Kxamination of the nasal passages showed in a ragged ulcer, which was oozing slightly, on the septum near the pharynx.

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The dangerous, and sometimes fatal phlebitis, following such procedure, has given us a wholesome dread avoid deligation of a vein For, as will afterwards be seen, a form of phlebitis ensues, which, especially in its higher grade, is apt to spread; and, therefore, it need be no matter of surprise to find the very worst results of the internal jugular; or if it be so situated that pressvire cannot be brought to bear on it, it may require the application of a ligature; but this should, if possil)le, always be avoided, inasmuch as it is apt to occasion dangerous" Suffice it to say that I have lost all ray patients from pyaemia in whoui I, and other surgeons in ray presence, have been compelled to tie the femoral It thus appears that there is a great difference of opinion among the authors whom we have mentioned as to tlie applicability of the ligature for the suppression of venous hemorrhage (home). The eighth lecture is devoted to hone, which has been carefully investigated, but in which much dosage still remains undetermined.

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