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7. In tabes dorsalis the cardinal symptoms are: Loss of knee-jerks, lightning pains, Romberg symptom and ataxic gait, Argyll-Robertson pupil, numbness of the feet, a history of syphilis, and the ebay uk viagra slow onset of the disease. In multiple sclerosis, the cardinal symptoms are: In- tention tremor, nystagmus, scanning speech, exagger- ated knee-jerks, ankle clonus, ataxia, rigidity in the legs, attacks of vertigo and apoplectiform and epilepti- form seizures. — From Butler's Diagnostics.) 8. In gangrene of the lung, the offensive odor of the breath and the presence of lung tissue in the sputum are quite sufficient to differentiate this condition from pleuritic effusion (or anything else). 9. In acute albinninuria there is albumin in the urine, but none of the other symptoms of interstitial nephritis. In interstitial nephritis the symptoms may be latent, but as a rule the general health is disturbed ; headache, defective vision, lassitude, insomnia, dyspnea on exertion may be present. The urine may contain a little albumin or none at all, blood pressure is increased, the pulse is hard and incomprehensible, and the second aortic sound is accentuated. 10. In acute otitis media there is tinnitus, impaired hearing, pain (which may become intense), and fever. Possible complications are: Inflammation of the mastoid cells, caries and necrosis, phlebitis, meningitis, and cere- bral abscess. 11. In rabies "the wound by which the poison was introduced, as a rule, rapidly heals, and for a time noth- ing happens to attract the patient's attention to the scar. In about six to eight weeks or so the scar may become painful and nervous disturbances manifest themselves. The patient becomes sleepless, peevish, ir- ritable, and experiences a choking sensation about the throat. When the disease is fully developed there are intense muscular spasms, the respiratory muscles and those of deglutition being specially involved ; but a more or less tetanoid condition may be observed in nearly all the muscles. There may be opisthotonos. The features may be horribly contorted or wear an aspect of extreme terror; the saliva is not swallowed, and as it collects in the mouth along with thick mucus from the congested fauces it causes noisy attempts at ejection, attended with great difficulty. The face is usually flushed or livid during the attacks and there may be raving delir- ium, delusions, and hallucinations. It should be noted that, viagra strengths though the patient is very thirsty, he is afraid to drink, as any attempt at swallowing brings on the spasms at once; even the sound of running water will excite the attacks. There is generally fever, the tem- perature ranging from 100° to 103" F. After from two to three days the patient may pass into the "paraly- tic stage," which, however, is ebay uk viagra more common in animals. He generally dies of exhaustion in from two viagra strengths to ten days after the development of the characteristic symptoms." Landry's paralysis "is an acute ascending paralysis beginning in the legs, rapidly involving the trunk, dia- phragm, and arms, ending fatally, and probably due to a toxic affection of the lower motor neurone." — (Wheeler and Jack's Handbook of Medicine.) 12. Sacro-iiiac disease is of tuberculous origin. The symptoms consist of pain over the joint, increased by movement or standing. From pressure on the lumbo- sacral cord, pain may be referred to the ebay uk viagra leg. The leg can be ebay uk viagra moved without pain or limitation if gentleness is exercised; but pain is produced by compressing or for- cibly separating the crests of the iliac bones. There may be apparent lengthening on the diseased side from pushing downward of the iliac ebay uk viagra bone on that side. Ten- derness and swelling, or even an abscess, may be felt over the joint posteriorly, or the abscess may burrow and point in the lumbar region, groin, or ischiorectal fossa. The diagnosis from sciatica is made by the absence of pain on compressing the peh-is in sciatica. — (Aids to Surgery.) BACTERIOLOGY. 1. Microorganisms may enter the body: ebay uk viagra (1) By the respiratory tract, as in pulmonary tuberculosis and whooping cough; (2) by the digestive tract, as in ty- phoid fever and cholera; (3) by the mucous membrane of the genital tract, as in gonorrhea and syphilis, and (4) by the bite of an insect (transferred to the blood) as in malaria and yellow fever. 2. Diphtheria is caused by the Klebs-Loeffler bacillus; uncinariasis, by the Ankylostomum duodenale and the Necator americanus ; syphilis, by the Treponema palli- dum; erysipelas, by the Streptococcus erysipelatis; malaria (estivo-autumnal) , by Plasmodium prsecox; abscess, by Staphylococcus pyogenes aureus, Staphylo- coccus pyogenes citreus, Staphylococcus pyogenes albus. Streptococcus pyogenes, Bacillus tubermdosis, and others; acute osteomyelitis, same as abscess; purulent salpingitis, same as abscess, with Micrococcus gonor- rhea, and Bacillus ebay uk viagra coli communis. 3. Infection is the morbid process caused by the suc- cessful invasion of the organism by pathogenic micro- organisms. The usual ebay uk viagra symptoms are: Malaise, chill, fever, prostration, headache, rapid ebay uk viagra pulse; other symp- toms vary according to the infection. 4. Chemotaxis ebay uk viagra is the property by virtue of which cer- tain living cells approach viagra strengths or move away from certain other living cells or substances. Strict parasite is a parasite which cannot lead an existence independent of its host. Saprophyte viagra strengths is a microorganism which grows on dead matter. Opsonin is that quality of a serum which makes a microorganism more susceptible to phagocytosis. Agglutinin is something in viagra strengths the blood serum of an ani-