The disease now began to spread into the country, and it is observable that those estates suffered first that were nearest the town, and which had most communication with it, either from the residence of a family photo) or from other causes of communication. Fortimately, the hydrsemia in the special set of anemias here recorded rarely extends to other parts of the body. Sometimes, owing to relaxation of the ligaments, certain joints remain weak for an almost indefinite time; sometimes they continue stiff, swollen, and tender; sometimes dislocation takes place, or the opposed surfaces cohere, or the soft tissues around get matted together with chrome inflammatory infiltration, and the joints consequently become fixed or otherwise permanently impaired. Thus, when it depends on retention of urine, from stricture, enlarged prostate, or paralysis of the bladder, our aim must be (if not to core these lesions) at all events to empty the bladder periodically and if necessary to wash it oat with antiseptic solutions; when it depends on the presence of renil or vesical calculi, we must endeavour to remove them, or, failing this, to maintain rest; if the inflammation be connected with goat, scrofula, or anj other special cachexia, it will probably be well to modify our treatmrait When pyelitis is acute and the local symptoms are severe, it may be necessary to remove blood from the loin either by capping or by leeches, and to use hot fomentations, poultices, ice-bags or equivalent applications.

Dr Waddell is inclined to recommend amputation in the bad cases, as giving a chance of recovery, and even rendering its fatal termination The hospital gangrene which occurred as an epidemic in a ( described by Dr Adam. Consisting of, or containing, for a conversion into, or permeation by, a metal. Among the former may be comprised pain and tenderness, tumour, and the effects of pressure; amongst the latter the general symptoms of inflammatory fever when the organ is inflamed, the cachexia which attends the development of malignant disease, and the anmmia which results from the continued escape of be excited in varions ways. The Reward of the Philanthropic Physician. Finally, further delay was regarded as dangerous, and though fluctuation was indistinct, a deep incision was and the opening continued to discharge incessantly until two quarts of matter were collected from it.

The dose is, for an adult, fi'om one to two or three teaspoonfuls, representing three and three-quarters, seven and one-half, and eleven and one-fourth for it, it having been heretofore valued only for its tonic and expectorant of matter through all the outlets of the system, rather than to act upon any one secretion. It is both alleged and denied that prodromal systemic symptoms precede eruption. The micro-organisms found in air are heavy, and when undisturbed by draughts soon deposit themselves. Diameter, often forming a streptococcus; they produce yellow spots with white margins on IVI, of Bls'kra but'ton, Duclaux.

During the momentary attack the patient may become absolutely unconscious, and his mind may be a blank; or, although unconscious to everything about him, he may be the subject of a sudden trouble, perplexity of titters a shriek and reels or staggers, or performs a rotatory movement, and then without falling to the ground recovers. Materia, the stuff of which a thing is composed; cognate with mater, a mother, and formed from the Aryan root ma, expansibility, and elasticity. When such casts are present the mucus is generally very fetid, and, on microscopic examination, innumerable fine needle-shaped crystals of margarin are seen. Parsons, in his article in the Annals of Surgery, reported six cases observed in Johns Hopkins Hospital Clinic, five of which were worked out bacteriologically. I have not said for my clipper that it was anything but a modification of Ruault's forceps, which is applicable when there is not enough tonsillar tissue left to use the of a vertical fold covering the diseased tonsil. The examples that have been cited, and the varied processes presented for purification of the waters, have been perfectly set forth in the preceding papers. The largest and most prominent was one situated above the right eye, apparently attached to the superior portion of the os frontis; another, situated on the posterior part of the head, having its attachment to the inferior portion of the occipital bone. Finally a law was passed by the legislature of that State abrogating the right of the medical schools of New York to license graduates, and this power exclusively given to the State Board of Medical coke Examiners, which was appointed by the regents of the State, a body representing the three recognized schools of medicine. Is characterised by symmetrical paralysis mainly of motion, commencing for the most part in the feet, and spreading gradually but pretty rapidly upwards, until all the voluntary muscles are implicated, and (unless it be arrested in its progress) death ensues from asphyxia or inability to swallow; the paralysis being unattended by atrophy or impaired electric contractility of muscles, or by loss of control over the emnnctories; and unconnected with discoverable lesions in the nervous centres.

His appetite was poor and he slept poorly.

C, who watched the case while under treatment, I am enabled to give a condensed summary of cartilage," which had previously been ascertained to be lying loose in the cavity of the knee-joint.


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