joint causing tuberculosis, claiming that trauma is not essential to its occurrence.

Manual of Diseases of the Ear, Nose and Throat.

By John Johnson Kyle, B. S., M. D., Professor of Otology, Rhinology and Laryngology, Indiana University School of Medicine; Otologist, Laryngologist and Rhinologist to City Hospital, St. Vincent's Hospital and City Dispensary, Indianapolis, etc. Third edition, revised and enlarged, with 176 illustrations. Philadelphia: P. Blakiston's Son & Co., 1911. $3.00 net.

Keeping apace with the advances in these specialties, a new edition of this excellent little book has been needed, and among the changes introduced is a consideration of the subject of tonsillectomy, altering previous conceptions of this operation; suppuration of the labyrinth, and the advances in therapy have received recognition. The author has been careful to recommend only those remedies which have proved of most value in his personal experience.

The first chapter in the book is one of the most interesting, dealing with the Embryology of the Ear, Nose and Throat.

Much has been crowded into a small space, necessarily a good deal of curtailment being necessary, but it is a most practical volume which has been produced.

A Practical Medical Dictionary of Words With Their Derivation and Pronunciation, Etc.

By Thomas Lathrop Stedman, A. M., M. D., Editor of Twentieth Century Practice of Medicine, Editor of the Medical Record. Illustrated. New York: Wm. Wood & Co., 1911. Price, thumb indexed, $5.00; Plain, $4.50.

Stedman's Dictionary includes the following features, some of them entirely novel: It gives the derivation of all words (when known) from the AngloSaxon as well as Latin and Greek. Pronunciation is indicated whenever it is not self-evident, and accent marked in all the main titles and in most of the subtitles. Tables of all the large (i.e., numerous) anatomical structures, such as arteries, muscles, nerves, sulci, convolutions, foramina, fossae, and pharmaceutical preparations, such as acids, tinctures, etc.

These are not given in tabular form across the page so as to confuse one in searching for words, but are run along in columns in alphabetical order, distinguished by different type. Other tables, such as of the elements with their symbols and atomic weights, thermometer scales, weights and measures, etc., are placed in the Appendix (with reference thereto under the catch-word in the body of the dictionary), thus not interfering with one's convenience in looking for words.

Besides the regular medical terms this dictionary includes: Dental terms; chemical terms; veterinary terms; botanical terms; insurance terms; homeopathic terms; eclectic terms; biographical data (nationality, date of birth and death with. the eponymic terms). All the [BNA] terms are indicated. All the preparations of the United States and British Pharmacopoeias and National Formulary. Chemical symbols are given with the names of acids, salts, etc., and also entered as main titles referring back to the full name. It also includes mineral springs, giving pronunciation of place( if foreign), country, character of the water, and indications for its use; Thesaurus, that is, defining back from the English or popular terms to the scientific. Words which should begin with a capital are so printed. The spelling of U.S.P. is used.

In addition to the above special features, this dictionary embraces all the points of superiority claimed by publishers of other dictionaries.

Progressive Medicine. A Quarterly Digest of Advances, Discoveries and Improvements in the Medical and Surgical Sciences.

Edited by Hobart Amory Hare, M. D., Professor of Therapeutics and Materia Medica in the Jefferson Medical College, Philadelphia; Assisted by Leighton F. Appleman, M. D.. Instructor in Therapeutics, Jefferson Medical College, Philadelphia. Philadelphia and New York: Lea & Febiger, 1911. June 1, 1911. Volume II.

The contributors to this volume are

Drs. John Clark, William B. Coley,

Arpad Q. Gerster, Edward Jackson and Alfred Stengel. The subjects reviewed. The subjects reviewed are: Hernia; Surgery of the Abdomen, exclusive of Hernia; Gynecology; Diseases of the Blood; Diathetic and Metabolic Diseases; Diseases of the Spleen; Thyroid Gland, Nutrition and the Lymphatic System, and Ophthalmology.

The importance of these reviews, by experienced specialists who know the value of data which appears in medical literature, cannot be gainsaid, and this volume is like its predecessors in value.

Practical Cystoscopy and the Diagnosis of Surgical Diseases of the Kidneys and Urinary Bladder.

By Paul M. Pilcher, M. D., Consulting Surgeon to the Eastern Long Island Hospital. Octavo of 398 pages, with 233 illustrations, 29 in colors. Philadelphia and London: W. B. Saunders Company, 1911. Cloth, $5.50 net.

Study of diseases of the bladder, kidneys and ureter, by means of the newer methods of diagnosis, has in the last decade developed into an almost new science in itself. Hitherto obscure lesions are now plain because visible to the eye. The cystoscope is, in the hands of the expert, a most valuable diagnostic instru

ment.

