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foot-drop, so that in walking the foot is dragged along the ground. In
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History of traumatism, dysentery, intes- History of previous attacks. Residence
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structure of the urethra, enlarged prostate stone in bladder or
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(c) Tertiary Stage. — As I have already stated, the secondary period
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digested by these patients, as is shown by an examination of the gas-
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organisms are the only positive agents. These essential conditions obtain
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The immediate results of nose-bleed are weakness and a moderate
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Usually the atrophy is symmetric. In the feet it leads to an early
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Differential Diagnosis. — Ascites is most apt to be mistaken for an
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involved, and not, therefore, as constant in its symptomatology as the
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peritonitis with pus-formation, salines should be pushed vigorously, unless
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tered upon his practice, which covered a little more than twenty-five years.
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is due to the catarrhal irritation, later to obstruction. When the latter
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observed, such as painful enlargements of certain joints and severe
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(7) Respiratory System. — Serious pulmonary complications may
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All hospitals are requested to begin conjoined research along the lines
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apparatus of Lefferts is also to be employed when the secretion is in-
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polyuria and the excretion of sugar, but it almost invariably lessens the
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costal cartilages, swellings occur, causing the "rachitic rosary." This is
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Ktiologfy. — Pyelitis rarely is primary or independent in origin, as
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culation of the corpuscles that have passed into the alveolar spaces ;
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touches the white patches daily with pure tincture of iodin.
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monly due to associated bronchitis or to pulmonary tuberculosis ; there
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The attacks generally begin suddenly, about midnight or toward morn-
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work to the kidneys by keeping the patient on the lightest possible
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to Paget and Garrod, Heberden's nodosities (previously described under
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muscles of" the scalp and fasciae. It is by no means an infrequent con-
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in infants and young children suffering from suspected gonorrheal vagi-
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nose becomes broader and longer; the cheek-bones project ; but the most
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this form of atheroma, and males than females, though it is more frequent
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Echinococcus of the Kidneys. — More than 100 cases have been ob-
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mucosa is covered Avith muco-pus. The smaller tubes may be dilated
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or on removing the patient from the source of the poisoning. Fatal
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The larger casts (which are of the size of a goose-quill or even larger)
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commonly be taken in the first day. As the case progresses the