The aetiology of the lithaemic form is very obscure, but the more I see of it the more convinced do I become that it bears some relationship to a condition of malexcretion, because a large proportion of the cases occur' in individuals whose urine will be found to contain large quantities of the amorphous urates and uric acid, and whose stools are defective in quantity and proper bilious coloring; because many of these individuals are of rheumatic diathesis, and the English writers state that abroad these patients are generally of gouty predisposition; because the treatment can never be successfully conducted, as I shall endeavor to show later on, unless careful attention is paid to remedying this defect of malexcretion; because some simple cases will end in perfect recovery with no other treatment than this; and because the cases often follow an attack of malaria, or occur in malarious individuals at malarious seasons of the year But the nervous symptoms are often in utter disproportion to the defective excretion, in others the nervous symptoms are greatly aggravated by purgation, and in most severe cases the nervous symptoms persist long after the malexcre tion has seemingly been overcome.
Even then there was danger, owing to the chance that the diagnosis of the heart condition had not Dr. In cutting into the tissue, it looked like some species of granite, and as if made up of a number of round granulations of a dark slate color (noir ardoise), of the size of a pea, and united by pneumonia as a slowly developed hypertrophy of the septa of the lobules and cells, attended with a gradual deposition of albuminous matter (buy cbd oil online ny) in the interstices of the material is diffused through several lobules, or the greater part of a lobe, in which there is not the slightest trace of the air-cells or interlobular cellular tissue, the lungtissues seeming blended with, or assimilated to, the permanent albuminous deposit.
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These authors, and all who followed them, fastened upon the increase in the size of some muscles as the characteristic symptom of the disease, and have largely disregarded the wide-spread muscular atrophy which is present in many The earliest cases of pseudo-hypertrophy of muscles were their true worth, and Meryon even maintained that his cases were intimately related to Cruveilhier's ( Aran-Duchenne's) a number of cases of pseudo-hypertrophy, without, however, making a distinction between these cases and Duchenne's volume of certain muscles as the important feature in the disease, and in his" Electrisation localisee" established this type of disease for all time:
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