What can have created this morbid state of the mitral valves? It is rare to meet any symptom of heart affection, either preceding or online accompanying the chorea; and the valvular imperfection is often overlooked, and only discovered by careful auscultation of the heart's sounds. The children for disallowed medical grounds of rejection, want of cleanliness heads the list for nearly half the children; next comes defective vision or disease of the eyes. In cases where the tibiaUs auticus is "protocol" strongly acting its insertion may be detached and sutured to the periosteum and ligamentous structures over tlie dosal surface of the cuboid so that it becomes an inverter of the foot.

When these are and completed the mass of pectoral muscles, axillary tissues, and breast are rapidly separated by the finger from the chest wall; for vessels divided in this process at least a dozen pairs of forceps should be ready. When sensations of pain, or sensations of heat and cold are produced, it is found that there is a complete loss of both of these forms of sensations in the left half of the face and in the right side of the body and neck and back prometrium of the head.

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