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[ancreKr . | (q ~aPomach } To (a hepeh Pr (viet } lo | apeotte a — O aE p> Merhaf Chere eu OS heey __! co. ot Butt Ref — Profipe Hlerekerness [ Varicen) (eo“ TCARIPAN SH AIRE | ° = | i= paced. - |g |e det = Show Haemorrhy¢ re Ca- sperma, FE Big fee - . _ : — : i ‘ = ( choleeyeh ha, t _B ous ie | Tiieshid chibi | PO oF | Progedile Gpitwy = ‘iylevie “Henan [ Urelipaited Ko | 5 - = Jor Tao yarT | 2 _| _ a ~ Cain dey Colne) | ~— — _ i -C __ Frequency No 4 Episede Jew lo _ : -o_] Taste | emrel =| oO Oo Reelin Efend 9 Semathe fo] — Gadhh Wee | oe _ _ Semeval her abe fecd ~~ Bgdeatesteresiy ~ | 2 . ——_. . _ Cees) i 2 _ Relabien © Poy 9 fain welch — Sn Gu : Of _ : ~ / | Gea] Poet a Hemebomects Bhred in vertu) (B feed parkeTe : < j QO . ~ ” } oO. | (ener = Gay Dk ee fod ie) ° . i bore © Penal 4 feo Healy * hv |. = Mor of a Bifee geod = [Co thomeh 12 = olor s {Ow gk bu f Oo qmound % egret = feokwe eedia i c -. = ow Malone . - Vorices, 2p a Le dark | tarry thre! pes aruny oC | — So CA upp OE. bl tecblg ) mle = (. Pephe lee ( Des CU) a8 || i 1 Date oO | if Arovena, wh fess | - 1 4 [Jourdied = leben f. Yello th alircclnank ED 4, | [Tey : [Rowe nobif i * [oo Uscwdl bood Kebik be fae Timer te fds Gr booed Hesbit ~~ bt |S" charge in Bawel Habit “hs . + Blood | mucus mus per vecdum. ( (pyar disesxe = pmeellacts J TED) } ~ Gnskpahien 90 dine, Trleatiel okaby +t + Alternate Dyowrhoes ¢ Gndypeh =~ Can bolon Step] (= Black taney = Uppec OE bpeediny By ) whieh [day wleouved 27 Rilliawy eboteuky > : large Falty vPfinsive = Chron qanweaktrs 1 C tteakvboca) F oP ¢ I CUninacny dmg Dermal owe, P| ! ° re sLeia fly rt + Preguency (diver | peck) +t ; 2 tegency | heat honey b Hemehre’ - ee chiffieathy 1 Dvinahin er 12 : . Burney pict rity[EAR AERP] STE Date LAppethy ao C4 ort ooh _t_ lect of Appeb ke * 4. C@ er 2) _ KS. Tee 1 Jaxindice - wr — tuablatt “Disliee For Fay frods = 0:8. diveore atlas) ° | “(hese oy. ¢ y Can tinemy 9 Galhric vice | , oO oe Jaurdice |) Geefpaah en ( Fylowtc Henao) 6 , 7 3 Tie Ge tine . _O- | + fain iy abdomen me) Lo _t « Sentohe of Pulinen ° 0 Wf Yormtiny kr Nonweq oO. _ 6 Voisin E_ bleod. _ oO J Sigal Gn u tw ty Ca-[Bread I Cc FeopD a [ancvens, Hemp, oly Lrovsies's Sq # lo. [Oat EF aes Scaphord ( Arde @ shape + Gmtowra (Plat ) Flafus V dhitkndesl PA] Feces Cone & focelne yee C Reces | Fair Caen. &® Umble 7 ‘ : to (Shape) — + Invoked vlal. # + Gverte = Hewniy 1 clefb = obese. Sf) Smit = Acute ~ — - : ® = fquaf Kit = Ky hebenion feFonana yy C naw ——— Chscite — Set-U SUP (Topol Sige ovarian Gh GES U < UHR | _O _skin wer alfomey | (% Gear. = Ge Sead J} Pigmentatioy = Cullen sign, Grey hemectgn, Paix es, lew Str (Sign of Ctrl [os Gngorged veiy Weiser Page | teeslty 7 x reek one - of ¢ Qrreund_umbdian m cide 4 thdor, 3 te ie Fe g° 3 oO ¢ pul medacoc Lee ebshruh oe C Berlal HEN -O. 5 a an Oo. (D_Movernen : 9 { O. e Respiveowy —P — Abred = 19 guekenitis £ Oo. lL. Z ee ~ O 4 Pegistalic Visible (ts) = Pyloyte Fenase Ot a | Qo _ f _ Mladder patos = SE. pbrbeucking io — O [ Ta Weepeekd Caner ‘fo . ~ I ~ PQ a by Plekiy the able wall GD ho reer a fers disp: of Alcohel [tprir Perivteleiy vin'Tle . 1_- Date Pulscile pd SS : _pigasti Expansile TRaneitied Puleohing I frovkic Prewrys mmaegy wea & Flat o hand C Plena Plex hip knee PALPAT T6n lee Pt. breathe Quilely + deeply Attentin diverted, @ | Patpatin, of sweetly warm Hand by ruby > Teme (Lol JR Irflammabery = Tis Tory Tindernesy posing CeTR)= Slee = taplee = Ey = SE ~ . didlinet = Newpleay . SET CE Ghacbined = Enfleonrmnlooy vA Gaciskney = sort | Ouef beet L Eu a0. Fluctuation . ‘Beangilfyminehey Lo plot teil} Gi wm pressuve = [. foriehe/ abscess ~ Colen loaded © Feces CSCC COP PE PO PPT So + PaevermE © Peapivahoy = Clipe dow yy 5 L Place hand @ fowec bod sy Coelg a Y EoKanavam Granny | fdebsie) =a uy 4 al | | | A mobility a at divechim = see ary/eo Frich 9) _ to Eye Prssonbes onde move only wight angle Fe dine of aftetment — AR Bollefable Selb | i i | | i | cena). 7 roma = { Abdoreins} mccle are trade taut by [ftia pe Revie shoulder Fert bpfaweuk © paive bolt Erlerdef | bed T dem folded roses mouhy ey Frombed | ogg. the chest feb . | | i ! | [ig fat Yaa ee | PPI PPPPEPPPP PPE PS eer ey. dao Uy POH A i _ Abdewrne musde faut ! o ove | oO Became pronned Selly 7 beeome Galler) divenrea ° | LT ‘ 2 (Peccieked Driveabdomiay 8 “a 4 | mee * eee co OY alse names £ Respiett Sul culemecig tyeed te wuaedy, i qTrein RoRo o co eld ieee L 7 fuf idee Finger of Gach hand ever Suv ety - + { ab Ginyer's moves ty? fingers mores Ly but 1 k mown aparh wet (Mel) apart ~ CdivevHy (_faratle! fo Gash ot) _ L T! Expansife_pulsshy # Teannmitte, pletion | i ep Aorhe_tneuriary mean wer aorfy t Ty fave ~ gfe p vifiny i Bapancile remains puleohle i pranersi ted 1 (pe hoon pultable teporaled from Aow)y ) 7 P| (8) PRpATTON Of Red Hikes tL | + Sewofory + Suyrerlavi olerr foesq. + Spine Penal futlness «bet nial tres TOTOTO TOTS reposOpal gf ek Pattee | Se _ Suapesfesiel Deep 1 _ a Temperahere + Deep fender spohs a endennes S me . «Feel abdomen — £ + Rebourd Fendemen GS = fois tere ~ vai alae i Ducdenal prick 9 Ta trancpylowre plane Eses) j Fo gight of midline GB peat Ly Suck below wight waked mangry « Jedesad Fe Vekod Borde JCal Me buvnedls poiF > RE Spircumbidiee Line