. Physical diagnosis . Fig. 265.—Gouty Tophus in the Ear. (c) Coughing or sneezing often gives great pain, probably becausethe costo-vertebral joints are involved in the new growth; if ankylosisof these joints occurs later, the respiratory movements of the chest areinterfered with. THE JOINTS 471. Fig. 266.—Gouty Arthritis. (Goldthwait.)

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Keywords: ., bookcentury1900, bookdecade1910, booksubjectdiagnos, bookyear1912