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This concussion of the epigastrium is not directly dependent upon emphysema, but Heart) Even when the heart of an emphysematous patient has become considerably enlarged, the shock of its apex is imperceptible, the lung having become interposed between it and the thoracic wall Sometimes, however, besides the concussion of the epigastritm),a feeUe heartrshock is perceptible at a point fisuiiher downward and outward than is normaL That the apex is displaced downward, is simply owing to the depression of the diaphragm, upon which (does valium help with fibromyalgia) it rests. I have, however, met with objects which appear very similar to the bulbs of the "chemical structure for valium" human retina in the frog:
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