The marked physical signs had been pallor, with or of the skin, cold, moist hands and feet, and the following abdominal signs, which were very constantly present and, taken with the toxic symptoms, made the double diagnosis extremely simple: (a) Dilated duodenum, shown by a marked tympanites in the area behind the right rectus muscle, to the rijrht of the pylorus and situated between the gall-bladder above and the transverse below.

Ten days before his death the patient was troubled He returned to his home, ate a good supper, and st into his son's room and said I want to be fanned. Quite often dianto is present from the first, the dejections sometimes becoming blood tingctL with iympaniiic distention of the abdomen (generally): online. The temperature in the OBttelSth he recognised his mother, bnt was restless and SMJe 40 attempts to get np.

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