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night thru a considerable period, and often are very satisfactory in such cases, and can do no harm in any event. No matter if her bowels have only been moving every two or three days for a number of years, get them thoroly cleaned out with generous doses of old fashioned epsom salts, and then keep them acting once daily with some such mild agent as cascara. Perhaps, as she has consulted so many practicians, you would better select some laxativ that will not likely be so familiar to her. Such a condition is enuf to keep an auto-intoxication, that in itself would be sufficient to provoke her symptoms. Be sure to examin her heart thoroly, and to exclude any possible organic disease. Put her on five grain doses, every four hours, of mono-bromate of camphor, and we believe her symptoms will disappear. Also (and you would better do this the first thing after clearing her bowels thoroly) consider the periodicity of the case, and try antiperiodics, if that has not already been done. -ED.]

Protection when Attending Contagious
Cases.

Editor MEDICAL WORLD:-What is the best and most convenient disinfectant for the general practician to use when attending contagious cases? NORTH WEST Ter.

[We presume that you refer to disinfection of the physician's person after leaving a patient ill with infectious disease. The most convenient and efficient plan is to have an "antiseptic suit," and carry it in the buggy, donning it before entering the house, and doffing it after leaving the building. A basin and a few bichlorid of mercury tablets are easily carried, and water is usually obtainable anywhere. Such an outfit is not expensiv, and is the only really scientific method of protecting yourself and the patients whom you visit after leaving the contagious case. The face, hair, beard and hands must be thoroly washt, and it is a wise precaution to include a brush for the more complete scrubbing of the hands. A vial of liquid soap is a not too luxurious addition. See reply to "Oregon," on page 263 of June WORLD.ED.]

CURRENT MEDICAL THOUGHT

The Practise in Los Angeles, Cal. Physicians' fees partake of that characteristic elasticity which estimates the ability of the patient to pay-feeling his pulse means feeling his purse. Day visits, $2.50; night visits, $5; office consultation, $1.50 to $5; and if you come with an introduction from a leading eastern surgeon, the office consultation fee may more likely be $15. Operations are charged for without any unanimity

have to obtain all the patient will or can stand. A wealthy man pays $1,500 for an ordinary appendectomy, and the same surgeon will operate for another man for $50. Hysterectomies are scaled from $3,000 to $100. A moderate charge for a Colles' fracture is $75, while other fractures bring from $100 to $500. The minimum charge for obstetrical cases is $25. As far as possible all the sick are sent to the hospitals, particularly by those physicians fortunate enuf to hold stock in some of the paying institutions. The public generally recognize the advantages of good nursing, and trained nurses are in good demand, and are paid $25 and $30 per week.

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The cases of which the general practician. will see the most are tuberculosis, typhoid, rheumatism, epidemic pneumonia, diphtheria, scarlet fever, smallpox, and all varieties of gynecological and genito urinary work.

In typhoid, cold tub baths and spongings, with a nourishing liquid diet, by no means confined to milk, is routine treatment. Hemorrhages are frequent, but stimulants and saline infusion are successfully employed. The surgeons believe in immediate operation upon the first signs of perforation. Epidemics of diphtheria are frequent-immediate and large doses of antitoxin constitute the treatment; one case of sixty thousand units with recovery is reported.

Appendicitis is fashionable and therefore frequent, and every practician operates. Many operations are for chronic cases, which, however, often continue to have subsequent inflammatory attacks in the same region. The turned-in cuff with purse-string suture, without cauterizing, is the favorit closure of the stump.-S. L. WALKER, B.A., M.D., in Mari

time Medical News.

Few physicians care to get rich real quick, but in case they do, the thirteen circulars, which come along. every morning describing the "Mt. Sinai Gold Mining Co.," will enable him to seize the opportunity "which knocks but once at his door." A limited amount of treasury stock can usually be obtained at eight cents a share, and in case it can afterwards be sold at par, the profits will naturally be enormous. Almost any reputable person can get his name on the mailing list of the third class brokers, who, from that time on, will never forget him.-Part of an editorial in the N. E. Med. Mo.

Dangers of Heroin.

