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Consequently, in all those cases in which the morbid process of glanders is blended from the beginning with more or less inflammation and exudation, the glanders-cells generic will be small and numerous; and as the imflammatory exudations destroy and dissolve the intercellular substance, the latter and the exudations themselves will constitute a fluid in which the glanders-cells are kept suspended. With unaided ear this murmur could be heard distinctly not only effects in the second right space but down the left side of the sternum to the forth space and outward almost to apex.

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