Dr. Pilcher has presented a most useful and practical book, giving the indications for the use of the cystoscope, its technic, description of the instruments, difficulties met with and methods of overcoming them.

The valuable feature of the book is the description of the clinical cystoscopic pictures found and showing their relation to the pathologic conditions. The surgeon unfamiliar with the technic can, with the book as a guide, utilize the clinical and cystoscopic findings as a guide in necessary surgical intervention.

The introduction deals with the Indications for the Use of the Cystoscope.

A very full description of the various

types of cystoscopes is given, the European and American, Direct and Indirect Examining Cystoscopes, Ureter Catheterizing Cystoscopes, the care of the instruments; Sections 2 and 3 of this part details the Cystoscopic Examination and the Technic of Ureteral Catheterization. The remainder of the book is devoted to Diseases of the Bladder, Prostate, Ureter and Kidney and the use of the cystoscope. in their diagnosis and treatment.

A large number of illustrations, many in colors, show the cystoscopic pictures present in many pathologic conditions. and add vastly to the value of the book.

American Association for the Study and Prevention of Infant Mortality. Transactions of the First Annual Meeting, held in Baltimore, November 9-11, 1910. 356 pages. Price

$3.00.

This is an excellent collection of the papers which were read at the Baltimore meeting of this Association. Thirty-three papers are published, with full description of each; reports of affiliated societies, and an illustrated catalogue of exhibits.

This Association is the outgrowth of the conference on Prevention of Infant Mortality, held by the American Academy of Medicine at New Haven in 1909, and the next annual meeting will be held in Chicago next November.

This volume contains a list of the of. ficers, directors and committees since its organization; a full report of the meeting, including the opening addresses.

One of the best papers in the volume is Wilbur C. Phillips' contribution on Infants' Milk Depot and Infant Mortality, and the address by the Chairman of the Infant Mortality section, Dr. L. Emmet Holt, is also a valuable contribution. Space prevents a more detailed account of this volume, which is a valuable addition to any library. Checks may be sent. to Gertrude B. Knipp, Sec'y, 1211 Cathedral St., Baltimore Md.

Diagnosis is always an interesting study, and new or improved methods are always welcomed by the active and busy practitioners.

The keynote of success in diagnosis is expressed in the author's preface as the "individualization of cases," brought about by "the painstaking, scientifically accurate investigation of disease." Brief pathologic definitions of special diseases, selected illustrative cases, diagnostic tables and laboratory diagnosis, are special features worthy of commendation.

Diagnosis is described as the "discrimination of diseases by their distinctive symptoms." It further says that "diagnosis in a broad sense discerns the status reached by the pathologic changes of the affection which has been recognized and the complicating conditions which may be present."

The Roentgen, cultural, chemical and serum methods and the opsonic index are the ones which receive the most attention.

Stress is laid upon the fact that the clinician who is a morbid anatomist is best equipped to clear up many obscure. points.

It is pointed out that an increase of uric acid is not due to an increased excretion of that substance, but to urinary conditions antagonistic to the solution of uric acid and its compounds.

That portion of the introduction devoted to the Investigation of Individual Cases is very helpful to the reader; it teaches him to master details, to interpret findings and reach an intelligent conclusion in regard to the case. These various

methods are taken up in detail seriatim.

The arrangement of the rest of the book is uniform. In each section is taken up regularly as follows: Pathologic Definition; Predisposing and Exciting Factors; Principal Complaint; Thermic Features; Laboratory Diagnosis; Summary of and Differential Diagnosis; Mechanical Influence of the Lesion; Clinical Course; Physical Signs. These are arranged properly to fit the condition under consideration.

There are numerous illustrations,

showing topography of the various internal organs being investigated, methods of diagnosis illustrated by photographs and cuts showing many pathologic conditions.

The book cannot be too highly commended.

Structure and Functions of the Body: A Hand Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject.

By Annette Fiske, A. M., Graduate of the Walthan Training School for Nurses. 12mo. of 221 pages, illustrated. Philadelphia and London: W. B. Saunders Company, 1911. Cloth, $1.25 net.

The authoress has endeavored in this book to bring together the subjects of anatomy and physiology by first describing the general structures found throughout the body and then describing the structure and function of each part in detail. It is written primarily for nurses.

The first chapter is given to a description of the Composition and General Structure of the Body; the rest of the thirteen being devoted to the various portions of the body, beginning with the skin, the cranium and face, etc.

The text is written in pleasing style and in words that even the average nurse can easily understand.

A word to the wise is sufficient, but at whole volume wouldn't convince the otherwise.

VOLUME 18

NUMBER 4

Patient, J. F., white, male. While playing base ball in a town in Southern Indiana, he was struck on the head, just above the left ear, by a ball thrown by the pitcher. He immediately dropped as though he had been shot and was unconscious for a short time. He was removed to a neighboring drug-store and, some time after midnight, boarded a train for Louisville. Upon arriving here, he walked a distance of six or eight blocks to his home and was put to bed. He did not get up the following morning as usual, and his wife noticed that he was irritable and restless. She sent for Dr. W. A. Keller, who found the man irresponsive, but upon persistent questioning he showed some intelligence and pointed to the side of his head, just about the middle of the

*Reported to the Medico-Chirurgical Society.

parietal region. Dr. Cecil was called and advised that a surgeon be consulted. The man had been injured on Sunday, and Dr. Cecil saw him on Monday afternoon. I was called to see him on Thursday and advised opening the man's skull. By that time the patient had become very restless and almost uncontrollable. My suggestion was declined and they subsequently called Dr. Rodman who also advised operation, which they again declined. The patient went along for about nine weeks, at the end of which time I was again called to see him and found simply a living skeleton. All these weeks his wife had fed him, with a spoon, whites of eggs, milk, gruels, etc. The sordes filled up his mouth so that even broths could hardly be gotten through it. I again advised operation, and after a few days he was removed to St. Joseph's Infirmary. With an osteotomy chisel I removed this button of bone. His pulse was very slow and weak and his eye reflexes were almost entirely irresponsive, and, altogether, he looked like a dying man. About the time I had gotten this button out, Dr. Dugan came in remarked: "Hello, Vance; aren't you ashamed to operate on a dead man?" The pia mater looked almost exactly as if soot had been dusted on it with a pepper-box. I wiped all of this out and closed up the wound with drainage. He was put to bed more dead than alive. His sister and his wife staid with him and fed him drop by drop,

and at the end of three weeks he went home, where I saw him occasionally. The wound healed up kindly. He got so he could sit up in a chair, and one day when I was there he looked up and asked: "Who are you and what are doing here?" I told him I had fiexd up his head. That was the end of the thirteenth week after the injury. He recovered completely and is now working at his old trade as a molder in a foundry. He did not remember anything about the accident.

CASE II.

This patient I will designate as Mr. X... a very distinguished man in the forties, who went on a spree and was lost for a while. After a long search, some of his friends found him without watch, money, or any of his personal belongings. He was brought

home and the history I got when I first saw him was that during the three weeks he had been at home he had seemed to be in a dazed condition. He would go to see his particular friends and then forget that he had been there. When I saw him with Dr. Thompson and Dr. Fred Koehler, he was lying on the bed, absolutely paralyzed all over, with loss of sensation and motion. His breathing was a most exaggerated stertor and he had no reflexes in the conjunctiva. His mouth was drawn a little to one side. Sensation on the left side was absolutely gone, and there was very little evidence upon sticking a pin into the right lower extremity. It appeared that he would live only a short time. There was an indefinite history of his having fallen and received an injury while in a sleeping car enroute from the East, but I could find no mark of any kind to indicate that he had received an injury. After discussing the case with Dr. Thompson, I told him that. in my opinion, the man would die and

that very quickly, but if he wished it I would operate. The question was discussed by Dr. Thompson with the half brother and sister of the sick man, and he was soon afterwards taken to St. Joseph's Infirmary. He arrived there at nine o'clock at night, still in complete coma and still with this marked stertor. When the head was shaved it appeared to be rather oedematous all over, but on the right side there seemed to be a distinct enlargement of the veins. For lack of a better place, I decided to open the skull on the right side, over the leg and arm center. I rapidly removed a button, possibly as large as a silver half-dollar, and the brain immediately bulged out even with the surrounding skull. It was very tight and non-pulsating. I then opened the dura, but nothing could be found. Then I took an aspirating syringe and inserted it in various directions in the right side of the brain, and obtained a moderate amount of fluid upon each insertion, aggregating possibly half an ounce. He required very little anesthesia. I then closed the wound and put him to bed. The family were gathered around his bed, and I told them he would die in about thirty minutes. I went home, telling the nurse to call me if needed, and went to bed. The next morning at eight o'clock I went to the infirmary and met the nurse coming up the hall. I asked her what time the man had died, and when I went into his room I found him drinking water with his left hand. That man went along and made a rapid recovery. The paralysis of the extremities disappeared entirely. He did have a little twitch about the lips and probably has yet.

What pathology existed in this case I do not know. I looked up all the literature and the only condition resembling it is what is designated by one or two au