heart which beat only four to the minute. The patient

If gangrene follows acute pancreatitis, more or le« of the entire

ported on a pillow until the drainage tube is removed, alter

in a woman thirty-six years old, whose principal symptom had been inability

but he considers that the cutting off of the blood supply,

two previous evenings. The tongue was dry and cracked ; there were

peared at once when an attempt was made to do without them.

have come to the conclusion that no aperient does this so

is, fortunately, not nearly as common as disease of the

ments to determine the possibity of infection of human individuals by

area, and was followed by ossification and secondary gliosis in its neighbor-

into the intestine. A great quantity of gas escaped, the swelling sub-

anxiety more than insanitation renders the organism susceptible

is found in the right or left kidney in relatively the same proportion of cases.

and mesenteric glands were as large as hazel-nuts, and were carcinomatous.

careful we must be to give the correct significance to the post-mortem inva-

belong absolutely to that group. In reading this chapter, as in read-

to apoplexy of the lung, 2 to pleurisy, 1 to pleural pneumonia, 1 to

was slightly delirious ; temperature 103". Other findings in the lungs,

^^ensation is perfect. The electrical examinaton was many times repeated

pleurae became the seat of bloody effusion, three and a half pints being taken from one, and

is passed like a Eustachian catheter and can be used from

the sternum to t inch to the left of the left nipple ; tlie ajiex beat had

4. In uretero-vaginal fistula repair through the vagina should be first

that pressure from rising further, no small thing will have been

and pus-cells, a few staphylococci, and, less frequently, the micrococcus

years. The fact that it has reached the third edition in so short a time

3. CDC. 1998 Guidelines for Treatment of Sexually Transmitted Diseases. MMWR 1998;47(RR-1): 1-118.