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These are very valuable works for the physician's library, for they are especially complete in the minor surgical operations which the general practitioner is called upon to treat. A complete index of names as well as subjects is at the end of each volume.

The illustrations are numerous, and well explain the text.

We commend the work to all our read


General and Orthopædic Surgery. THE OPERATIONS OF SURGERY. Intended especially for the use of those recently appointed on a hospital staff,


and for those preparing for the higher ATLAS DER ETIOLOGISCHEN UND EX

Mit unterstützung der Deutschen
Dermatologischen Gesellschaft. By
Prof. Dr. Erich Hoffman of Berlin.
Published by Julius Springer, Berlin,
1903. Price 48 marks.

examinations. By W. H. A. Jacobson,
M. Ch. Oxon, committing surgeon
Guy's Hospital, and R. P. Rowlands,
M. S. London, F.R.C.S., assistant sur-
geon and surgeon to the orthopa-
dic department, Guy's Hospital; joint
teacher of operative surgery in the
medical school. Fifth edition, with
707 illustrations in vol. I, and 777 il-
lustrations in vol. II. Philadelphia;
P. Blakiston's Son & Co., 1012 Walnut
street, 1908.

It is now nearly three years ago that the discovery of the Spirocheta pallida was announced to the world by Fritz Schandinn and Erich Hoffmann. It is to honor the name of Schandinn, who has since died, that this splendid work has

been published by his colleague Hoff


The idea of writing this volume was conceived at the Ninth Congress of the German Dermatological Society, when preparations of the Sperochata pallida were demonstrated by Hoffmann. The "Atlas" contains not only reproductions of many of these preparations, but includes as well specimens contributed by other well-known investigators.

The volume is bound in cloth, contains a preface, introduction, 53 pages of text and 34 plates. There is also a halftone portrait of Schandinn as frontispiece.

The first seven plates (in colors) represent the lesions of experimental syphilis in apes and lower monkeys. One plate shows the original female chimpanzee inoculated by Metchnikoff and Roux, and another represents the lesions of syphilitic keratitis in the rabbit and sheep.

PAMPHLETS DEVIATIONS AND DEFORMITIES OF THE NASAL SEPTUM. By Bryan De Forest Sheedy, M.D., New York. Reprinted from International Journal of Surgery, December, 1907. MCBURNEY'S POINT AND ANOTHER POINT IN APPENDICITIS DIAGNOSIS. By Robert T. Morris, M.D., New York. Reprinted from the Journal of the American Medical Association, January 25, 1908.

ETIOLOGY OF ERYSIPELAS. By C. R. Holmes, M.D., Cincinnati, Ohio. Reprinted from the Annals of Otology, Rhinology and Laryngology, September, 1907.


A MODERN STANDPOINT. By Sydney Stephenson, M.B., C.M., London. Reprinted from The Medical Press and Circular, December 25, 1907.

There are 20 other colored plates devoted to the micro-biology of syphilis. They include 78 different illustrations of the Sperochata pallida in the blood and in various lesions of the skin and internal organs of acquired and congenital syphilis. Three colored plates represent the Sperochata refringens and various other spiral organisms. There are also four photographic plates with 42 illustrations of the pallida and other spiral organisms.

The illustrations of the apes have been made by the animal painter M. Landsberg, and the histological and other plates are the work of G. Helbig.

The author is certainly to be congratulated upon the production of this unusually fine work, which must be of interest to every physician, whether he be a general practitioner or engaged in scientific investigation. H. F.


THE SURGICAL TREATMENT OF ULCER OF THE STOMACH. By Otto Kiliani, M. D., New York. Reprinted from the Medical Record, November 23, 1997. TARDY MALNUTRITION; ITS TREATMENT BY DIET AND REST. By Charles G. Kerley, M.D., New York. Reprinted from the Journal of the American Medical Association, November 9, 1907. TREATMENT OF UNUNITED FRACTURES OF THE NECK OF THE FEMUR BY THE USE OF COIN-SILVER NAILS. By H. Augustus Wilson, M.D., Philadelphia, Pa. Reprinted from the American Journal of Orthopedic Surgery, January 1908. RESULTS OF THE WORK ACCOMPLISHED BY THE SOCIETY OF SANITARY AND MORAL PROPHYLAXIS. By Prince A. Morrow, M.D., New York. Reprinted from the New York Medical Journal, December 14, 1907.

