Every fragment of unhealthy synovial tissue must be carefully removed. By described by the author of this article is a modification of that put forward by Allen. Strong acetic acid gave only a slight precipitate, which redissolved by heat. The alvine discharges generally contain less liquid; sometimes still of many ounces in each, at others merely a little clear fluid with gelatinous mucous-like flakes or masses. The reader tells us that he is using the tests and the technique recommended by this Association, but he has taken some exceptions to the restdts obtained by these approved methods and I desire to make a few remarks concerning these exceptions. We suppose a constitutional disposition in one case, an indisposition in a second, and assert the existence of the latter in a third. But important observations have been made which discountenance this as an etiological factor. Three hours later a good dose of saline should be given. Its action on the ceruniinous glands is uncertain; in some cases the meatus presents a dry appearance on account of the absence of the normal amount of secretion, in others supersecretion by the glands seems to result in impaction of cerumen. Found he could not do so much work or as quickly. During the recent outbreak predominant form of eruption, and Professor Stokes proposed to designate the malady malignant purpuric fever; other observers also suggested terms founded upon this character.
The diagnosis then, in the three successive pregnancies under observation in this patient, had been of reflex cough from gestation, without other symptoms. There were retropharyngeal abscess, collapse, hemorrhage from mouth and nose, probably from the neighborhood of the left tonsil; on the following day aphasia, hemiplegia and anaesthesia of the right side. The proportional mortality from Diphtheria for each These results are opposed to some statements with respect to the liability of sex, but fully bear out Fothergill's remarks on this subject. In mild cases half a drachm given every three hours. The outbreaks of epidemic cebro-spinal meningitis, as a rule, are limited to small sections of a population, and its distribution is by a series of isolated outbreaks, rather than by extensive spreading. There was a good deal of tenderness. He then places the pointer upon the sides of the neck, and traces down the neck and over the top of each shoulder. The apparent protruHion of the eyes being due to muscular eflbrt, had disappeared, and the cardiac rapidity had abated. In the upper lobe the primary lesion is not, as a rule, at the "spray" extreme apex, but from an inch to an inch and a half below the summit of the lung, and nearer to the posterior and external borders. One hour after the second dose of male fern a full dose of saline is taken (magnesium or sodium sulphate, or magnesium citrate), and an hour later a second dose if the bowels have not moved. Twelve months before this I had attended him for an acute cystitis, which left some glandular enlargement behind it in the light iliac fossa.
In this connection, also, I would particularly like to mention the frequency of what may be called the erythematous affections, such as the different forms of urticaria and nodose erythemas of the skin and mucous membranes, in sufferers from gout in its true or mixed forms.
Meltzer-Brody says, to help patients get the care they need: intagesic. It is a chronic infectious price pulmonary disorder, characterized by cough, fever, wasting, and a muco-purulent, sometimes fetid, expectoration.
Of black vomit also the same thing may be affirmed, so that two of the most important features of the malady are scarcely available for a satisfactory diagnosis. "Westphal had reported five cases in the" Archiv tur Psychiatrie," viii and ix; a similar case had been Gowers had drawn an excellent clinical picture of the disease in his"Diseases of the Spinal Cord." The lesion was a combined sclerosis, involving both postero-external and lateral spinal tracts, and the speaker was inclined to refer the symptoms connected with micturition and the extreme constipation to involvement of the centers in the lumbar enlargement. A CASE OF MYCETOMA (MADURA FOOT).