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ach is, I think, doubtful. Gastro-diaphany (illumination of the stomach)
digestion, sometimes manifesting a tendency to constipation,
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ing upon the diaphragm. In fatal cases certain nervous s/pnptoms (mut-
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Internally, large doses of the bromids or the continued use of pilocarpin,
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abdominal quadrant. Most of all should it be considered in a
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other diseases, as in gout (gouty kidney), scarlet fever (scarlatinal nephri-
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The bowels are constipated, and the stools are pale-drab or slate-
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with a minimum dose of bromid for irritability and sleeplessness, may
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Almost simultaneously the synovial membranes become inflamed, a
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occurred. Menorrhagia and metrorrhagia are frequently pres-
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appeared in the left lower quadrant of the abdomen.
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or two hours later, and disappear quite promptly when the stomach is
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ment) of portal obstruction Avill develop as in alcoholic cirrhosis. The
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less. The pain radiates most frequently to the left shoulder, though also
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a bit there, and a fragment somewhere else. As a pleasant and
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ulcerated bleeding point can be reached, there may be applied to it a
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From personal observation I am firmly convinced of the fact that the
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owing to the fact that the surrounding lung-tissue may take on com-
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In the latter condition, however, there is no increase in intensity of
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Htiologfy. — (1) Age. — By far the greatest number of cases occur
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pregnancies, tight-lacing and girdling, and traumatism (falls, heavy
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consisted of a paper by Dr. H. M. Gay on "Some Remarks on Injuries
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which, I believe, belongs largely to nervous dyspepsia (vide peristaltic
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Physical Signs. — Inspection in dilatation of the left ventricle shows
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boring forms of inflammation, caries of the bone, middle-ear disease, or
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binder, which has been previously applied, is tightened (vide Ascites,
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sooner or later, and is due to adhesions that interfere with the free action
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and general rheumatoid symptoms. The latter may be so well marked as
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ing rise to more or less associated catarrhal tonsillitis. The local sub-
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solutions, may be necessary. Loosened teeth should not be disturbed,
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which tolerance is concerned is man's attitude towards the
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applicable when the liver is much enlarged and ascites is a marked fea-
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may also be present. Pulsation has been noted and a systolic murmur —
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ures. Fatigue and exposure must be avoided, particularly if the
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Treatment. — Thyroid-feeding has been followed by beneficial results,
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or even years. In these extreme cases, while the patient at first appears
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or quickly, the patient feels tolerably comfortable, and this sometimes
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