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These areas on pressure occasion eructations (aerophagenic points, Bandouin). In order that the resulting peritonitis should be localized, certain conditions are necessary; thus preexisting adhesions which prevent the gastric contents from spreading widely over the peritoneum are of great importance. The signs and symptoms of diffuse peritonitis vary very widely in different cases; this depends on the cause of the peritonitis and on the virulence of the infecting organisms; in fact, different forms of peritonitis show somewhat analogous variations to those of pleurisy. The degree of acidity of urine may be approximately estimated by the more or less decided redness given by it to litmus paper. Of the instances in which both hasband and wife were known The distribution of the disease among the tribes is In the Philippine Islands, as elseu lu re, lepm-A mure The admission records show that the attempt to separate the cases into types of duease has proved unsatisfactory, as some of the cases Iwve been classified as"anesthetic" or"tubercular" from the most pronounced symptom only, while the description of the cases show them to be, in some cases,"mi.xed." The larger majority of the cases, however, have been"tubercular" or"nodular," with the"mixed" cases coming second in point of numbers.

It is a bit startling to receive a thousand-page volume on health problems, endorsed by Harvard University"with the compliments of the United Fruit Company." At once we think of the great change which has come about in recent years in the attitude of great corporations toward the health of their employees. Tetany, while commonly associated with old scarred ulcers with dilatation, sometimes occurs without any such complication. The responses in the majority indicated vagolony to a greater or less degree. It should be the forcible abduction and internal rotation of the femur, as advised by Whitman, in an effort to pull the lower edge of the neck out of the impaction into the head, which results from the forward and backward slip of the neck. In many cases, after a cure of the original catarrh, a complete recovery from the paralysis may follow by taking good care of the voice (buy). It is a matter of every-day experience that individuals normally perfectly regular at once become constipated when confined to the house or room by some trivial ailment which merely restricts the usual exercise. Secondly, a concerted effort to educate the public and expectant mothers to the importance of being under the early and continuous care of a physician, and of the necessity of full co-operation and history of our patient and frequent Fourth, the heroic treatment of preeclampsia symptoms by diet, elimination, rest in bed if necessary, and by the early induction of labor if not amenable to treatment, before reaching the dangerous convulsive stage.

As most congenital diverticula are true and most acquired are false, the terms"congenital" and"true" and"acquired" and"false" have often been employed synonymously. As these salts are also acceptable as seasoning in place of common salt, the following Important articles are fresh meat, potatoes, oatmeal, carrots and cauliflower, cut fine and then boiled for hours witli several changes of the water; stewed apples, prunes and apricots; very weak tea and coflPoc; water is used for dri.-ikint;, hut if tu cil be. I must content myself with statipg my own conviction, that the process of cure is a natural one, analogous to the union of wounds, or the healing of ulcers, and that a normal supply of blood both in quantity and quality is as necessary to the healing of the one as tP the resolution of the other. Antidipjhtheritic power has of late been strongly asserted of Professor Polli, of Milan, not long since (following Chaussier and Bielt of Paris), proposed the internal use of the sulphites of soda, lime, and magnesia, in toxeemic diseases, as antizymotics or antiseptics. The causal indication, whose point of attack "zhewitra" is aimed directly against the tubercular poison.

Though not always with ease, by the continued enlargement of the organ in those affections; while they are also less constantly attended by dropsy and enlargement of the abdominal veins. Usually there is too much pain to permit a careful examination of the change of dullness consequent upon change of decubitus. Beside the anthraoosis already mentioned, the pulmonary disease from inhaling the dust of flint and siderosis pulmonum. A too deep penetration for the second division may perforate the nose or floor of the orbit. It is frequently localized and nearly always referred to the same spot in the epigastrium below the xiphoid cartilage.



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