there was some other cause that excited this hemorrhage, such as a chronic inflammatory lesion, as a hemato-salpinx or some other cause?

DR. W. H. WATHEN (closing): In answer to the question of Dr. Weidner as to the possibility that this case reported as ectopic gestation might be hemorrhage from some other cause I answer no, it is not possible. I am positive that this was an ectopic pregnancy, and that the hemorrhage came from nothing else. There was a solid clot of blood that had formed in the larger end of the tube when the first rupture occurred, which is never possible except during ectopic pregnancy. And then there was the secondary hemorrhage just such as we have in cases of this sort, which would not occur in anything else, and the history of abortion three or four years previously, no pregnancy afterward, periods regular, missed her period six weeks ago, the trouble beginning with pains in the left side, etc. There is only one further method of perfecting this diagnosis, and that is by taking the lining membrane here and subjecting it to a microscopical examination, and we would find chorionic villi. The question is quite a proper one, because we may probably have hemorrhage in the broad ligament where the woman is not pregnant, but I must say that I have never yet found this except following an operation where some traumatism was produced. I have had a broad experience in ectopic gestation, having had at least one hundred cases, and I am sure that were it at all frequent that we have these hematoceles occurring in women without traumatism from operation or some injury, I would have seen one or more of such cases.

Dr. Griffiths called attention to the number of sutures I used. I only used four or five small ligatures upon the vessels, and the edges of the wound were brought together by a running suture of catgut and then the application of the adhesive strips. It is impossible to bring the edges of a long and circularly-shaped wound together by any means except the suture, but if we are not careful there will be an accumulation of bloody serum under the flap that will result in suppuration and prevent healing. Therefore, the better dressing in these cases is to suture the wound well, and put just a little gauze over the entire line of the wound, and immemediately put on the adhesive strips, binding down the skin flap to the underlying raw surfaces and the patient will get well, and there will be no accumulation of serum. One of the best adhesive plasters is the Z. O. perforated plaster, which permits better evaporation.

BOOK REVIEWS.

Infectious Diseases.-Edited by J. C. Wilson, A. M., M. D., and Julius Solinger, M. D. New York: D. Appleton & Co.

Under the above caption appears the first volume of the series, Modern Clinical Medicine. It is an authorized translation from Dir Deutsche Klinik, with such changes and additions as are necessary to make a complete treatise upon this great group of maladies. In recent years startling and significant results have been achieved by the study of bacteria and the various sera, and their effect in health and disease. Light has been let into many dark corners, and bids fair to illumine many others by the discoveries which the future promises. Quoting from the editor's preface, we may well say that this volume, "the sense of the collective labors of the master minds of medicine in Germany, stands as a summary of existing knowledge, as a permanent record of the medical science of our times. Space does not permit us to give the list of contributors, but it is only fair to say that it includes the names of the greatest medical scientists of modern times, each a specialist in a distinct realm of medical science. The lecture style has been abandoned by the translator, and the subject material has been rearranged. Such articles have been supplied by the editors as are necessary to make the work a complete treatise.

The volume is attractively bound, is printed on good paper, and the illustrations, charts, etc., are excellent. The publishers are to be congratulated for placing this work in the hands of the English speaking part of the profession, and if the same high standard is maintained in subsequent volumes "Modern Clinical Medicine" will be sure of a hearty reception by the profession.

B. F. ZIMMERMAN.

A Text-Book of the Practice of Medicine.-For Students and Practitioners. By Hobart Amory Hare, M. D., B. Sc., Professor of Therapeutics and Materia Medica in the Jefferson Medical College of Philadelphia. Physician to the Jefferson Medical College Hospital; Laureate of the Royal Academy of Medicine in Belgium and of the Medical Society of London. Author of A Text-Book of Practical Therapeutics; A Text-Book of Practical Diagnosis, etc. In one very handsome octavo volume of 1120 pages, with 129 engravings and 10 full-page plates in colors and monochrome. Cloth, $5.00 net; leather, $6.00 net; half morocco, $6.50 net. Philadelphia and New York: Lea Brothers & Co., 1905.