Caer) @ | 4 Wey medial afar Ty Lehral 4 Agroehis 19°F 5 came om (OD Remal point 5 eo JI of lakeral border 4 Erector Spiaee . poh Bib 2D Rebound tenderis ( Slumber iq) Prressnrre, - Pevitonthy Ls cxldornen ) Diverbeudl hy 7 pple [= AptisIos | os Liver @®_= vek papatic. Crdeot 4 Shlasrmome— cfeem U- jlroe Fossa 4 Ayes toads chavouker Y Cdye_ fri PE fake deep bests Vag gull Gorked maetig Ganskero} - fonder ne Geany ime pt: Septwre 9 Shide hand Lic upwards t c C C C C G + Gal blider > Palpable when Enlagy 0 ¢ befow +p +f PEG) taxied Bb ) > Caenveivetl faus AT Calaufous Jayrdice > G (Stone iy Grebe dusk) (Previews FAT lamin abiry Pleo In pbstruch Jomdite 4 GB: balay ef [Ge ¥ head of pererens [= to of CBP. Ce ; po cyte duet 4 LL cephry 1. [+ Double Fmporke! atone \_ckD 4 + priewtal Choleriohepotiig - (Co muceat of GB. a foerephyly Si Std mipieahory avwceF du i ~foljating of eaaRhy Water [a Sifht pealher = Meynthany_melrs ai i C 6 Kanwar, Dart ~ ate 4 Te x + ipo : fous _gnetnod Enlarged y - t - a ai “[- ce sriced [ Exkeod o + Hook’ CTU wrt) meals a REE i je dipriy \ 1 me - + Bimanuel + Oppeacs gusk bebo LE ' - _. (ou 3 __ tf palpate . artesioy sharp border & enef mere polhy ~ fr _ S [ «kidney > Bimanual mehep we Ra daa rs oO "gd Reriform Ghape eM tg Pr taut of a move shiphtly & cvespivah'nr a Ly Band of Colenit Resengnee gntaioely -O dull Pedkuely Oo. Foo ca — -O- — oO. Solid Oy cht =O. __Neeplarm ke Hy divenefhren’s oO _ Advenced TE ts Pronepivers uO t. _PCKD ~ me) _ 7 _ _ 2 tf Muvphyls kidney punch Lene feyele oF i Q Jn Hy postive 3 Tenderness ehtited G Thurt — : © Ea : Preeeete @D Panal Aryl me) Aeuk venal bendéHers . - a ey Pyelonerintty fest ruphorivod seen _ oe ‘ ~ee t_ + Penwen | tur pt fo vi Hips Fence flexed L - dees Palpote_ left Subcectal 4 Spi pastor cazioy i tenderness ( Aenke pan erent) | i t |- | | + Mallet - cay Sip) Coley ! fullness | REF = [+ Crohn's diseax J, Cee) Fa- [eT ebdruch's Z C PELWUSELOn @_[Signs f free Pad ~— unset (mild oe Puddte Siyy a fenee @lbno palin ( med fe_chi ffs dullness ra Hersechoe shape dullness Sovese ye Pfuuid thee il} 40 Nek Ascites betta C4of 42 Q @® woe 7 Cre = Resenank dale oO \ Flare = Butlnen RestmanF * oO ShifRy dullness Ont Gre feo | fered teil] ox CxNote > - Dating shifting dullness | = Date vemeve finger while shit pt. k “walk for @ minke =p for chiftig, lar i t pe imo LB) Saceucion epeh = Gorka outlet btprahig ~~ - i CPileve teraais -O [Pt is shaken GA iO. Short rudden Jerky mevemart © —P A Gangle fire Ray i Fiens are made over Grmah © tax kets ar ee, steect ford © Upper border of Lives dullness (UP rea ( Trpee pepcvcston J © upre bodes F Splenic bualines © Percussion