Among recent synthetic products none is more widely used than heroin-an artificial or rather synthetic morphin salt, which many physicians employ with the idea that it is a harmless succedaneum for morphin. On the contrary, it has all the dangers of morphin salts in general and additional dangers of its own. Cohen, writing in American Medicin, says he has seen suppression of urin and threatening coma from small doses of heroin (one-twelfth grain) prescribed to check cough or relieve pain. Especially dangerous are the trade preparations containing heroin

-the composition being sometimes exprest in their proprietary titles and sometimes not. These combinations are widely advertised as cough syrups, asthma cures, etc. He declares that preparations of this character should never be used by physicians, who should be able to make their own combinations with or without morphin, and adapted to the needs of the individual case before them. Heroin is one of the most toxic agents of the morphin group. It has its legitimate uses, uncombined, in small, carefully watcht, infrequent doses; but not with the idea that it is anything else than a morphin salt.-Jour. Amer. Med. Ass'n.

The Work of the Heart.

As the ventricles of the heart each hold two ounces of blood, and as they contract seventy-five times per minute, there must pass every minute thru each ventricle seventy-five times two ounces of blood, or one hundred and fifty ounces, equaling one and one-sixth gallons. As each ventricle moves one and one-sixth gallons of blood per minute, then in one hour, or sixty minutes, each moves sixty times one and one-sixth gallons, or seventy gallons. Since seventy gallons of blood pass thru each ventricle in an hour, then in one day, or twenty-four hours, there passes thru each ventricle twenty-four times seventy gallons, or one thousand six hundred and eighty gallons; and in a year three hundred and sixty-five times one thousand six hundred and eighty gallons, or six hundred and thirteen thousand gallons! That is, it would require six hundred and thirteen one thousand gallon tanks to hold the amount of blood pumped by either ventricle into the arteries every year. Six hundred and thirteen one thousand gallon tanks set in a row side by side, allowing six feet for each tank, would form a row exceeding in length four of the longest blocks in any of our cities. That is a prodigious expenditure of energy to keep us alive.-Dr. C. N. Miller, San Francisco.

Vermont Examination Questions.

Dr. S. W. Hammond, secretary of the Vermont State Board of Medical Censors, reports that at the written examination held at Burlingon, Jan. 13-14, 1904, 80 questions were asked on 8 subjects, and a percentage of 75 was required. All 3 that were examined passed. Two were graduates of the University of Vermont in the year 1903, and one in 1901; their grades were 75, 81 and 85 respectivly. The questions asked were as follows:

ANATOMY.

1. Briefly describe the histology of the skin.

2. To what organs are the pneumogastric nerves distributed?

3. Make a diagram of an anteroposterior, vertical section of the

eye.

4. Describe the gross anatomy of the lungs.

5. Give the course of the circulation thru the heart.

6. Make a diagram of the femur, indicating the points of insertion and lines of traction of the musc es likely to cause displacements in fractures near the middle of the bone.

7. Enumerate in order, from before backward, the different tissues divided in amputating the leg midway between the knee and the principal changes in its course.

9. At what part of the abdominal wall is the tenderness most markt in typhoid fever and what viscera are situated beneath?

10. Make a diagram of and describe the tibia, with its relations to the fibula and the outer bones with which it articulates.

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4. What is HO, and what are its uses in medicin ?
5. How does chlorid of lime act as a disinfectant?
6. In what ways is Hg chiefly eliminated from the body!
7. Tell all you know about butyric acid.

8. A urin contains pus and gives an albuminous reaction. How will you determin whether such albumin be due to the pus alone and not to nephritis as well?

9.

What pathologic change produces bile in the urio? (6) Give a test for bile in urin.

10. What do oxalate of lime crystals in the urin signify? (¿) Uric acid crystals.

MATERIA MEDICA AND THERAPEUTICS.