We have Hare's Practice before us, and find it has no limit to its value and usefulness to the student and general practitioner. As the student of to-day is the physician of the future, and as the physician must always be a student, a single volume can be conceived as answering the requirements both of a text-book and work of reference. This volume embodies the experience of more than twenty years of active hospital and private practice, during which time the author has been constantly teaching clinical medicine and therapeutics. Dr. Hare

possesses, to an unrivalled degree, the ability to grasp the essence of a subject and to present it clearly. He also understands how to select just those points concerning which the practitioner is likely to seek for information. These characteristics are notable in his previous works, especially in the Practical Diagnosis and Practical Therapeutics. The author's long training has enabled him to appreciate and overcome the students' difficulties and to fit their ideas, and his equal experience in practice has qualified him with ripened judgment to solve the everyday perplexities of the physician. Throughout the work the author has dealt with medicine as a practical science, and has given prominence to those aspects which bear directly on human needs. The sections on diagnosis and treatment have accordingly been developed with special fullness and detail, the therapeutical recommendations being given in such a way that they may be readily applied. Illustrations and plates have been introduced wherever an important point could be made clearer than by verbal description alone.

In recommending this book to the practitioner we feel it is a duty we owe him in not keeping a good thing a secret.

The International Medical Annual-A Resume of the Year's Medical Literature. By Thirty-six Department Editors, with added Articles by Noted Specialists. Substantially bound in Cloth and fully Illustrated by plates in Color and Black and White. 8vo., about 600 pages. Post or express prepaid, $3.00 net. New York City: E. B. Treat & Co., 1905.

This is one of the Year Books published in this country. The major part of the book contains abstracts of all the medical articles published during 1904. There are added original articles on the specially interesting topics during the year 1904. It is arranged alphabetically as per subjects, and so is very easy of reference. The illustrations are good, type clear, and a wieldy volume. It is surprising the amount of material that lies between its covers.

Politics in New Zealand.-The Chief Political Portions, Selected and Arranged by C. F. Taylor, from the Story of New Zealand (by F. Parsons, edited and published by C. F. Taylor). Politics in New Zealand is bound in paper, being intended for popular circulation at a popular price; it contains 108 pages, together with 16 pages of illustrations. Philadelphia: Published by C. F. Taylor, 1520 Chestnut street. Price, 25 cents.

It is not extravagant to say that this is one of the most interesting and valuable books that was ever offered to the public at so low a priceor at any price. It consists of a reproduction of the chapters of the larger book, The Story of New Zealand, that pertain to the political and economical progress and conditions of New Zealand. To the student of the science of government and economical questions these chapters are the most valuable part of that book. There are forty-three chapters bound in light and convenient form. They treat of such subjects as the Torrens land title system, govornment telegraphs, telephones and railroads, postal savings banks, government insurance, village settlements, government forests, voting by mail, direct nominations, progressive

income and inheritance taxation, State resumption of large landed estates, government loans to citizens, factory laws, industrial arbitration, initiative and referendum, old age pensions, government coal mines, restriction of emigration, parcels post, etc.

Progressive Medicine, Vol. II, June, 1904.—A Quarterly Digest of Advances, Discoveries and Improvements in the Medical and Surgical Sciences. Edited by Hobart Armory Hare, M. D., Professor of Therapeutics and Materia Medica in the Jefferson Medical College of Philadelphia. Octavo, 334 pages, 47 illustrations. Per annum, in four cloth-bouud volumes, $9.00; in paper binding, $6.00, carriage paid to any address. Philadelphia and New York: Lea Brothers & Co., Publishers.

Surgery of the abdomen includes a careful description of the newer methods of dealing with ventral hernia. The surgery of the stomach receives the attention that its growing importance merits. The biliary passages receive surgical consideration, as do also the pancreas and appendix. The gynecological consists of the usual careful study made in this important field. The review of diseases of the blood is an excellent resume of the work done in this rapidly growing field of internal medicine. The volume closes with the devotion of several pages to the subject of ophthalmology. The usual standard of excellence has been maintained in this volume, and the subject matter is of unusual importance.

