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I then made an examination, and found the parts in good condition, the os dilated and the membranes containing the amniotic fluid protruding through the os uteri; on pushing the examination a little further, I found a shoulder presenting, which proved to be the left shoulder, face front, and head in the left iliac fossa. Though this was not the rule in localized (periactin 4mg weight gain water) empyemas.

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