248 WHITTAKER — DISEASES OF THE HEART AND PERICARDIUM.
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in the abdomen, and much distress resulted therefrom. Paracentesis
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hemorrhage, and at the autopsy there was found syphilitic disease
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The following table, which is compiled from 280 cases, gives the
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this will occur, depends in some degree upon the size of the veins
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the systole, and two short sounds, that of the closure of the aortic
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information can only be obtained by comparing a large number of cases
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and sometimes not for ten to thirty minutes or more. Again on
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by the great hypertrophy of the left ventricle and powerful impact
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heart rate and in the force of contraction are not, as a rule, accom-
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The prognosis is always bad for the reason that the hypertrophy
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dilatation of the right chambers of the heart. Possibly the sac may
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Dinner : Meat, usually bacon boiled with vegetables ; had fresh beef once or
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cava, when it may be heard especialty loud at the lower part of the
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that year. It is possible that some cases which actually originated
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66° F. At the beginning of the second week after the operation a
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2. Howland and Marriott: Bull. Johns Hopkins Hosp., 1916, xxvii, 63.
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the course of an infectious disease. Most decidedly an opinion exists
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of causation itself. Students are taught on the highest authority
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cold bath may be permitted in only the most robust cases. Hot
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By comparing these figures with the distribution according to age at
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presence of two murmurs, both coincident with the systole, one
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Hammersten's method is the most satisfactory means of detecting
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symptom. The muscles of the extremities appear to be the most
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independent of valve lesion. The frequency of murmurs in this
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four showed little or no improvement ; two of these latter were given
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TABLE 3. — Two-Hour Renal Test in Case 1, Made April 14, 1916 *
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plasma contained no pigment at any time, hut always contained bile
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to light. The deep reflexes of the arms and legs were absent. There was
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how the sound of the murmur may be propagated to the left auricle
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declares that the injection of camphor oil in dose of 1 cm. aud over
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speech area from the triangular part of the inferior frontal gyrus of the left