B. F. Z.

A Text-Book of Physiological Chemistry.-By Olof Hammarsten, Professor of Medical and Physiological Chemistry in the University of Upsala. Authorized Translation from the Author's Enlarged and Revised Fifth German Edition, by John A. Mandel, Sc. D., Professor of Chemistry and Physics, and of Physiological Chemistry in the New York University and Bellevue Hospital Medical College. Fourth Edition, First Thousand. New York: John Wiley & Sons; London: Chapman & Hall, Limited, 1904. Price, $4.00. The more the practitioner knows concerning physiology and chemistry the better off is he. That the excrements from the body by their chemical nature are the best indices of the interior processes is now both accepted and appreciated. We are learning more about physiology every day, and the above text-book is an excellent treatise on physiological processes, which are largely chemical. We find this book serially taking up the proximate principles of the body with their chemical nature, and then the urine, sweat, milk, etc. The reading is very interesting and the text highly instructive. We have seen only one other book of this nature; there would seem a demand for more like it. We certainly recommend it to all. Its ample and extensive index makes all subjects easy of reference. It contains 703 pages and is sold at a moderate price. Its chapter on metabolism is worth reading.

The Student's Hand Book of Surgical Opsrations.-By Sir Frederick Trevis (Bart.). New Edition, 12mo. Illustrated. Limp Cloth, $2.00 net. Chicago: W. T. Keener & Co., 1904.

We find this a valuable book for not only the student in the surgical laboratory as a guide, but for any one doing surgery. It is of convenient size, nicely bound, and is printed on durable paper in clear type. The illustrations depict the different steps of an operation, admirably show

ing the operating fields at different intervals of the proceedure. It is a thorough guide for all the common operations, and should be in the hands of all students, especially those taking the surgical laboratory, and also those graduates doing constant surgery soon after their graduation.

S. B. H. Transactions of the College of Physicians of Philadelphia-Third series. Volume xxvi. Published for the College. 1904.

This book of 315 pages contains a great many valuable papers which were read before the College from January 1st, 1904, to December 31st, 1904. There are addresses, memoirs, and especial articles of medical nature, among which is Dr. H. C. Wood's address which is beautifully written and most interesting. The publication of these papers is an admirable work, and we are pleased to have our copy.

S. B. H.

BOOKS RECEIVED.

A Case of Extensive Carcinoma of Tongue and Neck, Presenting Points of Special Interest.-By William Seaman Bainbridge, M. S., M. D., of New York. Reprinted from American Medicine, Vol. IX, No. 12, pages 477-478. March 25, 1906.

Two Cases Presented to the Clinical Society of the New York Post-Graduate Medical School and Hospital, December 16, 1904. By William Seaman Bainbridge, M. S., M. D., New York. Reprinted from the Post-Graduate for February, 1905.

Clinical Treatises on the Pathology and Therapy of Disorders of Metabolism and Nutrition.-By Prof. Dr. Carl Von Noorden, Physician-in-Chief to the City Hospital, Frankfort, A. M.

Authorized American Edition translated under the direction of Boardman Reed, M. D., Professor of Diseases of the Gastro-Intestinal Tract, Hygiene and Climatology, Department of Medicine, Temple College; Physician to the Samaritan Hospital, Philadelphia, etc.

Part VI.-Drink Restriction (Thirst-Cures), Particularly in Obesity. By Prof. Carl Von Noorden and Dr. Hugo Saloman, New York. E. B. Treat & Co., 1905.

Contributors to the Medical Brief Whose Portraits Appeared in 1904 in the Medical Brief of St. Louis, Mo.

Kentucky Agricultural Experiment Station of the State College of Kentucky. -Bulletin No. 119. Labels on adulterated and imitation foods sold in Kentucky. By R. M. Allen. Lexington, Ky., April 15, 1905.

Abstracted from Report of the Commission for the Study and Treatment of "Anemia" in Porto Rico. Authorized by Act of the Legislative Assembly, approved February 16, 1904. Respectfully submitted to Hon. Beekman Winthrop, Governor of Porto Rico. Abstract published by M. J. Breitenbach Co., New York City. December 1, 1904.

Battle & Co.-Have just issued the sixth of their series of twelve illustrations of Intestinal Parasites, which they will send free, to the physicians, on application to the above firm, St. Louis, Mo.