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He was subject to occasional and irregular paroxysms of fever; complexion anaemic and borabycinous; conjunctivae greenish; abdomen greatly enlarged; on examination the liver was found decidedly engorged, and extending from the right hypochondrium to the epigastrium; spleen enormously hypertrophied, hard, inelastic, and descending diagonally to the right iliac region; bowels dicanxi torpid; stools pale and deficient of bile; digestion imperfect; listless apathy; respiration easily hurried; pulse thrilling and small; face often bloated; inferior extremities, at times anasareous, and now the seat of atonic and phagedenic ulcers.

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Native cholera partially with a few rags, the ground being in a state too awful to be described: loss.

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