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Thursday, 12th July 2018

regular patches, and it may involve an entire lobe. The lung is sometimes

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the little abscesses that produce ulceration of mucous surfaces are due

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forceps, a grooved director, artery forceps fa half dozen or more),

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remain. Microscopically the vessels are seen to have returned to their normal

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instruments or imperfectly sterilized dressings or ligatures. The morph-

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tion, after injuries to certain portions of the nervous system, after inter-

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tum. Internal hemorrhoids may be distinguished from rectal polypus by

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always acid with hypersecretion. Lastly, acidity from fermentation has a

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dences of injury to the soft tissues. These are evidences of injury

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and from it flows a considerable quantity of bright blood. Older nodules

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case of necrosis, it is thick and purulent. In case of necrosis,

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in a few days the entire wound is filled with new cells (granulation-tissue

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moderately swollen ; there may be some soreness of the throat. The

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free from blood. With the history these points are usually sufficient for a

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A. Endothelimnofartery,cellstvrnedinward.—B. Intima thrmvn ^^^^ aorta the middle COat

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fective phlebitis was the source of trouble among the older surgeons, as

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pancreatine given two hours after eating will often relieve the intestinal

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tion to the return circulation. It occurs with varying appearances and

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is a flattened, defined bulging near the free border of the ribs, between

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Again, in cases where tliere is marked swelling of the throat, and a

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the blood into the tissues and is in reality an infiltration.

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of the skin begins as the mulberry rash fades ; it appears once for all — not

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closed by means of a through-and- through abdominal suture.

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ally decreasing in intensity, although it may be " rushing " or " blowing ; "

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1 Atrophy is chronic congeslion with dilatation of the central vessels and their radicles.

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certain symptoms which are classified, as a rule, under two conditions,

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Palpation. — Vocal fremitus is usually increased over the affected portion

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