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tions of weight and a dragging discomfort are common. Anorexia,
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Medicine. I consider it a great honor to participate in the exer-
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the features simulate those of beginning typhoid fever. Headache,
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lower edge conies entirely into view again and rests firmly against the posterior wall of tlie pha-
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In stenosis of the duodenum or jejunum, owing to the stagnation
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supply to the liver, and often directly induces fatty degeneration. The
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highly probable. The chancre may also be overlooked or denied, and
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The medicinal treatment varies according to the cause of the disease.
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ticularly true of that large class of cases that develop in acute articular
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The three cases cited last month are just such as come into every
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occluding pressure upon the duct of Wirsung, small pancreatic cysts may
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It is a matter of immense encouragement to me to know that each year
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of the anterior horns (but not including the latter) gives rise to the
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generally throw some light on the case. I have seen a case of right-
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that ulcerative endocarditis also occurs, though very rarely, as a primary
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upper extremities, the extensors being chiefly aff"ected. Wrist-drop and
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other hand, the fact that the cardiac complications are rare in arthritic
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terna), or the loose connective tissue between the dura and bony canal
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palliative. The diet should be highly nourishing and easily assimilable,
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Bradford's contribution, particularly that dealing with experimental
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ities, are not infrequent. The phi/sieal signs of anemia — hemic murmurs
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stomach), and its disappearance after being emptied. Another discrim-
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This form is not infrequently met with as a congenital, constitutional
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thymol) should be used. The encysted or larval parasites are not acces-
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it. The movement is very characteristic, the thumb and fore finger being
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occur in the acute attack, hyperemia and swelling of the capsule, liga-
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co7ivulsions precede death in cases in which the total volume of blood
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* Deutsche Zeitschrij't fur Chirurgie, February, 1900.
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(1) Period of primary incubation — the time Avhich elapses between con-
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represent the dilated calyces. According to the seat of obstruction one
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ness and secondary dilatation. It must, however, be recollected that
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