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In the septum of the nose, the nasal bones, and the hard palate, gummatous disease causes ulceration, which, beginning in the mucous membrane, spreads to the bones, and being complicated with septic infection leads to caries and necrosis. Syphilitic disease of the tibia may be taken as the type of the affection as it occurs in the long bones.

We ripped out the stuffy little wooden dressing-rooms, to the joy of the bath attendant, who possessed the facsimile of Tolstoi's face, and with the débris we built a large shed outside for the reception of the wounded. In the early days they came in large batches from other hospitals, pathetic septic cases, their lives ruined for want of proper care.

On the other hand, malignant endocarditis may apparently develop de novo. Still, if the cause is carefully sought there will generally be found a source of infection, a septic process somewhere, possibly a gonorrhea, a septic tonsil or even a pyorrhea alveolaris. Septic uterine disturbances have long been known to be a source of this disease.

The sick rate declined, septic sores, from which many men suffered through rough life in the desert on Army rations, got better, and the men showed more interest in their work and were keener on their sport.

Schell, who was stationed for some time at Fort Laramie, that it is the universal custom to dip the arrows in blood, which is allowed to dry on them; it is not, therefore, improbable that septic material may thus be inoculated through a wound. Many savage tribes still make use of the poisonous arrow.

Tuberculous infection may supervene in glands that are already enlarged as a result of chronic septic irritation. While any of the glands in the body may be affected, the disease is most often met with in the cervical groups which derive their lymph from the mouth, nose, throat, and ear. The appearance of the glands on section varies with the stage of the disease.

"Among these signs pain, either spontaneous or upon touch, a rise in temperature, increased frequency of the pulse and, in general, the signs of severe illness, are to be looked upon as the local and general symptoms of a severe septic inflammation; vomiting, at least in the first stages of peritonitis, was due to decided reflex irritation of the numerous branches of the peritoneal nerves; the fecal discharges at the onset may be explained, but by no means invariably, as due to peristalsis acting reflexively.

For this important section of conservative Germany, England was the enemy. So the gauntlet was thrown down to the whole civilised world at once, and the odds against Germany were too great. For the time being, the world has no example of a strong monarchy. The three great European empires are, at the time of writing, in a state of septic dissolution.

Infectious arthritis of the scapulohumeral joint the result of local causes other than produced by septic wounds, seldom causes serious inconvenience to the subject. Where such occurs, however, there is manifested mixed lameness and complete extension of the extremity is impossible. Local swelling is present and manifestations of pain are evident upon palpation of the affected area. Treatment.

Lymphangitis is most frequently occasioned by the introduction of septic material into the tissues; consequently, infectious lymphangitis is more frequently observed than the non-infectious type.