decide this question correctly. A better foundation can be laid on truth than on error, and more men will become expert in auscultation when to every factor is as¬ signed its correct position and value than when an error compli¬ cates the problem. It would seem that a correct settlement of this question is not only of interest but of importance, and that it may be settled to the satisfaction of all by the kind of expert testimony cited.A man, aged 26, English, bricklayer by occupation, has had rheumatism at varying intervals since he was 15 years old. His father is in good health, but drinks a good deal. Mother is extremely "nervous." The patient complained of lameness and rheumatic pains which had persisted for the last four months. The right shoulder, wrist, knee and ankle joints were swollen and painful. Temperature was 103, pulse 96. His tongue was heavily coated and his breath bad. He com¬ plained of headache. The urine was of dark red color, high specific gravity and acid in reaction. Calomel and saline ca¬ thartics were given. to clean out the intestinal tract. As the usual anti-rheumatic remedies failed to give relief and anodynes seemed to have no effect on the pain, venesection was performed and about twelve ounces of blood were withdrawn.Following this, two pints of normal salt solution were' in¬ jected beneath the skin of the breasts. All pain (except a slight soreness) had disappeared in less than two hours. Temperature dropped to normal and pulse to 80. Two hours later the pulse was 72. Recovery was uneventful and so far (four months later) there has been no recurrence. New Appliances.
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