over lump Hydatid theil] 9 Three finger beef Let) i — wy Place Hwee Fiyer over Swell at van fo Perens mer waddle Hye EY Lt Theil wilt felt by (reat ee) 2 tigers (dug to_shviking +f dese Gale wel | T FEFPPPEREE PETTY Sf parent Cf) Q " Le © tf) (om Ande Ae Ge” on ety trde aL Ys 7 Spleen = Dut Nek “fe (wee te Rewenant role [fale wonky Ble]i i fu a ne ~~ — (> midpsoha TL- 2 te Te — Pure tibet &y | a (AucoutheFiny § © Jette Teand (Brod Tama} % -® TE ~~ fed Coben J Y — Abreat (ped Pentti 7 : t + head = bel @ Rt toumblioy | for Orin’ { ‘OH © fewh © @__ Ven Hum C = Aus aults peraualny - (Tm Core 1 G00 [ Gade PIT AEA Jo delineate fre Greater Cuvvebur Chore, ¢ Otihended Shemoth fetal fans (7) + Pie —> depoth fy y v : sh e Palpehiey of Lene 2 PrapracrenteD Tngetnef [other Fyeferic Engr nahi | Q- oa Susp ee malignant irene, =f Symptom 7 ~ Prine —appetits feinatdo | (Bivens) £ 1 cheal pein, Coys hemoph = (oa t : Bene Pain ( bore J | Headeohe Poajette vority Gewularny ( Braz)a Ka nave 1m Ghana aie eid avienlee pote I , Li Hy poche dafig es ie wal Spiedeien oy Umpires! | Ub lume on Treanspyileric_ plane. AS ae lunba| Trans fubercud on kar sora} LO Plane ( tubttes of” Wine tT | saddddad + Girrrhocty f Liver. __ pat inguinal pata © |r et Wy pheno - en | Thbwadbdenins} J (Parictel) - Bacecus bret Cives) =, Hydvehepatects Li pera + Hydabd ond of bee Nexrofbromy + Arneebic Abtcea| Hepehy | Fievomns Gold Absces & Congeni bef Riedtels lobe « Hee (Hepetoma } a" (eebasheo) Go) Mentos — CDS ender Ctalede al . L t a 5 CofE =f foueneele Gmpyerna- 8 «19 Od Y Hard Cq-¢:8- : ° - tevfowaked PW © mney ts Subphreni ce! Abccers wuaiaie tre oobscomateiphate 5 3 * ferichleegdh Gottsmnaie nar —) + Rend mors 3 Grid) prem pyc pole Cc Recea A posked Te front 24 wher Pulels jure parser Gnte fell pe abderren, om a 6 Pyforus of Sfemadh 1 dusdonum = (Cay: ue + Hepalic” Henaore of Glen Satu 4. ” Hypeteetort FB. tr | Epigatteruny ; i 1 gate RT ti) = fdlated to Ub Ut Tele Co Cebac3eees cai. —_| 1 _[Herems Cold Abcwerd Uta eo OO hod Rico” Suede Re a Setendavig 4 UF The . Cemby SS [Car tromauh (Gneyy mane seep) | Piloric TRerests [eb drug Cyttademotorcinema of fan erera * oH Basil tot Ove * + Ca frangverre (le 2° & kh) ) ‘ Lymphoma Ennlareped ferarquehc UN? > ae is LEE Hypechonderiaey Hemolatt Anemis,o Konarr ama Shaqring | ic [S=— Lo — = a othed:-_ Cplenic Flewre mass Cca-toley') | ro be, 7) ifO : > Lelh Penal SD © Ace | ” Left Advena’ mass Pruedouyet ; «Man 4 tei} of panereon Cyef acleno- ter ibe 7 4 | o lumbar Regt Cob ® LY — Fantrnatonulne} Pocrietel + Lumbar hers, Cieiarey) =[+ Hydvonefbrevis : + Lumbar ahree ss Cold } + Pyonephrosis, “(petits diveme) \. PCD, Pica