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The prognosis is mainly dependent upon the associated lesions and

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Perforation^ which almost invariably produces fatal diffuse peritonitis,

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in which, on macroscopic examination, remnants of food and grayish

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the stage of .suppuration a supportive djet, reinforced by the judicious use

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rarely be present. The points of difference between carcinoma of ^^

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may infer the existence of esophageal implication, though there be no

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Predisposing Oauses. — The influence of insanitary surroundings

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out of a total of 1236 cases 726 occurred on the left side and 510 on

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in size and the degree of fever being proportional, and the liver is hyper-

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lowed by an enema. An overloaded stomach calls for an emetic, and

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inhaled may find lodgement in the mouth, pharynx, etc., and then be

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flourishes. Granulations also form a favorable soil. The diphtheritic

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odors, and vary greatly in number and quantity. There is com-

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The iulgurant pains, or those of the various crises, are occasionally so

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