1. Name the drugs that cause eruptions of the skin.

2. Give the dose of aconite, veratrum viride, belladonna, nux vomica, chloral hydrate and morphia.

3. Write a prescription for acute bronchitis.

4. Name the mydriatics. What is meant by the term?

5. Give the source and action of ergot.

6. Name the general and local anesthetics.

7. Give the composition of Dover's powder and its uses. 8. Name some of the internal antiseptics.

9. What do you understand by the incompatibility of drugs? Give examples.

10. Define the terms antipyretic, analgesic, hypnotic, anesthetic and antispasmodic and give examples of each.

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1. Give the etiology, pathology and symptoms of pnemonia. 2. What is arteriosclerosis? Its significance?

3. Give the etiology, pathology and symptoms of typhoid fever. 4. Name some of the rational signs of disease.

5. Name some of the physical signs of disease.

6. Name some of the causes of dyspnea.

7. Give symptoms and treatment of acute cystitis.

8. What is otitis media and its danger?

9. What is meant by the terms infection, contagion, nidus, crisis and lysis?

10. Write a short article on the prophylaxis of pulmonary tuberculosis.

SURGERY.

1. How would you treat a simple fracture of the lower jaw? 2. How would you treat a fracture of the clavicle?

3. How would you reduce a dislocation of the ulna backward on humerus?

4.

How would you treat a fracture of both bones of the fore arm? 5. How would you treat an ordinary pleurisy? How an empyema? 6. How would you treat the man mentioned in Question 6, Pathology?

7. Give treatment for perinephritic abscess.

8. In what case is paracentesis abdominalis advisably? Describe operation.

9. Suppose that in a gunshot wound of the inside of the thigh near the middle of a profuse hemorrhage suddenly occurred two or three weeks after injury, what would you do?

10. In case of gangrene of the leg in consequence of a thrombus in the popliteal artery, where is "the line" likely to form? What would you do and when?

PATHOLOGY.

1. What displacements are likely to occur in fractures of the lower jaw?

2. What are the displacements and symptoms in fractures of the clavicle?

3. Give symptoms of dislocation of the ulna backwards on the humerus?

4. What deformity and disability is liable to occur after an improperly treated fracture of both bones of the forearm?

5. Give differential diagnosis and course of pnemonia, pleurisy, bronchitis and phthisis.

6. Supposing the man mentioned in Question 6, Anatomy, was picked up on a battlefield, forty-eight hours after injury, with the feces exuding from his wound, but without shock or fever, what would be your prognosis?

7. What is pyelitis? Its most common causes and

symptoms?

8. In melanosis originating in the small intestines, where are the secondary deposits most likely to be found?

9. What accidents are liable to follow ligation of the femoral artery?

10. What is liable to occur after occlusion of the popliteal artery by an embolus or thrombus, and what are the early symp

toms.

RECENT BOOKS

The General Practitioner as a Specialist. By J. D. Albright, M.D., 900 North Forty-eighth street, Philadelphia, Pa. Third edition. Enlarged, revised and illustrated with original photo-reproductions. Devoted to the consideration of medical specialties for the general practician. 8vo. of 360 pages. Price, in cloth, $3.00; in half leather, $3.50. Publisht by the author.

Two editions have been exhausted in four years, and this issue is an improvement over the former. Contains just those things not found in the ordinary textbooks, but which many practicians would like to know. The aim of the author is to teach the elements of success in the specialties of which he treats. There are sections on rectal diseases, hernia, cancer, drug addiction, inebriety and the "gold cures," nasal catarrh, etc. There is a section by Dr. Williams on the Genito-urinary Specialty, including diseases of the prostrate and male urethra. In addition to detailing his own methods, the author exposes certain secret systems and formulas practised and used by promoters and charlatans. It aims mainly at instructing the general practician along lines not reacht by ordinary channels, and strives to help him to success in practise of hitherto neglected work.

A Manual of Bacteriology. By Herbert U. Williams, M.D., Professor of Pathology and Bacteriology, Medical Department of the University of Buffalo. With 99 illustrations. Third edition, revised and enlarged. Publisht by P. Blakiston's Son & Co., Philadelphia, Pa. Price, $1.75.

Contains 338 pages and an index. It has the original plan of giving the technic which the student must learn, together with the facts the practician needs to know, and yet not exceeding the ordinary manual size. The illustrations are clear and are of just the right character to afford needed instruction. The various theories of immunity furnish interesting reading. It is one of the best of small elementary books on the subject.-A.L.R.

