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They even communicate, and are lined, and externally wrapped together, by the same membrane; the whole assuming a pear-like form, attached by its base or greater extremity, and decreasing in size as it proceeds downwards; the cells becoming fewer, and terminating at length in a kind of apex, which passes under the superior turbinated bone, and forms a valve between the nasal cavity and the maxillary sinuses.

Wood's system of therapeutics gives rise to an hypothesis as to why disease of the nasal accessory sinuses may be a factor in producing increased intra-ocular tension and why treatment directed toward obtaining free drainage from the sinuses gives good results in so many cases, especially if the relationship is recognized sufficiently early.

The cervical fascia is perforated and a cold abscess, often much larger than the gland from which it took origin, forms between the fascia and the overlying skin. The further stages reddening, undermining of skin and external rupture, with the formation of ulcers and sinuses have been described with tuberculous abscess.

He also remarks that women who suffer from large varicose veins are seldom troubled by the nausea of pregnancy. Evans believes that the purpose of these contractions is to facilitate the circulation of the blood through the large venous sinuses, the surcharging of the relatively stagnant pools with effete blood producing the irritation which leads to rhythmic contractions.

Peckham was uttering these words in his thin, shallow whine, twanging up into the frontal sinuses. What was the use of losing his temper and throwing away his place, and so, among the consequences which would necessarily follow, leaving the poor lady-teacher without a friend to stand by her ready to lay his hand on the grand-inquisitor before the windlass of his rack had taken one turn too many?

The treatment of this cardiac tire is not complete until the tonsils, gums, teeth and the nose and its accessory sinuses are in good condition. Various other sources of chronic poisoning from chronic infection should of course be eliminated, whether an uncured gonorrhea, prostatitis, some chronic inflammation of the female pelvic organs, or a chronic appendicitis. Int.

Tuberculous disease in muscle, while usually due to extension from adjacent tissues, is sometimes the result of a primary infection through the blood-stream. Tuberculous nodules are found disseminated throughout the muscle; the surrounding tissues are indurated, and central caseation may take place and lead to abscess formation and sinuses.

In the latter disease, it is sometimes necessary to trephine and wash out the sinus or sinuses affected with an antiseptic solution. It may be necessary to continue this treatment for several weeks. BRONCHITIS. Inflammation of the bronchial tubes may be either acute or chronic.

The limb having been rendered bloodless, existing sinuses are enlarged, but if these are inconveniently situated for example, in the centre of the popliteal space in necrosis of the femoral trigone it is better to make a fresh wound down to the bone on that aspect of the limb which affords best access, and which entails the least injury of the soft parts.

Gummatous disease is frequently observed also in the flat bones of the skull, in the bones of the hand, as syphilitic dactylitis, and in the bones of the forearm and leg. When the tibia is affected the disease is frequently bilateral, and may assume the form of gummatous ulcers and sinuses.