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The diseased part of the oesophagus was removed for careful examination I was fortunate in obtaining two photographs of this case. Treat ment changed to Janet's irrigations with permanganate revealed urethritis chronica infiltrativa et glandularis.

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The overloaded stomach undoubtedly gave a sense of uneasiness; then the increased contractions of the stomach might cause some pain, and perhaps also the contractions of the hypertrophic pylorus caused special pain, and especially when there was a struggle between the antagonistic contractions of the stomach and of the pylorus.

In the second stage we might rely upon the following symptoms: the change of the area of percussion with the degree of filling of the stomach, the appearance of peristaltic waves over the region of the stomach, the palpation of the contracted stomach in an empty stage.