Electro-Static Modes of Application, Therapeutics and the Uses of the Roentgen-ray. By William Benham Snow, M. D., Professor of Electro-Therapeutics and Radiotherapy in the New York School of Physical Therapeutics; Editor of the Journal of Advanced Therapeutics, and late Instructor in ElectroTherapeutics, in the New York Post-graduate School, etc. Second edition, revised and enlarged. Contains more than one hundred illustrations, including ten full-page half-tones, showing the various methods of posturing and treating conditions. Price, cloth bound, $3.00. A. L. Chatterton & Co., 97-99 Reade Street, New York.

This is one of the best of the smaller works on the subject. It contains 289 pages and an index. The author impresses upon the reader the fact that everything connected with the x-ray is in a state of transition, and that continual reading is necessary to keep one abreast of the times. He differs from the majority of writers when he advises that operation previous to the use of the ray in cancer of the female breast is not necessary; he believes in cases of recurrence that the preservation of the gland is of benefit for the prevention of metastasis, and also that clinical experience shows that the extremely radical removal of all glands and tissues adjacent to the growth noticeably raises the mortality. An especially valuable feature is the many directions and illustrations regarding the protection of the patient from burns. Useless illustrations are not crowded in to fill up space. He gives enuf elementary matter for the novice, yet soon gets deep enuf into the subject to interest the experienced expert.-A.L.R.

The ABC of Photo-micrography. A practical handbook for beginners. By W. H. Walmsley, F.R.M.S., F.A.A.A.S., charter member American Microscopical Society, etc. Publisht by Tennent & Ward, New York. Price, $1.25.

Contains 148 pages, with 13 plates. It is a very interesting book for perusal by any practician, and it is the only primer of the art. It takes up only the fundamentals, and any person without knowledge of photomicrography may here learn all the essential rudiments. It teaches the little things larger works have ignored; yet the very things a beginner must know. It treats of the microscope and optical apparatus, of

the camera and photographic appliances, of light and illumination, of negativs, and of printing methods, etc.-A.L.R.

Static Electricity, X-ray, and Electro-vibration: their Therapeutic Application. By Franklin B. Gottschalk, M.D., Professor of Diseases of Children at Jenner Medical College; Attending Physician German-American Medical Hospital; Assistant to Chair of General Medicin, Chicago Polyclinic; Member American Medical Association; Chicago Medical Society, etc. Publisht by T. Eisele, 906 Evanson avenue, Chicago, Ill.

Price not stated

It contains 176 pages of concise information on the use of static electricity, high frequency currents, x-ray, photo, hot air, and vibration therapy. It is profuse in illustrations of value to the beginner. The author does not belittle drugs, hygiene, and diet; but insists that electricity, when indicated, will produce effects not otherwise obtainable. He is enthusiastic, yet has written wisely. It is a valuable little work for the beginner in these fields.-A.L.R.

Lessons on the Eye. For the use of undergraduate students. By Frank L. Henderson, M.D., Ophthalmic Surgeon to St. Mary's Infirmary, and the Christian Orphan's Home; Consulting Oculist to the St. Louis City Hospital, the Wabash Railway, and to the Terminal Railway Association; etc. Third edition. Publisht by P. Blakiston's Son & Co., 1012 Walnut Street, Philadelphia. 1903. Price not stated.

Contains 197 pages, 10 of which are given over to general therapeutics. It has 28 chapters, four of which treat of the anatomy of the eye. Only those subjects are treated of which the general practician must be master, and the author states that the only claim to originality which he makes lies in the omissions of details. He tells enuf for the general practician.-A.L.R.

