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Here in Cincinnati, in twelve years past, the deaths from rupture, as reported to the averaging one a month. In cases of double empyema the side which should be incised a week or ten days later. There is peculiar to the condition of disease and some to the result of a lack of cleanliness and ventilation. The general scheme of the work, and the laborious and patient research of which it is the issue, are deserving of the highest commendation. Within a few days the cough and expectoration diminish, and the most striking effect is the rapid improvement in the appearance of the patient. Here enlargement of the wound would not permit a satisfactory inspection of the cavity, and there are many chances of the missile being looped in the thick layer of muscles, or deflected by the ribs, and I believe it would be manifestly proper to wait for symptoms before resorting to laparotomy. In reply, the magistrate said she would not be justified in removing in such a case, but would be liable, if she did so, to a heavy penalty, and advised her to seek advice at the office of the Local Board of Health, in Southwood-lane. If necessary, a sound may be passed to locate the uterine cavity and to diiferentiate between a tumor or an exudate that might be mistaken for the uterine In anteversion the anterior vaginal wall is about three inches long as measured on the finger, but the os uteri is still farther back, and points toward the coccyx or sacrum. When this fails Everke incises the posterior cervical wall, the displacement, and then sutures the A simple operation for prolapsus consists in making a transverse incision tlirough the vaginal mucous membrane in front of the cervix, dissecting off flaps, and closing the wound vertically. There is sometimes a constant feeling of soreness or rawness referred to the larynx. Cold applied to the former will do more, for it lowers temperature, relieves tympany, and calms the nervous system. LAHiether such a thrombus will permanently succeed iu preventing bleeding must depend upon its sohditj', the amount of suppuration around the vessel, and the vital energy of the implicated tissues. The anatomical characters of valvular lesions giving rise mitral they present two principal forms. The writer is of the opinion that the general weakness from typhoid is iinnecessarily prolonged in such cases by the withholding of solid food. With this tendency it is not surprising to see such an article as"Ingrown Toe-nail Mechanically Treated" in an orthopedic work. Observe the most honorable and scrupulous regard for the character and standing of the attending physician, whose conduct of the case should be justified so far as can be, consistently with a conscientious regard for truth, and no hint or insinuation should be thrown out which could impair the confidence reposed in the attending physician.

It is intended that two sides, except in the most inclem-' treated a case of tuberculosis at home, in a tent, and found that the results were not good and he accordingly moved the patient to a portico outside of the bedroom and noticed a marked (change barracks or cabins, having found that the air is usually bad in that when one is somewhat accustomed to tent-life and has lived and slept in a tent he does not care to live in anything i else.

The second factor in diagnosis is the transverse enlargement of the heart. The larger cavity was apparently not in free communication with this main part of the pelvis. The upright position has made necessary the entire reconstruction of the plane of muscles closing the pelvic outlet. Pain in the chest, however, not infrequently arises quite independently of any intrathoracic disease.

Pie immediately obtained permission for a vaccination-station to be opened one of whom probably would have gone to the ordinary station, were vaccinated; and although the block stands in the very centre of an infected district, there had been only one case of smaU-pox in it since, and that in a person who foolishly declined to avail himself of the opportunity thus offered to him The Medical Officers of Hackney seem to be treated somewhat weeks since was appointed District Medical Officer for West Hackney, in the room of Dr. The bones were cleaned, washed with ether, and placed for about two days in a solution of hydrochloric acid, one part of acid to five of water. When hemorrhage occurs from a large artery, the life of the patient may be endangered. Bouley also goes at some length into a consideration of the differences derivable from race, for which we regret we have not space.

There was a hard nodule in the prepuce near the foreskin. Owing to its elasticity the thorax of the young adapts itself to local alterations of the elastic force of the lungs, and thus is pulled inwards in cases of phthisis, and bulges outwards in cases of pleuritic effusions or enlargement of the heart.

Deposits at the neck of the bladder always give rise to considerable pain.


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