He lives in a dirty great mansion.
Besides chlorosis, there are several analogous affections, especially such as proceed from large losses of blood, in which the arterial bruits are generally very distinctly perceptible. In all these cases the existence of the bruits coincides with a more than ordinary fulness of the pulse: when this ceases, the bruits become invariably less and less manifest. [Translated from the Archives Generales de Medecine.]
Hell, as bird number 697 they could have looked like old turds and I still would have got excited.
When both tests are negative the diagnosis of heart problems will be rejected and the patient will be advised to consult a specialist in internal medicine, because sliding hiatic hernia has become a more probable diagnosis.
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