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Caustics and cutting instruments are now employed to remove oijsiructions

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pink granulating surface. Sepsis under unsanitary and neglected con-

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stone lodges in the common duct, jaundice will soon appear. It will

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as to cause constant dyspnuea. The heart may be displaced to the right and

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anaemia. Paroxysmal hgemoglobinuria is rarely fatal.

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ing, to permit of reduction. Some months of energetic treatment may

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joint may be that of ordinary serum. The joint may remain in this

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and extension for a long period (six months to a year). By this treat-

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Delirium which is very active and accompanied by great muscular pros-

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of chronic gastritis. Rokitansky attributes tbein to congestion, extravasation, and subsequent necrosis of

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down the veins diminish in size. There is no impulse upon coughing,

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ference with functions of the nerves from the pressure. "When the abscess

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appear in those localities where a severe type of pernicious fever has pre-

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chitis of old age, should never be lost sight of. Some of the worst -cases

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the orifice, which was only one-fourth of an inch wide. A rigid tricuspid

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from the source of malarial infection. The elements which render the

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Differential Diagnosis. — Cancrum oris may be mistaken for " malignant

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near the liver are often associated with hepatic abscess. Worms, calculi, or

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abscess is large it may be punctured and a grooved director inserted,

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is bad. AVhen signs of right heart failure occur, the prognosis is bad.

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thus, it has little diuretic action. Adonidine relieves many of the distress-

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* Brinton suggests that a double current is produced ; the intestinal contents are propelled along the

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Nasal washes are most elfective when employed with the post-nasal syringe.

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Percussion. — There is slight dulness over that portion of the chest

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