He spoke at length of the In all grave cases he would use quinine hypodermically; and, if the nervous symptoms of excitement, etc., were great, would combine it with morphine. Hamilton observed depression of the right trochanter, and an unnatural fullness in the inguinal region, which, with the development of muscular twitcliings during the night about the seat of injury, in addition to the signs previously mentioned, convinced him that there was an impacted extra-capsular fracture. It miglit he well to consider whether this was more thaa a mere coincidence.

Consequently, he had never had any fear that he had left any foreign body in the abdomen.

The sphygmographic tracings taken continuously during the seance show no change in regularity, in spite of the making and breaking of the enormous magnetic influence during its registration. Previous to coming to him she had been treated in two dispensaries wiih galvanism and faradisra, and in a third by keeping the legs for a long time in the straight position by means of plaster of Paris.

In sclerosed valves large, hard nodular or irregular masses are very common, and go far to "" render the segments immobile.

There may be little or nothing to distinguish an ordinary (socalled acquired) hernia from a hernia into the funicular process, and Kussell has recently suggested that all hernise are congenital in the sense that they occur in preformed sacs derived from the processus vaginalis. Two orifices, large enough to allow of the introduction of the tip of the finger, could be felt in the situation of the openings of the ureters. Heart's sounds still quite inaudible; pulse at Avrist ly to be felt; but over entire cardiac region is now to be heard synchronous with respiration; a metallic tinkl propagated from the stomach. As a rule, these cases are of congenital origin and are due to the fact that in the embryo there sometimes persists a peritoneal fold (the plica vascularis) which extends from the testis upwards to the caecum, appendix, or colon. It is necessary to excise a portion of rib when drainage cannot properly be secured by thoracotomy. Sometimes even during the operation the site and nature of obstruction are hard to determine, and in cases in which the obstruction cannot be removed an artificial anus should be made; then after the patient has regained sufficient strength a secondary operation should be performed if the obstruction still persists. A minute analysis of the action of individual laxatives belongs to the text-books on pharmacology, and here we shall consider only a few of these drugs as regards their practical application in the treatment of chronic constipation. The meatus is the narrowest part of the urethra. Galen was practically the first to study it with any degree of care, and he concluded that it was due to a rupture, or tear, of the peritoneum and portions of the abdominal muscles. The facts here detailed, witli the inferences causes of paraplegia, and to remove some of the obscurity that surrounds spinal pathology. A Case of Chronic Gout with Irregular Manifestations Here the regulations already laid down for diet and exercise should be even more stringently enforced. It ran a course taken by an aunt to an adjoining State; scarlet fever had been in the house, three of her cousins having been ill.

The tube was then removed with the extractor under cocaine. He entirely agrees with Tilt, whose words he quotes from- the lesions indicated by Mr.

In the"British Medical.Journal," that he has treated a few cases of albuminuria with this drug, and has noticed by its constant use he was able to cause a complete disappearance of albumin from the urine, the albumin rcappeaiing as soon as the remedy was suspended. Renal congestion, do not contraindicate the above treatment. This division cannot, however, be adhered to in all strictness.


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