Diseases of the Ear. By E. B. Deuch, M.D. Third edition. D: Appleton, New York. 1903. Price, $5.00; 718 pages. The fact that this well-known text-book has so soon reacht its third edition sufficiently attests its well-deserved popularity. It is by far the most complete exposition of the diseases of the human ear by an American, comparing favorably in this respect with the works of Politzer and other European authors; and the general practician will find it vastly more practical as a book of reference, because of the clearness and conciseness with which Deuch states his views as to the best methods of treatment. The book is rather too bulky for an undergraduate student, however, and comparativly few general practicians will have the leisure and patience to read it thru from cover to cover. But, as a book of reference on diseases of the ear for the general practician who is occasionally obliged to treat a troublesome aural disease, it is unsurpast. The ear specialist will continue to regard the work as the American classic on aural diseases. Deuch states in his preface that, owing to the great advances made in otological surgery during the last few years, a complete revision of the chapters devoted to operativ treatment of chronic suppurativ otitis and its various intracranial complications has been necessary. Deuch is fully as radical as most American authors in the operativ measures advocated, as for the treatment for suppuration of the middle ear and its intracranial complications. He is remarkably clear in his descriptions of the anatomy of the ear and of surgical operations, and the text is sufficiently elucidated by a large number of good illustrations.E. B. G.

International Clinics, Vol. III, Thirteenth Series. Publisht by J. B. Lippincott Company, Philadelphia. Cloth. Price, $2.00; 305 pages.

This number contains a valuable discussion on diseases of gall bladder and ducts, by prominent authorities. Also other valuable articles.

Adult Diet List. Compiled by C. S. Millet, M. D., of Brockton, Mass. Price, 25 cents.

This is a series of leaves bound together. On each leaf is a list of eatables divided into three classes: Eat. Try cautiously. Avoid. The intention is to tear a leaf out and leave it with each patient that

needs such instructions. Of course the doctor can modify the list with his pencil in any way that he chooses. These leaves will be a great convenience to any physician, and a great help to patients. A printed list is much more definit and satisfactory than verbal directions. At the bottom of each leaf is the following good advice: Eat regularly. Eat slowly. Leave off hungry.

Gynecology. A text-book for practicians and a guide for students, by Wm. R. Pryor, M.D., Professor of Gynecology in the New York Polyclinic Medical School, Gynecologist, New York Polyclinic Hospital, Consulting Gynecologist St. Vincent's Hospital, New York City Hospital, St. Elizabeth Hospital, etc. With 163 illustrations in the text. Publisht by D. Appleton & Co., New York and London. Price not stated.

A 374 page work containing 163 illustrations of unusual excellence, the majority of which are photo-gravures. The work is divided into two parts. In the first the diseases are described; in the latter the operations are given. The author has, by confining himself strictly to gynecological topics and omitting all bacteriology and minute anatomy, obtained more space to devote to those subjects which are solely within his province. The author believes that early maternity is conduciv to easy labor, and that under these conditions injury to the cervix is less likely.-A. L. R.

Little Masterpieces of American Wit and Humor. Edited by Thomas L. Masson. Publisht by Doubleday, Page & Co., 34 Union Square, New York, N. Y. Price, 75 cents per volume; $4.50 the set of six volumes.

The set consists of six handsome little books in red vellum, with gold titles, each containing about 185 pages. Each volume has a handsome engraving of one of the "Masters of American Humor;" these include Mark Twain, Josh Billings, James Whitcomb Riley, Eugene Field and Oliver Wendell Holmes, and each has a fac simile autograph of the author. Over fifteen years have been consumed in compiling these little books, and the result is a casket of sparkling gems of wit; some like rare wine, old and good; others fresh and breezy and well worth preservation. All that is representativ of true American humor finds place, from Washington Irving to " Mr. Dooley." The introduction by Mark Twain explains that the selections from his works were made by others than himself, and "this is why there are not more." They fit the pocket nicely. They are not excelled to place on the waiting room table. We have re-read them several times, yet our set is not for sale.-A. L. R.

Diseases of the Nose and Throat. By Charles Huntoon Knight, A.M., M.D., Professor of Laryngology, Cornell University Medical College; Surgeon, Manhattan Eye and Ear Hospital, Throat Department. With 147 illustrations. Publisht by P. Blakiston's Son & Co., Philadelphia, Pa. Price, $3.

