The vomiting should be kept up, and the stomach washed out with bland albuminous or mucilaginous fluids, such as milk, barley-water, flour and water, or thin paste, etc. There was httle or no pain, nor was there any open wound. Retinal hemorrhages, demonstrated by the ophthalmoscope, occurred in four cases. Myomectomy is justifiable with small subperitoneal tumors of the fundus or any sort of fibroids so situated that they can be removed. Of an ashen hue; sordes were commencing to collect ui)on the gums; abdomen flat; and no movement from the bowels since my last visit; what little urine had been passed was dark-coloured and offensive. At the joints with the leaves from the middle forward come forth at every point sometimes one forum yellow flower, sometimes, two, standing on a small foot-stalk, consisting of five leaves, narrowpointed at the end, with yellow threads in the middle. Perhaps the best answer after all to such adverse criticism is to jxiint to the fact that applications to sanatoria are constantly increasing, a fact to' which I can testify in my own experience at Sharon; this in the face of the fact that, as is always to be exjiected with our present knowledge, we meet with disappointments in many cases thought at first to be favorable for treatment, those that were more or less advanced, relapse when again placed under the stress of ordinary Figures and statistics may present extraordinary features, but facts are hard things to controvert. The number of deaths in tenement no marked increases in the numljer of deaths over June with the exception of diarrheal diseases, average of deaths from typhoid fever increased BOSTON MEDICAL AND SURGICAL JOURNAL showed a decline in moitality were the following: The weekly average (jf deaths from measles deaths from diarrheal diseases under five in July, as the increased population, this year, is a matter for congratulation. Great care is given to teaching and learning the capital operations, as they are called, which not one practitioner in twenty through the whole country ever performs; no- care, or next to none, to teaching and learning the other, which nearly all, when in practice, will have to perform frequently.

He should be able to make a diagnosis with his microscope and test tubes as well as clinically.

The gall bladder was drained, but the patient died of exliaustion and asthenia six weeks after common duct and part of Vater's diverticulum. In Ireland" the looseness," as it wascalled, was a common endemic disease, causing great mortality throughout the seventeenth century, and prevailing occasionally in an epidemic form down to the year Dysentery has ceased to be a destructive disease in this kingdom; it has disappeared before a higher civilization, and what it brings in its train, viz. The incident from which all the sul)se(iuent evils have originated may have been a slight eccentricity, hardly perceptible to the world, chronic neuralgia of the head, habitual iiitomperance. The red "" Worts are more binding, and stop women's courses, spitting of blood, or any other flux of blood or humours, being used as well outwardly as inwardly. The peripheral vision in all these patients is generally unaffected. Attention to the description of symptoms already given will be sufficient to prevent any errors of diagnosis.


H.,"is, the effects of congregating and incarcerating many children or young persons under one roof, and feeding them continuously on the same diet; thus promoting locally the more or less permanent inroads of certain cutaneous diseases, which diseases often subside spontaneously upon the removal of the sufferer from the locality." These diseases, according to Mr. With the absence of fever in these cases it is surprising that in Case III., five days before in the nature of the case, positive data regarding recovery from the hydrocephalus are and must be uncertain, because of the difficulty of the State Board of Health of Massachusetts I find that twenty-two cases per cent.

This state may pass into one of unconsciousness, as in Case II., and the patient remain in this condition until death.

Its relief was sometimes accompanied by relief of the vomiting; but in other attacks, where no purgatives or enemata were given, vomiting ceased before the bowels were opened.


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