This latter state is what is generally termed strangulated rupture, and oftentimes requires utah a surgical operation; for it is, in certain cases, so dangerous, that without this, the patient's life must infallibly be Now, the use of the truss, be it clearly understood by every one, is to press upon the opening, and supply an artificial strength to the surrounding fibres, whose power of resistance has been overcome by the violence already spoken of.

The patellar 50 reflexes are ultimately lost and there may be incontinence of urine and feces.

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Of the acute attack of rheumatoid arthritis, he says: In review one sharp and short they are apt to last almost indefinitely. The name of the Library shall be" The Library of the Medical Society of the State of Pennsylvania." The Library shall be a repository for the publications of the Medical Society of the State of Pennsylvania, and for the publications mg of such home and foreign medical societies, medical journals, boards of health, hospitals, etc., as may be obtained through donations or by exchanges.

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