pa-like body on the extensor surface of the left forearm. The teeth d a tendency to a serrated condition of the lower border of the two upper incisors; the gums were inclined to bleed ; the tongue clean. His appetite was fair; he was thirsty, His bowels were open four or five times a day. The stools were sometimes formed, at others were pultaceous; always of a light yellow colour. This had been the case, his mother said, for twelve months. He had frequently vomited blood. His abdomen generally

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... as distended, with marked prominence of the upper part. The liver-dulness in the right mammary line began at the sixth rib; in the right axillary line, at the eighth rib ; in the vertical nipple-line, it extended three good fingers' breadth below the costal margin. The surface was smooth and hard; the margin slightly