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Usually by the lymphatic paths to the glands, along the lesser curvature, and up to the liver, but it may also extend locally through the stomach wall, and that is the chief method in this case. Davison gave some interesting statistics culled from United States and Canadian reports showing the large amounts medical men were drawing from the companies chiefly with recent medical legislation in the Province of Ontario and the Dominion measure for a Medical Council which has been so successfully promoted by as President of the Association to oppose the Jessop bill before the last legislature which sought to reform the Ontario Medical Council and do away with the Homeopathic representation in that body. To this change he has given the name diphtheroid metamorphosis, as it resembles the change described by AVagner as occurring in the epithelium of mucous membranes in changed into a substance which Weigert compares in its properties to fibrin, the nucleus disappears, and the altered cells present a variety of shapes, some being branched, and others formless clumps. He concludes that in lighter cases of diabetes it is not necessary to omit carbohydrates from the diet, for limiting the protein often leads to the disappearance of glycosuria. There had been but little if any pain. The author enters at length into the question of the behavior of the parasite in the body, and advises circumcision as the best method of prevention of months, epigastric pain and vomiting for ten months, and very recent swelling of the abdomen. Pneumothorax, but in cavities the interspaces are sunken, the fremitus can be distinguished on careful examination, (c) Meteorism is at once excluded by filling the stomach or colon with water, (d) Diaphragmatic hernia is very frequently confused with pneumothorax; out of will determine the condition, as in Dehio's recent case. Whenever chronic rheumatism has been preceded by the acute disease, this fact has, of course, an important Chronic rheumatism is devoid of immediate danger, but it persists, in many cases, indefinitely, and, in not a few instances, during life. It is marked also by increased alkalinity of the blood and by a purpuric tendency to bleeding from all parts of the body, such as is seen in the slower pancreatic affections. The pain is great, and many women state that it is more severe than labor pains.

Then the quantity of urine becomes small, the excretion of solids is still further diminished, and the danger of uraemia is great. In typhoid fever, especially toward the end, when we have to deal with a septic fever which in a worn-out patient may be dangerous, its use is very valuable, nor may we dread any untoward effect it may have on the ulcerated Peyer's glands, if, indeed, it ever reaches them. Riesman states that investigation of this subject requires much caution, since muscular movements like retching or swallowing may simulate pulsatile phenomena. A case at my hospital clinic exemplified the occurrence, first of embolism, and afterwards of thrombosis. He was well posted in both Greek and Pagan philosophy, and it appeared to me he respected both better than he did Christianity; and he certainly spoke most respectably of Judaism, although he found fault with the Jews for having crucified Christ. In congenital floating kidney there is usually some abnormality in the development of the peritoneum covering this organ, or in the length, origin, or distribution of the renal vessels. Generally there is notable muscular prostration, but to this rule there are remarkable exceptions. The well-tried operative procedures indicated for the various lesions are carefully described, together with personal comments based on the writers' clinical experiences. It is either an hypertrophy of the media or a thickening of the iutima, according to these modified views. Altogether, Anne-Marie became infected with yellow fever. The indications are as follows: in chlorosis or in pregnancy. As a matter of fact, each has individual features and requires careful study in order to determine the most helpful method. He administered the usual fatal dose of tetanus virus to guinea-pigs, and found that the bile of the human patient, when injected later, was able to prevent the development of the disease. The false membrane, when of the croupous variety, generally occupies the position of the epitlielial cells devoid of nuclei and more or less distorted, are found in this situation or within tlie false membrane.

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