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A Case of Congenital Hypertrophic Stenosis of the Pylorus Successfully Treated Medically, Together with Observations on This Complaint.-Dr. George Carpenter gave the history of a case. which he had treated in conjunction with Dr. D. J. Munro of Brixton, and which had recovered under medical treatment, diet, lavage and drugs being the methods employed. The infant was aged 2 months. It was breast-fed, and in good health for the first week, but the bottle being substituted, it gradually lost ground, and, as the parents said, "in spite of being fed on a variety of foods, it was sick after everything." At the time Dr. Carpenter saw it the infant vomited accumulated feeds, it was constipated, and was passing scanty and concentrated. urine. It was wasted, and so weak and ill from starvation that it was thought it would not live through the night. The

THE TREATMENT OF CONGENITAL SYPHILIS IN INFANCY. By I. A. Abt, M.D., Chicago, Ill. Reprinted from Illinois Medical Journal, April, 1907. SURGERY OF THE THORACIC DUCT. By Henry P. de Forest, Ph.B., M.S., M.D., New York. Reprinted from Annals of Surgery, November, 1907.

KUHN'S LUNG SUCTION MASK FOR THE HYPEREMIC TREATMENT (BIER) OF PULMONARY TUBERCULOSIS. By Willy Meyer, M.D., New York. Reprinted. from Medical Record, November 9, 1907.

diagnosis was confirmed by the detection of the typical pyloric tumor as large as an almond and as hard as gristle. There was associated gastric peristalsis in the direction of the tumor. Owing to the infant's condition, operative treatment was considered out of the question. It was ordered two-ounce feeds of whey every two hours, drop doses of laudanum every four hours, and gastric lavage. This was on May the 22d, and on the following day the opium was reduced by half because of somnolence, and was finally discontinued on June the 6th. During the treatment an attack of oedema, associated with albuminuria, difficulty of breathing, and also swallowing, came on. He coughed at his feeds, had to be propped up with pillows and often had to be held up by his feet, as he choked and went black in the face. The infant weighed 71b. at birth, 5 lb. 13 oz. on May the 22nd, and on June the 14th 5lb. 70z. On June the 7th humanoid milk was given (2-oz. feeds), and on the 14th milk 1 part and water 2 parts (2 to 3-0z. feeds) was substituted. Lavage was discontinued on

June the 20th. During the first week of milk and water diet it lost 51⁄2 oz. in weight, but after that it began to forge ahead and gained on an average an ounce a day. It vomited for the last time on June the 28th. Day by day it took increasing quantities of milk and water, rising from 18 oz. daily to 30 oz. on July the 6th. While on whey the While on whey the bowels were open once daily, and the motions were green, but after it had been on milk and water for a week the stools became quite natural, and numbered 2-4 in 24 hours. At 72 months old, the middle of October, he weighed 16 lbs., and was a normal baby, and he is still (January, 1908) doing well. Dr. Carpenter laid great stress on discovering the pyloric tumour, as, without detecting it it was impossible to be sure that the case was an example of hypertrophic pyloric stenosis. For pyloric spasm and infantile dyspepsia produced symptoms which could not be distinguished from the state in question. Vomiting of accumulated feeds, projectile vomiting, gastric peristalsis, constipation and scanty urine could all be present without any tumor to account for them. He said that it was necessary to detect the tumor to prevent the to prevent the mistake of operating upon cases where no tumour existed. He claimed that hypertrophic stenosis of the pylorus was a congenital condition, an abnormality of development and not a secondary muscular affection, the result of spasm, as claimed by Heubner and others. He said that in the cases he had examined microscopically not only was the pylorus muscle hypertrophied, but the stomach muscle also, usually about the pyloric third or fourth. Sometimes all the stomach muscle was hypertrophied, but in that case also the brunt of the enlargement fell on the pyloric end. The masculature of the pylorus was an exaggerated condition of the

normal, in which the circular fibers greatly preponderated. He thought that the occlusion of the pylorus might be due to reflex spasm, or, as he would suggest, in some cases to œdema or congestion of the mucous membrane, analogous to the congestive stricture of the urethra. But whatever the explanation of the obstruction of the pyloric channel might be, he considered that dyspepsia was at the root of the illness. Cure the dyspepsia, or better, avoid the dyspepsia, and the pyloric tumour could be very well left alone. He thought the secret of successful treatment lay, as in all infantile dyspepsias, in the discovery of what form of cow's milk (in the absence of suitable suckling) was least obnoxious to the infant's stomach. Feeds should be small, given regularly, and, above all things, the milk should be clean and fresh. In addition to this, gastric lavage was a well-tried and efficient remedy. Antispasmodic drugs could be used, but they did not appear to do much good. He thought that even the most hopeless-looking cases should not be abandoned by the physician, but submitted to dietetic treatment, and to those drug remedies which had proved beneficial in dyspepsia. As the result of medical treatment he thought that in the future there would be more medical successes and fewer surgical failures. He thought that if the surgeon were called in it should be late and not early. What the remote future had in store for the cases cured by the physician time would tell, but Seefisch had reported three cases that had to be operated upon before they were 12 years old, so it was possible that the visit to the surgeon would be merely postponed. If that were so, it was then even better for the child, as the mortality of the operation would be greatly reduced.-British Journal of Children's Diseases.

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