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If it occurs later in life it generally is associated with aortic narrowing, and is a part of the general endarteritis and perhaps atheroma of the aorta. Sometimes it is caused by strenuous exertion apparently rupturing the valve. This form of valvular disease frequently ends in sudden death. On the other hand, it is astonishing how active a person may be with this really terrible cardiac defect.

Twenty seconds after I have started revolving, the blood will be bursting out of his finger-ends, the delicate tendons will be rupturing, and all the muscles and nerves will be mashing and crushing together in a shrieking mass. Try it sometime when somebody has you by the collar. But be quick quick as lightning.

Blind checks are those in which the break in the shell is not readily observable. They are detected with the aid of the candle, or by sounding, which consists of clicking the eggs together. Dents are checks in which the egg shell is pushed in without rupturing the membrane. Leakers have lost part of the contents and are not only an entire loss themselves, but produce smeared eggs.

It may be necessary to administer an anæsthetic before rupturing strong fibrous adhesions, and this procedure must be carried out with caution, in view of such risks as fracture of the bone which is often rarefied or separation of an epiphysis. There is also the risk of fat embolism, and of re-starting the original disease.

It rarely constitutes any obstruction and, even when its rupturing may be necessary, it alone seldom causes suffering. There are sometimes certain deformities of the vagina, but no woman should knowingly seek matrimonial relations when thus afflicted. We quote from Dr. C.A. Huff the following: 10. "WHAT IS IT, THEN, THAT USUALLY CAUSES distress to many women, whether a bride or a long-time wife?"

The war against Nature had been only partially successful: indeed the chuff chief-of-staff declared that Nature had not learned her lesson yet, and that some irreconcilable berries and fruits were still waging a guerilla fermentation, thus rupturing the armistice terms.

About noon on Thursday a vesicle formed on the pink surfaces containing clear serum. In the night between Thursday and Friday, usually between midnight and one o'clock, the flow of blood began, the vesicle first rupturing. The amount of blood lost during the so called stigmata varied, and some observers estimated it at about one and three-quarter pints.

Our arrangements comprised, first, four barrels of powder in deep yawns ahead of the vessel, directly athwart the line of her head; second, two barrels, a wide space between them, in the great chasm on the starboard side; third, about fifty very heavy charges in bags and the like for the further rupturing of many splits and crevices on the larboard bow of the ship, where the ice was most compact.

McMillan describes a man of twenty who was kicked by a horse over the liver and rupturing that organ. A large quantity of offensive fluid was drawn off from the liver, and the man recovered. Frazer reports a case of rupture of liver and kidney in a boy of thirteen who was squeezed between the tire and driving chain of a mill, but who recovered despite his serious symptoms.

"That is no affair of yours, my lord duke!" answered the spirited voice of the queen. "Be good enough to finish Lord Gloucester's trial; and until then I will be responsible for the safekeeping of Sir Norman Kingsley." "And after that, he is to go free eh, your majesty?" said the dwarf, laughing to that extent that he ran the risk of rupturing an artery.