Necropsy.-There was no increase of fluid in the pleural cavities.Some fibrous adhesions between the lower lobe of the right lung and parietal pleura were present. A persistent large thymus was present, weighing li ounces. There were no enlarged lymphatic glands in the chest. The lung tissue showed acute venous congestion but no evidence of tubercle. There was no organic disease in the heart and the right cavities contained a small quantity of fluid but no clots. The liver and kidneys were quite healthy. The spleen was larger than normal and weighed 6-2L ounces. The Malphigian bodies were unusually large and were well marked out. The tissue itself was firm. The lymphoid nodules in the mucous membrane of the stomach were large and well marked out. Peyer's patches in the intestine were not increased in size. The mesenteric glands were enlarged but not tuberculous. The brain was quite normal. -In conclusion, this case shows the difficulty there is in diagnosing this disease before operation and how easily it may be overlooked at the post-mortem examination. CLINICAL GYNÆCOLOGICAL TUTOR, ROYAL INFIRMARY, EDINBURGH.i BILATERAL ovarian dermoids are sufficiently rare to warrant the recording of their occurrence. When, moreover, the condition is found associated with pregnancy, and further, when the tumours are removed by laparotomy without the interruption of pregnancy, the case becomes one of such interest that no apology is needed for desiring to record it.The patient was 32 years of age and was admitted to Ward 36 of the Royal Infirmary, Edinburgh, on June 2nd, 1906. She had been married 12 years and had five children, the eldest being ten years old and the youngest two years and three months. Beyond some pre-menstrual dysmenorrhcea before marriage there was nothing to note in regard to menstruation, which began at 14, was of 28-day type, and lasted four days. The patient had had amenorrhcea since the previous March. Her present illness began six months before admission. Prior to that time she had enjoyed perfect health.On admission the patient complained of pain in the right side which went round to the back. The onset of the pain in January, 1906, was sudden and the pain was so severe that she had to remain in bed for a week ; during this time she was only able to lie on her left side. During this attack there was some vomiting. There was no vaginal discharge.Since the initial attack there had been several returns of the pain at intervals. The pain came on without any discoverable cause, lasted for about an hour, and then passed off. The pain was worse in the right iliac fossa ; then from there it radiated to the back. She occasionally had vomited with these attacks. About three months before admission she first noticed a swelling on the right side of the abdomen. The last attack of pain occurred about a week before admission.On examination the abdomen was seen to be slightly distended by a swelling passing from the right lumbar region to mid-way between the sternum and the umbilicus. This swelling moved freel...
Dr. Creswell shows that under proper conditions canaries can be kept out of doors throughout the winter with decided advantage to their health and also to. their breeding capabilities. In treating of the construction of aviaries the author, while not subordinating a practical purpose to designs
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