Where he is responsible for sending the patient into hospital it is some times necessary to do so, not only for the patient's sake but for the sake of the other inmates of the institution. It will consist of Lord Davey, the Bishop of London, Sir William Roberts, M.D., Sir Owen Roberts, Mr. An abject reliance upon the speculum is capable of working greater harm than to confuse one's senses, or to obscure a condition. The same result may occur elsewhere, as proved by the examples of ichthyosis hystrix which are occasionally met with. It is unfortunate that all cannot be published and that ofttimes considerable delay ensues between acceptance and publication. From the description, a sufficiently accurate apparatus for clinical work, to facilitjite Kobert's fermentative estimation of dextrose in urine. It is frequent in acute maniacal excitement, and well-nigh universal in puerperal, opium, and alcoholic cases, whatever form the mental symptoms assume. Schoenlein's purpura was suggested by one physician who saw our patient.

In most cases the superior surface of the right lobe of the liver forms the' inferior boundary of the abscess, but in a certain number of cases the afl'ection is confined to the superior aspect of the left lobe, and occasionally both lobes may be involved. He agreed that it was better to perform laparotomy ten times uselessly rather than to miss a case in which it would save life, but he recalled a case in which perforation was supposed to have taken place, in which on operation the symptoms proved to have been merely hysterical The President agreed that chlorosis usually occurred in young girls, particularly at the establishment of menstruation, but he confessed that he could not understand why in such a general condition a lesion should result which was limited to one organ and to one tissue of that organ, nay, to one part of that tissue. The sages look back upon the years past, and speculate upon the year ahead.

The abdomen was opened and a horizontal tube placed in the bile duct, the cystic duct being meanwhile clamped in each case. We found that the facilities which did txist. In malaria we have a ieucocytosis at the time of the rigor, while during the apyrexial period there is a moderate leucopenia.

The patient is, and always has been, a healiliy woman with a good personal and family history. SoLOMON, Our reason for presenting this paper is twofold; first, to bring to your notice a modification of the older type of sigmoidoscope, and second, to urge that a sigmoidoscopic examination be made more frequently in the routine diagnostic survey of a We will first take up the description of the instrument, which is simply a new type and not a new instrument.


Usually this deposit occurs"at the summit of the lung on one side before the other lung is attacked," though the other is subsequently invaded.

Scattered through this mass were very dark spots, probably the site of older hemorrhages.

Week presented with a service of plate by a small deputation) in the name of professional and other friends in various parts of the country.

These failing, we have to meet the most alarming complication that appears in pregnancy, that is Eclampsia. She came to me to be fitted with glasses. Most of the operations were for eclampsia. I could not remove the stone first above referred to without injury to the ureter, as I had to explore for further stones in the pelvis. As soon as she had recovered from operation she found that the pain remained the same. A vaginal hernia, too, Vaginal eystoccle or prolapsus of the bladder into the vagina, or through the vulva, is of much more frequent occurrence than vaginal hernia of the intestines. In thb there is an optic neuritis with grayish-red disc and the loss of vision is not complete, while in quinine amblyopia the disc is white and the vision completely lost for a time.


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