Bound in handsome blue cloth, and contains 423 pages. The contents have been the base of lectures to Cornell medical students, and it is to this class, chiefly, that it appeals, tho many practicians will need no more voluminous work for reference in every day general practise. It is intensely practical for the beginner; it is not verbose nor confusing; it is safe and modern.

A. L. R.

The American Illustrated Medical Dictionary. Third Edition, Thoroly Revised. For Practicians and Students. A Complete Dictionary of the Terms used in Medicin, Surgery, Dentistry, Pharmacy, Chemistry, and the kindred branches including much collateral information of an encyclopedic character, together with new and elaborate tables of Arteries, Muscles, Nerves, Veins, etc.; of Bacilli, Bacteria, Micrococci, Streptococci; Eponymic Tables of Diseases, Operations, Signs and Symptoms, Stains, Tests. Methods of Treatment, etc. By W. A. Newman Dorland, A. M., M. D., editor of the "American Pocket Medical Dictionary." Handsome large octavo, nearly 800 pages, bound in full flexible leather. Philadelphia, New York, London: W. B. Saunders & Co., 1903. Price, $4.50 net; with thumb index $5 net.

This excellent work meets the varied needs of physicians and students. In this, the third edition, several hundreds of new terms that have been added to the vocabulary of medical sciences have been incorporated and clearly defined. The entire work has been subjected to a careful revision, and many of the tables,

notably those of acids, bacteria, stains, tests, methods of treatment, etc., have been amplified, and their practical value greatly increast.

A Hand-Book of Diseases of the Eye and their Treatment. By Henry R. Swanzy, A.M., MD, M.B., F.R.C.S.I., Surgeon to the Royal Victoria Eye and Ear Hospital, and Ophthalmic Surgeon to the Adelaide Hospital, Dublin, Expresident of the Ophthalmological Society of the United Kingdom. Eighth edition, revised, with 168 illustrations and zephyr card of Holmgren's tests. Publisht by P. Blakiston's Son & Co., 1012 Walnut street, Philadelphia, Pa. Price, $2.50.

Contains 580 pages. Neatly bound, well printed, and completely illustrated, it forms a handy and reliable small work for the practician who wishes to be up with the times and yet does not care for a ponderous treatise on the eye. The book is succinct and practical. Treatment is given briefly on the commoner affections, but in intricate cases or operations the methods are fully detailed.—A. L. R.

The American Pocket Medical Dictionary. Fourth Revised Edition, Greatly Enlarged. Edited by W. A. Newman Dorland, M. D., Assistant Obstetrician to the Hospital of the University of Pennsylvania. Containing the pronunciation and definition of the principal words used in medicin and kindred sciences, with 566 pages and 64 extensiv tables. Philadelphia, New York, London: W. B. Saunders & Co., 1903. Flexible leather, with gold edges, $1 net; with thumb index, $1.25 net.

In this little work there is much information in small space. In this edition several thousand of the newest terms that have appeared in recent medical literature have been added, and the entire work subjected to a careful revision.

Obstetrics for Nurses. By Joseph B. De Lee, M. D., Professor of Obstetrics in the Northwestern University Medical School, Chicago; Lecturer in the Nurses' Training School of Mercy, Wesley, Provident, Cook County, and Chicago Lying in Hospitals. 12 mo. of 460 pages, fully illustrated. Philadelphia, New York, London: W. B. Saunders & Co., 1904. Cloth, $2.50

net.

The illustrations have been made expressly for this book. The photographs were taken by the author from actual scenes, and are true to life. The text is the outgrowth of eight years' experience in lecturing to the nurses of five different training schools.

Saunders' Medical Hand-Atlases. Atlas and Epitome of Operativ Gynecology. By Dr. O. Schäffer, of Heidelberg. Edited, with additions, by J. Clarence Webster, M. D. (Edin.), F. R. C. P. E., Professor of Obstetrics and Gynecology in Rush Medical College, in affiliation with the University of Chicago. With 42 lithographic plates in colors, many text cuts, a number in colors, and 138 pages of text. Philadelphia, New York, London: W. B. Saunders & Co., 1904. Cloth, $3

net.