abseon ' 3 te Ree * : o (. Aderenal_taea. ) mass cl Ascending | dercondim Coley © | | . L Carrom” - ‘ + betwoperifeneal mary Teralenten _ Umoibey Papiey _ | _ | [ Lntroablowire} fesicke). | i = Umisdrel beaneg, {i i = [Mesenteric Cad = Trefcimal Hernia { eremdel Cyek 2 : i - eetuy treaty ! ovarian Gye [Pedbeneuleket J = Hematoms (0 8 , — Ghscen. E Smalh towel fr. Trane tole mais ~ Metnteic ManoO, Date 2 _ 4 ( Brckencion f massa Feem efter of eyiey __ + i te nomAa = 2° | lymmphorn | 8. _ a Kebropen tonea| tm_= (Conems _ (Teaterg | gat - _ — (FP) | To AEE - [_~ Apperdi'eutor macs] Rbscery mS + Amochom + Achnemy cosy Te Ca- Gary AC] * Fleotecal TB. (Chien 5 clisenne ~ Ta al | ee wa _fyows far) (Hip jm Of (su [_ Petcas Abccee menentemte : — ‘ ~ EN man (erin: ol, eo Ectopic. bidnery . Ee 1 Zlioe antery qnewvyery Bory swolry | | » ovarian Gt i + Tubo~evariay mnasg ol | «Viewing mas (Peduneutauted Bins? of i Unideacerded tettis (atdemfne / Of! : ot @| mre of | > Ca~ Symord [ descends wolry | | (2 Pscas abscers of svaviun gc oO! — bom mec fulbocvarian M49 Oh" fel kidney URAine mass 4| . Beng mans. Undeocende] Fer?) t_ at Mae thek appear: t disappears PHO & Karacrary Sharng 4 { P suede ay 4 Pancreas (Cherormanicab'g J ie) 2 heute (Tatermi teak J Chdeclochal C4dt- [a duseuersehioy Shevirivasen Coctel Spy a ” 1 z _ - \ Pronsconee of Goakel pravgey will Ce Teak ps datendea] abdemen ] duriey trexapry ane diclintey Reducer ak Poerfrence of Gotfel mangry willbe Wroile 7 | Cduviry yeeereny } OD ZY: CAC ~ - ber |@Fer Stoo] vine tursianh'ng Use alde Endescpien =| Caderspt, Colrmosuofy Cece, MEF Pe, Bortury shudiey = Baviamn men Bartum Grems OF Scan | OPE (-__ Ascitye tap . / Diownostre loproscopy * : + US (CT guiled Biepty ; fe Gealewadeary Lape bony Rupluved djaderal Hey ~ : f rvil RaPT Gukeouopy | TrePope wrepeyranySS ’ Date | thSPC owe (Supra pubic efotomy ) i Sx diversiea of vine directly freom blade ex threyh | Supra pubic wegion _Bpen mehe Pevenlne (# wiy rade) i | Fagcsth ico, Ply ie | Tndication : Inbehin (FB) cae eee Teraymahe — RETHEA + [Shoicung fost iasheumentahey Teaumy — Rupho?. x ae ed 1S S Uyine velenhon — when Cathekericahin fled | a ! A Park of Supropub'e Gydfelimetorny (4 “Teaumy 3 : Ls Tummy 7 C1 Bladder civerhoular t Lo ( wloddes wee ovdlet obsbrushhy Ureter 2 {tne | sheidwwe fo © Vaio TNF 7 Fraupas (eyoae.) . val Vteborocdle. wyiye- 4__€ other Sa ~[ Fevespeats Paros tacherny ' [Furor tier vo faras(i) af Aladdee. & yeti va PRocepure » ‘a SS { j- ——— med, easily vise " Grereguiile: Rladda mut be fay ( dmeteet) fo averd tngyry fo peritencun fuss 1. dubiners helms vrmbiben : + Starks va | GA> af pelwic | (Kylecaine BZ aheve puors) _ dt 7 (.lo® head fou) foritim s Supine & tren d efertpyg position 1 Park prrepaved — pointed - dee apesf. pepe Foblare bladder. t Sper foo] NS unkl& hipepastort | Oo L BEET) Theitin 2 plan el vevbief TNidbine Dau’ 3}. Phannumctes| Dreitioy am) (2am abe PS. C Shan Tit diken ems Free Io [ert Cony Tres alles te ° P Gecke a fomaridediy Released Several qeDate | : L Gries Gross fibres ff Wodelec tram Teenifip Bledel € Prominen Yesteal vemow penis J \_Aspinse She hls SS Reflect pesitenerm freer Fundiry 1 : A. Stey Cupure token — [5 tach opel Prem midline Guhive held ia place & Wide b Made ™m Sle Co grat kv fe - | ence he uid stock nly ul _& Swchin Hp put toside 4 Cross sey tuburs if ec Tynte = Bladder callopse} Uneven Shey Sahar éddddddd fat (elect GARY Coneced © eee Gy ues anew rep) ad Fos +L. Cohere awe ploced Ground Gdwel q Wound ts Cloted mm [eupers COMPLE CAT EON: +, Tinmediote + Damage to ( Peviteneumy 7 Catone, Bladde veins. =P” Haemorhye Prostak’s consult Dameje to [+ bladden mucors aE] Ds Urckexie orifice | } me Eowly : Reachanany Hemorrhage * (Cot REMY (7 sea! _ ° Trfechiog ¢ Sub cufeneous [ti Te Absecon, _ “ound debascerce a | sate + fotfeavasintiog of urine & Olleshing 79 Spare 7 Revie “(| — — plo fubiee ¢ Madden “S C venous plomer) “T tok: [+ Vesicoubnepun fichda ne pep [aaement | 7. fubekmeruy Ermphysers caine . abl |Joon S Date phones!) area Uvelirre] meahy Kidney polation. Polpale (UND = ary infesdion = Golorse aN = Polpatien | enbve ee pry [propedn. = FIR = Presbebe Examine in: UL Bleed al ala: | OF jrsumtiny, ole @ uyraptkic Ryien ( Ne delinek! Fuuoiljehe + Ne brah E i }_ Tike» esta derainaty ¢. " (Deroin Placed fn_the plesrral Cavity quresE-the ” _Takeytostal space to drain fhe tellechien in Phe pleural Cawiby Jatin Conferite) 1 T= TTerashew esophageal firhule. E- Emphyoematovs Soe - D=- Dieyhrragmate hern’4. ——[l——_ Acquired |. Dy Tt tpententany fabs upward + Ppuemotnovax_[f* a” Spentencery - {0am res, meu)|Y Tenaten 2 : Eng vechtakd PES r , i 8 Hemethovar mee) | 6 Remapruemother on, ¢ Q be nat | ' wel Sf fusion. Jt. devain ey + fork Se (Tarwathorooie ] =} teak In medias Fras | xf Ce Qesophyus / baomehuy . Crrdioe S- GS Panochie Trllemwokeoy DS Abien Eile Wile prea] _{_Praere avi Absolute = Luny Adherioy fo Ue WA 7 celabie 2. 