper-
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symptoms must be very urgent to warrant venesection.
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sorted to. I now have a case under observation in which aspiration has
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A Benign tumor is one which does not affect the general health, but
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change. The microscopical appearance of the kidney is such as will be
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Hypertrophy is an enlargement of an organ or tissue, due either to an
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chill, vomiting, and sweats. The pulse is rapid and the fever ranges
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valvular lesions in the left heart, or when disease of the lungs, as emphyse-
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.^tances, when the general symptoms of emphysema are well marked, the
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more or less tenderness along the line of the large intestine.
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more or less severe. They are shooting and lancinating in character.
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of the intercostal spaces. The respiratory movements on the affected side
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Any heart disease (organic), great anaemia, or evidence of the "neuro-
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Abscess of the liver is an acute circumscribed hepatitis which results in
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and from rupture of the chordae tendineae. In most instances, however,
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forced out of the ends of the arteries and a subsequent hemorrhage
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It is readily distinguished from remittent fever, for in remittent fever

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