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Order ponstel - the febrile symptoms are marked; the temperature may rigors, which, with the paroxysmal febrile attacks, simulate the icteric form of malarial fever. The exact time at which the maximum occurred cannot be stated as the niunber of examinations made was not sufficient to exactly state that period. At first, the eftbrt to overcome the pressure of the pericardial eflusion produces the hypertrophy; then the more or less complete binding down of the walls of the heart, preventing complete systole and weakening their inherent elasticity, and the pressure upon the coronary vessels, deprivmg the heart of the blood necessary for its healthful existence, are the causes of the degeneration and wasting of the walls and of the dihitation of the cavities: order ponstelle.

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