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  Item Reference: KCLCAL-1876-1877-628

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628 MEDICAL DEPARTMENT condition has been varied by alternating attacks of diarrhoea attended with considerable straining and abdominal pain The alvine evacuations are dark-coloured and at times contain blood sometimes mixed with faeces sometimes pure and always-venous in appearance His urine is somewhat scanty usually high- coloured and often deposits red sediment on the sides of the vessel but it passes freely and naturally It contains habitually proportion of albumen varying from £th to th part He ha3 frequently copious nightly perspirations and does not sleep well His appetite is capricious and has of late fallen off much His breath is somewhat fetid and there is considerable flatulent dis- tention of the abdomen He has no chest symptoms of im- portance On examination he is found to'have haemorrhoids both internal and external There is somewhat resisting tumour in the left lumbar region reaching from the short ribs to the iliac crest It is slightly moveable and when pressed or handled firmly feels tender He states that it is sometimes larger than it is at present He has some pain in the back near the same place In your remarks upon this case state the conditions which might give rise to these symptoms and give in detail the means by which you would endeavour to arrive at right diagnosis Give also the treatment you would adopt and describe any surgical proceeding which might be advisable What would be the probable result of the case and if post-mortem examina- tion were made what would you expect to find dForenSit iHeliirint Scars Discuss the medico-legal relations of scars 'n reference to ques- tions of identity with illustrations from recent trials Tichbome Wainwright Delivery signs of Give the signs of delivery in the living and dead Poisoning by Strychnia Give symptoms course and termination pathological
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