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tory of urethral infection. The acute form is distinguished chiefly from
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is involved to a greater or less extent. The internal surface may escape
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roll). The disease is quite rare, and must not be confounded with the
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causes narrowing of the pulmonary and aortic orifices, with the lu^uil
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beat. Friction fremitus (due to the rubbing of the altered pericardial
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In the acute splenic tumor of typhoid fever, in malaria, and during an
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acteristic feature. The face, particularly the nose, now swells, and a
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bronchial discharge. Rupture in the abdominal cavity gives rise to the
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more cunniion in the warm than In the cold months, most epidemics,
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of simple goiter, affections of the nose, and pregnancy ; this variety,
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(f) nervous affections, as locomotor ataxia, acute and transverse myelitis,
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Differential Diagnosis. — An important point in differentiating peri-
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in size, extending in some instances fully a hand's breadth below the
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quent attacks, and thus, as a result of repeated seizures, pleural thicken-
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fact that patients often do well at places having comparatively high rela-
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tenderness, when they occur, are also of corroborative significance.
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of the pupil there may be observed pallor of one side of the face, due to
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family tendency. Age, generally between twenty-five and forty, exerts
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sometimes by a pronounce<l accentuation or roughening of the norma:
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membranes, aneurysm of the aorta, neoplasms, or disease of the vertebne
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is commonly the seat of obstruction by gall-stones, that may give rise to