This new addition to Saunders' admirable series of Hand-Atlases is excellent. It is unfortunate that medical students graduating each year know less about gynecologic operations than about almost any other department of operativ surgery. Artist, author, and lithographer have expended much patient enIdeavor in the preparation of the water-colors and drawings.

A Text-Book of Legal Medicin and Toxicology. Edited by Frederick Peterson, M. D., Chief of Clinic, Nervous Department of the College of Physicians and Surgeons, New York; and Walter S. Haines, M. D., Professor of Chemistry, Pharmacy, and Toxicology, Rush Medical College, in affiliation with the University of Chicago. Two imperial octavo volumes of about 750 pages each, fully illustrated. Philadelphia, New York, London: W. B. Saunders & Co., 1903. Per volume: Cloth, $5 net; Sheep or Half Morocco, $6 net.

For convenience of reference, the treatise has been divided into two sections, Parts I and II, the latter being devoted to toxicology and all other portions of legal medicin in which laboratory investigation is an essential feature. Under "Expert Evidence" not only is advice given to medical experts, but suggestions are also made to attorneys as to the best methods of obtaining the desired information from the witness. An interesting and important chapter is that on "The Destruction and Attempted Destruction of the Human Body by Fire and Chemicals;" for on the determination of the human or animal source of the remains

frequently depends the legal conduct of a given case, and the guilt or innocence of the accused. Included in the work is the enumeration of the laws of the various states relating to the commitment and retention of the insane. The entire work is overflowing with matters of the utmost importance, and expresses clearly, concisely, and accurately the very latest opinions on all branches of forensic medicin and toxicology.

The Treatment of Fractures. With notes upon a few common dislocations. By Chas. L. Scudder, M. D., Surgeon to the Massachusetts General Hospital. Fourth edition, thoroly revised, enlarged, and reset. Octavo volume of 534 pages, with nearly 700 original illustrations. Philadelphia, New York, London: W. B. Saunders & Co., 1993. Polisht Buckram, $5 net: Sheep or Half Morocco, $6 net.

Four large editions of this work in less than four years testify to its value. The student sees the actual conditions as they exist in fractured bones, and is encouraged to determin for himself how to meet the conditions found in each individual case. The reader is not only told, but is shown how to apply apparatus, for, as far as possible, all the details are illustrated. This elaborate and complete series of illustrations constitutes a feature of the book.

International Clinics. A Quarterly of Illustrated Clinical Lectures and Especially Prepared Original Articles. Edited by A. O. J. Kelly, A. M., M. D. Publisht by J. B. Lippincott Company, Philadelphia, Pa. Price $2.

This is Vol. IV, of the thirteenth series. It contains 304 pages. One of the most interesting articles is that on Subcutaneous Injections of Mercury for Syphilis, by Dr. Louis Julien, of Paris. It contains many other lectures of average interest. It will be noticed that the price has been reduced.

Morrow on Social Diseases. The Relation of Social Diseases and Marriage. By Prince A. Morrow, A. M., M. D., Emeritus Professor of Genito-Urinary Diseases in the University and Bellevue Hospital Medical College; Surgeon to the City Hospital; Consulting Dermatologist to St. Vincent's Hospital, etc., New York. In one octavo volume of 390 pages. Cloth, $3 net. Lea Brothers & Co., Publishers, New York and Philadelphia, 1904.

One of the most valuable books we have ever read. It contains much which its title does not indicate, and which we cannot compass in the space of a review; such as advice to the physician when confronted with grave problems regarding secrets of his patients who propose marriage against his advice, etc. It has a full discussion regarding methods and possibilities of controling the social evil." It is a book which the physician may place in the hands of the intelligent lay reader who is concerned in the matters treated.

Ewing on the Clinical Pathology of the Blood. New (2d) edition. A Treatise on the General Principles and Applications of Hematology, by James Ewing, M. D., Professor of Pathology, Cornell University Medical College, New York. New (2d) edition, revised and enlarged. In one octavo volume of 492 pages, with 43 engravings and 18 full-page colored plates. Cloth, $3.50, net. Lea Brothers & Co., Publishers, Philadelphia and New York.