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FI Oo i | Sg. io 3G i 3 Qo o oOFLAe 5] Random fesifien Aixtod fates L L suppl lenewon 8 veut * kre Bld yessef oS “Zt Plashy Rhernbed — Respanyulan _Y-thepe | J sages Ee fn lengthers Ber es fog) edt S > fitontdd sinuy (Aviad al deket clesune Pesltctee/ free tap _( Telard ftp ) ! f flap detuthed foyer tty peclide Elop alomy © ity fealicle L pabes to ke of reumsheruch'> -faken to tik of velar Are % At site vasodinthy cvecendfruated ty wad rover cada fnaferrntsibe Pat: Colleehion of flusd Blu pee bye 4 tinia vy jraby 7 Ages.» Hydvecele Euan in Toler Cloryenital Hydvecele_) Primary Hadeocele => > tOm. GH Fpermabale | Sevendary Hydredk = 07 40% Mahigrancy +} Rots Serninerns ¢ Bone Y \ Testor =" 20 “So vx Oecupakion Scretel former > (SoOE = Chirnay Sweet's Grete, Toil — mule Sinner Gnee a ane Voricocele Prrelorged tbandiy C8 Condvetora) Gomplin = des. welling wren Sex rtm ® Pay Yd f Hemmedscley T toheve dy fb appear PeIF pL} BL 4 How did ib appeo a ere ~ Does it Aisappem 7 Autom a tal \ Luter dower, ~ Size & dhape LVS: {Pam} = Cc. tif’ Pain = Vartrocele 2 __trabignené Enters eprord from teh (_ tauwer pain ”Sane Swell] «| Gere J > High gerade Fever © hall. LL fifantan, Fijawian’, Cchylocele ) 2 Unsafe Semone Ceponere 7 Spas Dysvves, Uxcherel dischery €- | (Gymmatevs orduhy) Sore or penis ~ Bren ie f PrP, ye pos 5 FT Hemephy rit) — + Rrenenis, we Tess Ciapeecni eae I *pestfuslenn fumg Fo Bpagace tum [ores seat arr molly Cheat pain Hemephyer, Guy he ; => Tyeods, Proms, Pyemehovs + Rallofasle cweeli 7 (REA et No Ppeerease I Stee 19 Jyiy dey Peiteys ( Geykk heerwe ) ey 5 : Styne 4 Nephyi hi, Heart paren, | 7Odema Enckeavesabion y Uviac (se ey dani, Bret = Peetu cet abcers Hle 4 Compliodiory Fopid Tee 1m Siew 7 Grey 7 Pyovale. { Seuppuraky] aw hifh grade Poe’ fary U Py tact Theat (regen Afeatiy 7(DATES. | blo =| dirchergi~y cimg | Gummapwus » Arfeaiee Serbo Ui mt Tibesseuy = Paskerrn fenton, \ C ‘ toallgnaed = aryehert Past Hie - (inbasee] (TR ph lby \. Dm _wTY, Jaundice, \ pet OD OT: [ Crary He Local Geprhotiog (aeeet Fix ct by (Grrtsp) aD dyin dom 3 TN SPECTION - ' @ guts pe ope ME Ce { Gil) + Cevots|_[ toguinos-ere TSize Gene) tee bake fe “Pesta, Epidynis Cord ord get Pushed me side (ule) uviace 2 Penis — Bove ( Placiasis ] (3) eo Overdyiny SEND | (~ Tense __fivdvocde 4 — tors of Ruyosi hes i —_ Sitwhnesy yeio prominea: alto see = | Excoriahry Posferior| ) verde ( Fleioav ] 4 Placken’y (frwreniva's gangedwade ‘DATE:, an _ | [nc ey oes Fi Sra OQ) Crug Tirgulres areal) [Hernia C Bu benocele = ceil inguin AS GQ {= varicouele Peers rie 4, Gam PALPATION & Temperature, “Ferd evneny Swell) > + all abe Gorfimed 65” polpahey @* Geof aleve Gly Pe Possvble > Purely fcxohed DoF powille + Taguirostrotef Lm Vagina Hydroule. 