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arterio-sclerosis, chronic interstitial nephritis, and diabetes mellitus. On
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ally present, and the occurrence together of these two pathologic con-
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Symptoms. — Contrary to what has been supposed in days gone by,
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cocoon) ; the anisolabis annuli (belonging to the orthoptera) ; and the
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increased, labored, and at times irregular. The decubitus is dorsal ; the
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paroxysms, due to a sense of tickling in the larynx. There may be a
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hours. Death is caused by reflex paralysis of the heart, due either to
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done by Schwartz and others with marked amelioration of the symptoms.
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cases are recorded in which no previous history of malaria existed), and
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pain of the latter disease, and by the characteristic inspiratory retrac-
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which is due to the irritating and concentrated urine, may also be here
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uric-acid gravel (the commonest variety), the patient should live a reg-
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the organ, being thus subject to injury. When it occurs above the
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and of the parietal layer is observed. Even in the most recent cases
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a light coagulum settles to the bottom and a creamy pellicle of fat rises
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and is expectorated with difficulty. At times, and especially in the acute
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traction it may become necessary to employ an occasional suppository of
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we serve, humanity; and I think that humanity might well be
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ance to the pleximeter-finger becomes greatly au<:^mentod. In cases in
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bodily errors might alter or interfere with the smooth working of this
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blood with the exudate in acute sero-fibrinous pleurisy, in quantities suf-
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Pachymeningitis haemorrhagica interna, or hematoma of the dura mater,
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temperature is generally lowered, but uremic fever frequently accompanies
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ment of typhoid fever and of scarlet fever from the standpoint of
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latter in consecjuence of compression) are also observed. Fragmentation
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Europe, Asia, or Africa, and in America it is rare.
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to the great strain that it imposes upon the heart-valves, may be account-
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formerly, if we except certain places in Spain and Russia. According
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Of other predisposing factors may be mentioned in particular (h) im-
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neucleins contained do not form alloxins. Stale breads may be used. I