The pronounced advance made in the methods of blood examination, and the really valuable increase in our knowledge of the blood and its diseases within the last few years, make this book interesting. The subjects of Cryoscopy and the Serum Test for Blood have been changed and added to, as has also that on Leukemia. This book has been adopted by most of the higher class of medical colleges.

The Complete Medical Pocket-Formulary and Physician's Vade Mecum. Containing upwards of 2,500 prescriptions collected from the practise of physicians and surgeons of experience, American and foreign, arranged for ready reference under an alphabetical list of diseases. Also a special list of new drugs, with their dosage, solubilities, and therapeutical applications. Collated for the use of practicians by J. C. Wilson, A.M., M.D., Physician to the German Hospital, Philadelphia, etc. Third revised edition. Publisht by J. B. Lippincott Company, Philadelphia, Pa. Price, $1.75.

Contains 264 pages. Handsomely bound in serviceable leather. The prescriptions are judiciously selected, and the blank pages inserted thruout the

book make it very convenient. Many charts and tables not commonly found in books of this class are presented.

Howe's' Handbook of Parliamentary Usage. Arranged for the instant use of Legislativ and Mass Meetings, Clubs, and Fraternal Orders, Teachers, Students, Workingmen, and all who desire to conduct themselves "decently and in order" in public assemblies. By Frank William Howe Publisht by Hinds & Noble, 31 West 15th street, New York, N. Y. Price, 50 cents, postpaid.

This little book contains but 54 pages, yet it completely covers all the ground covered by the larger and older works. The arrangement is unique; by opening the book at the center, one is given an instantaneous view of twenty-six subjects, and the matter of reaching complete references to any of the twenty-six is merely a matter of opening the book at a page plainly indext. It is truly an instantaneous arbitrator. So certain are the publishers of its giving complete satisfaction, that they offer to mail it to anyone on approval" to be paid for only if approved, otherwise returnable." It is so small as to slip into any coat pocket, and has all the gist of Cushing, Robert, Reed, and Palmer. We have never seen so convenient and so complete a book on rules of order.

Mother and Daughter. By C. A. Button, M.D. Publisht by Holland Medical Company, Holland, N. Y. Price, $1, post paid.

This little book contains 147 pages, and is intended for the use of the laity. It is singularly free from the fault of inducing patients to treat themselves; it should in reality increase the practise of the doctor by showing the woman when she actually needs medical attention. It is handsomely bound in red leather, and is of convenient pocket size. It is one of the least objectionable of its kind.

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Commoner Diseases of the Eye. How to Detect and How to Treat Them. By Casey A. Wood, C.M., M.D., D.C.L., Professor of Clinical Ophthalmology in the University of Illinois, etc., and Thomas A. Woodruff, M.D., C.M., L.R.C.P., Professor of Ophthalmology in the Chicago Post-graduate Medical School, Chicago, etc.; 250 illustrations, 7 colored plates; 500 pp. 5 x 8 in. Bound in green buckram, gold side-title and top. $1.75 net. Publisht by G. P. Engelhard & Co., Chicago, IlI.

Contains 491 pages and an index. Written for the general practician who wishes to know enuf to treat the easy and common affections of the eye, and who does not care to be so ignorant as to tamper with serious affections beyond the range of his ability or equipment. It will do much good along this line. It is notably free from technical terms common in the larger works on ophthalmology, and is well illustrated.

Diseases of the Nervous System. A practical treatise on nervous diseases, for the medical student and general practician. By F. Savary Pearce, M.D., Professor of Nervous and Mental Diseases in the Medico-Chirurgical College and Hospital of Philadelphia; Neurologist to the Philadelphia Hospital, etc. Colored frontispiece; 91 illustrations in the text, many in colors. Publisht by D. Appleton & Co., New York and London, 1904. Price not stated.

Contains 386 pages, with an appendix of prescriptions and a good index. Such a work is needed. The author has succeeded admirably in writing it in just such a manner as will admit of its appealing to the general practician. It is condenst, yet lucid. Mooted points have but scant consideration. It is eminently practical, and is a safe and authoritativ guide in the mazes of this intri

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