7 Gasitenty = Solid f retic Ga ours capray mal oft ‘TE othe 7 Then de: JSD Placfutiey Feb = Gye al Oh, Tater Held -uppe pele > Thumb» Inde Fyer of Gas Ravel 4@ @ wwourpele 7 Trhant+ Baden firper ofthe Thane 4 Give Trunb > Byer @ Upper pole pushed apavk fo. Teancillannatiy tok e vot _plave forch porkviewly f {= Tf skin rin — feat @ Sle Mlarietey {- doin dae Reem | see Poveegh Rollo pepe = hotd fereh ®t tide ranma = one a Brilftantty pe anvil tyme Nok, Tape Te srs SF vagina! hydrocele Pyocele ses ye Splelidmal Ors : Hemafecd? [Au]ross Fluctuak ? = _ Plunges Ramla, Prone abscess. O- Comporind palmer gargl/er EPO) Rilocuteor Hydrovale ( yydsousle -Sacfiiee } ZO) feducibitity ; bTh Lii-y dousy pesitiny ( Diveet hernias } L # Congesited Hydvoeele Te = LAIR pa «© Var{weele Gul ao Lypyh varia, d j ()__Gouh Tenge Excpansile Tmpule Proll Tee Compe I 7 + Hews + Varies cle + Gonqemited hedvocele + Lyf vow © Tretia FOF: 4 0M jelle bake fo Fob J svelisy beteme fess Webi TE C Ave Groyded Wodeode of Coedae 1 [esc XE. “{ @ Fabien © ters | Spee, “qorraht Ged Esty) To _Ankeerted CO epidida ankevierk f + Posihey = Taek dC bloboy mraqer iaketery Pr Tavemplebe Dew ered Craicorte? FI e Size -f lerges = Guomy, Uo) (Cosmaller 2 Under Fodder] Lean = Atm , old Hemebotele + Currface res = Redden 2 Uinforey ° Cseqrisontey € He ‘nad a wid @ ape Pay : ! i | Wee Neg he a Ugh 2 Gunma Care] : « Testenlar gnsetie peusler cebenin| Soehig a Out _=_Hydorocelt fetk by pt Our fl = = (Gummi > Ta] ee : |_ Heenis fetiss- Tn forere Trheeh + Neceoe mass 4 feo stts me pecbruded G reo Coretyi oO Jerks Gannst be Separated Tena J Ryeede Ta Tene Vg anceete “ oy Jenimel Hod 2a BEATE G Fedh® Can be 1 o j :Hy krocele_*{ Hevry’g + Neck 4 hernia far closed u (— Ad hestory. \ Plugyed © ormenhim [Hadeocele] e— felon oF Ferd (Ceirek Reribenenen of Sad HE Rye Hydvocale (0) Can not be tepambd fem teohy but _@) = Segerable Cocept > filarrfal bidrocels qT [Spidymis | =) Fem poduler Grchve Hamed Re peo opel faa = Glob ae Re —(attak Freed ) / d Coe hebuy tino a= Bleed beme ERE Ger + CL 9 feuke Edirol) I Elayed, fivm Cwegey, tondert. rps Yo 0 =f Soto J eileen. - | [o Fovmadion oy Gla Absced \ flectasts = Elaeged x tendo [Cpermatic (ord |. = © Thue * Index fryer Simuthnesualy ® Vas = whiplerd Like LED (BD - Coemedete fibre = Nor pf Sheiny+ = i eenctoreben ess, (wes i) = (Tm = al Coemashrd Hyp mephy } C Bally (wed Tear \ Tnbestion = Thiddened + Beaded = @ T sas, ELAR Ioe SxEEL- “Bay worms” fleck = Naricocele : UC. Reduurele } TeF# ee | eit Tepe © be Gravina + [ Cepotam, 7 Teyvinal Lin: 4 L fot & Caley = Fre k Poa Aortic TS Fxamme 3 . Inguinal bv o yee [enartc Tw Tropica rag Signed bene err: —Suepradaviemtar ce Vicon"? UN, Omen SysTEMS : Pulmonry TB « Reepi = bay c P Teper Petro 2 Abdo > V Orrgantmegaly i Golarged Lome Pres prow | Teak, Ty Ue feito (Tab erelend eT PF ok Goyer Feet 7)