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mellitus has been decreasing in America. On the other hand, in cer-

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cated, no definite symptoms will be present, and probably there will be

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larly nervous derangements (wild delirium, etc.), and at this time com-

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its chief characteristic miliary tubercles, which are scattered not only

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Lithium citrate or carbonate in 5-grain (0.324) doses in tablet form,

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Treatment. — The hygienic and medicinal treatment must have vir-

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be soreness at the base of the chest if the cough be frecjuent and severe,

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Diagfnosis. — This rests chiefly upon the physical signs, which are

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also implicated, food-remnants are found in the dejections (lienteric

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toneaU bronchial, etc.) ; but these almost invariably tend toward

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which is more or less covered with pultaceous material, is rough or

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limited to the cases furnishing intensely virulent poison. As to the

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the influence of wet and cold or to severe changes of temperature. Hence

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bovinin and 10 drops of tincture of opium, this to be repeated at 2 P. M.

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was remarkable — first, ft*om the fact that the hemorrhilge of the cord was

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able influence upon the course of the disease. On the other hand, ia

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carefully conducted, amyl nitrite being inhaled at once from a handker-

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atic carcinoma ; but in the latter affection the jaundice develops more

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the deltoid muscle ; about the middle of the outer surface of the upper

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alcoholism ; or in persons who exhibit arterio-sclerosis or organic dis-

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If tliey prove non-efficacious, the crusts may then be removed with a

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lung. Its most common cause is traumatism, especially penetratii|

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tive investigations into the subject.^ I found the general average death-

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udation, it becomes filled with "rice-water" material. Soon the hyper-

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The treatment has been detailed in the discussion of Gastric

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sac which shows the presence of large and small fat-globules to the ex-

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out the attack, but is not of a severe type, save in the septic and ma-

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ticemia, and only one-half the length of the latter. When stained with

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be tried at first. There are cases, however, in which hot appliciiioH

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fever, and malaria; (/) Portal obstruction, occurring in chronic heart-

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room for error of diagnosis exists. Moreover, in cases that are im-

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often too small to admit of detection. When the effusion is considerable

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the case may be one of apoplexy in a subject of nephritis. In the case

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abortive measures fail, the following tablet produces good results: