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[left page:] Full pulse Paroxsysm 4 - 16 [hour at?] Some [years?] more malignant than other
[Iterrval?] Intermission Tersian [TERTIAN?] every [48?] hours Quotideum [QUOTIDIAN?] every 24 hours
Remittant fevor [FEVER] Bilious Remittant is an aggrevated form of Intermitant [INTERMITTENT?] ~ [Sempli?] Inflamatory [INFLAMMATORY] Malignant. From ten or 12 hours continuation of parox' Remission continues from 2 - 9 hours [Esacipation?] ~
[right page:] Inflamatory [INFLAMMATORY] Eppegastram [EPIGASTRIUM?] ~ closely allied to continued typhoyd [TYPHOID] fever ~. Altho [ALTHOUGH] never can become continued or death sometimes occurs on the 4th day - by profuse [hern?] from the bowels - - - - - - - - - - - - - - - - - - - - - - Malignant extreme coldness of surface - altho [ALTHOUGH] the patient complains of heat and thirst - ([vowels?] uncertain (mind much disturbed (generally) If patient is neglected died in the second or third parox'
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Page 23
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Page 24
There is a kind of 'face ache' which cannot properly be reckoned as a species of nuralga for it does not occur in short stabbing paroxysm nor is the pain acute enough to entitle it to the name of tic douloureux, but which is ver common, very distressing, and under ordinary treatment sometimes very intractable
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