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phoid and absent in typhus. In typhus fever there are no changes which
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previous ecchymosis ; it may be either softer or tirnier than natural ; tho
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Many theories have been advanced as to the nature of this miasm
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under the head of intestinal ulcerations, since the inflammation of the
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anxious expression of countenance, nausea and vomiting, quickly followed
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is long continued, the lung supplied by the compressed bronchus will be
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are called hematoceles. These may occur in the pelvis, tunica
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affected by the amyloid infiltration. The size of the stomach varies : some-
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in the fauces increase the pain. Fluids are often regurgitated through the
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tration ; the patient, attempting to rise from the bed, may have fallen upon
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patients under the best hygienic management, with free ventilation and a
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giant ,cells have been found in among the granulation tissue. This
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those few have failed to reveal any characteristic lesion. The miliary
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bloody urine, for it appears in the following diseases :
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collections of fluid may thus become encapsulated. This variety of peri-
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attended by no febrile symptoms. Its occurrence is marked by steadily in-
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monia, diphtheria, pericarditis, oedema glottidis, etc., always renders the
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Acute Glossitis. — Acute inflammations of the tongue result from
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place. The adhesions about the base are the most dense. Those at the;
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in intensity over the whole of the upper portion of the left lung.
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ening in patches, the thickening being due to multiplication of the cellu-
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Pneumonic tuberculosis usually commences as a bronchial catarrh. The
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effusion contains blood globules from the rupture of the thiii-walled
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external abdominal ring. The external oblique aponeurosis is then
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astringents. They should be applied in the form of sprays. Of these,
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injections of hot normal salt solutions, may be necessary to save the
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with dysentery the difficulty is often increased ; for chills and rigors,
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times pus is formed, sometimes not. Even if pus is formed the fluids
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they ai'e, however, such frequent attendants of this disease, that they are
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heart. In pyaemia and its allied states hemorrhagic infarctions of the si)leen
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in most cases there is a slight rise in temperature.
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and to determine in which tissues or organs the primary change occurred.
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confined to a single lobe or a circumscribed portion of the organ. The
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usually invades the whole of the ])leura on the side affected. It may
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severe, and nature shows an effort at limiting it, an amputation should
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slight multiplication and swelling. New cells also form in the walls.
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and (2) chronic and permanent. The first class occurs in fevers, e. g.,
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patient's appetite returns, and he is able to sleep ; convalescence is now