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The diagnosis has to be made from solid or cystic tumours overlying the artery; from a "pulsating aorta"; and from spinal caries; much help is obtained by the use of the X-rays. The condition usually proves fatal, either by the aneurysm bursting into the peritoneal cavity, or by slow leakage into the retro-peritoneal tissue.

The atrophic type of scleroderma is preceded by an edema, and from pressure-atrophy of the fat and muscles the skin of the face is strained over the bones; the lips are shortened, the gums shrink from the teeth and lead to caries, and the nostrils are compressed. The etiology and pathology of this disease are quite obscure.

But he shows that caries is caused by the lime salts in the teeth being attacked by acids from decomposing food in crevices, from artificial drink such as cyder, from sugar, from medicine, and from vitiated secretions of the mouth. It is evident that in civilized races natural selection cannot so rigorously insist on sound teeth, sound constitutions, and protective alkaline saliva.

Suppose, for instance, the Medical Society should refuse to give us an opiate, or to set a broken limb, until we had signed our belief in a certain number of propositions, of which we will say this is the first: I. All men's teeth are naturally in a state of total decay or caries, and, therefore, no man can bite until every one of them is extracted and a new set is inserted according to the principles of dentistry adopted by this Society.

As Horace told you, caries of the bone has begun. At her age the bones are so tender." The operation was performed at the beginning of March, 1828.

This is observed chiefly in chronic disease of pyogenic or tuberculous origin, and is usually attended with the formation of abscesses outside the joint. Ulceration of cartilage and caries of the articular surfaces are common accompaniments of the more serious and progressive forms of joint disease, especially those of bacterial origin.

A black wooden tablet, bearing the words 'Caries tuberculosa', hung at the head of the bed, and shook at each movement of the patient. The poor fellow's leg had had to be amputated above the knee, the result of a tubercular decay of the bone. He was a peasant, a potato-grower, and his forefathers had grown potatoes before him.

The case, said the doctor, had been one of caries of the bones of the left heel, with a commencement of necrosis necessitating excision; and yet the frightful, suppurating sore had been healed in a minute at the first immersion in the piscina. "Tell the gentlemen how it happened, Sophie," he added. The little girl made her usual pretty gesture as a sign to everybody to be attentive.

I. All men's teeth are naturally in a state of total decay or caries, and, therefore, no man can bite until every one of them is extracted and a new set is inserted according to the principles of dentistry adopted by this Society. I, for one, should want to discuss that before signing my name to it, and I should say this: Why, no, that isn't true.

Suppose, for instance, the Medical Society should refuse to give us an opiate, or to set a broken limb, until we had signed our belief in a certain number of propositions, of which we will say this is the first: I. All men's teeth are naturally in a state of total decay or caries, and, therefore, no man can bite until every one of them is extracted and a new set is inserted according to the principles of dentistry adopted by this Society.