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Report of the Pennsylvania Hospital for tJie Insane. 1864. By Thomas S. Eirkbridb.

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cough, the skin is dusky, and the cervical veins are distended and pul-

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atrophied kidney of chronic diffuse nephritis. The term -'chronic

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ficient little or no disturbance to the comfort of the individual results.

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the circumstance that the causes which produce a confusional insanity

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broncho -pneumonia is due to the inhalation of foreign bodies of any con-

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although it is probable that in certain instances it represents irregulari-

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ical characteristics of acute pneumonia. Moist rales are to be heard in

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spots in the field of vision, and contraction of the field of vision, are the

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of development of its paralytic phenomena, and by the muscular atrophy

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now can I think of one more appropriate. I felt that I was dealing

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subject to digestive derangements. Whatever irregularities of digestion

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dicative of an acute interstitial myocarditis, and represents the result of

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gall-stones are generally considered of etiological importance. The more

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October 3 — ^Fragments in position, and union taking place.

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metrical joints are usually affected, and recurrences are frequent. At