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Practical Gynæcology. A Comprehensive Text-Book for

Students and Physicians. By E. E. MONTGOMERY, M.D.,
LL.D. Second revised edition. Rebman, Limited, 129,

Shaftesbury Avenue, London, W.C. 1904. This is a good example of a large class of American textbooks, and that it has found an appreciative audience is shown by the fact that in less than four years a second edition has been called for. The first edition has already been reviewed in these pages, and it need only be said that in the preparation of the present one much labour and thought have been expended. Many alterations in the arrangement of the different divisions of the subject have been made, and in the portions dealing with genital tumours extensive changes have been introduced, especially in the discussion of myomata and malignant growths. The author has devoted special attention to detailed descriptions of recent operative procedures, and in order to accomplish this the greater part of the work has been re-written, and 70 pages added to its size. The book can be recommended as affording a good account of the diseases with which it deals. Many new illustrations appear in the present edition, and are on the whole great improvements. Evidence of haste appears here and there; there are a few errors of spelling, such as liomyoma on page 602; this, of course, may be the American method of spelling the word, but the same excuse can hardly be urged for “Gregg” Smith on page 557. The illustrations 487 and 488 of cancer of the body of the uterus have apparently been transposed. The book is well got up, the printing is clear, and there is a very full index, which adds greatly to the value of the work.

Saunders' Year Book of Medicine. Edited by GEORGE M.

GOULD, M.D. London: W. B. Saunders and Co. YEAR BOOKS are difficult to review, in that they contain such a wide range of subjects. Their merit consists in the impartiality and thoroughness of their work. In the case of “Saunders' Year Book” it may be said that no important

paper or investigation of the year has escaped notice. The contents are arranged under the headings: Pediatrics, Pathology. Neurology, Legal Medicine, &c. We consider the method followed extremely good, and the book will be of value to all engaged in research, whether in clinical medicine or any of the related departments.

A Manual of the Practice of Medicine. By A. A. STEVENS,

M.D. Sixth edition. Philadelphia, New York, and Lon

don: W. B. Saunders and Co. This is an entirely revised edition of a useful and practical introduction to the practice of medicine. It is in particular the section on diseases of the digestive organs that has been re-written, an account of the most modern methods of gastric diagnosis being now included.

The book is essentially one for the student preparing for examination, and as such is a good one. It does not, therefore, include much theory, is concise and practical. We notice omissions of some subjects which, though not common, may give trouble in differential diagnosis. Thus malignant growth of the kidney is not mentioned in discussing hæmaturia. Nor is malignant growth of the pleura included in the list of introthoracic diseases. We notice, further, that the pathology of jaundice is not quite in accordance with recent researches, With such exceptions, the book is certainly useful and sound.

Elements of Surgical Diagnosis. By A. PEARCE GOULD,

M.S.Lond., F.R.C.S. London: Cassell and Company.

Third edition. THE third edition of Mr. Pearce Gould's Elements of Surgical Diagnosis will be welcomed by the student, as it has been thoroughly revised and partly re-written. The usefulness of the book has in consequence been considerably increased. The advances in diagnosis which the last few years have seen are many, and now that surgical aid is sought in many acute

abdominal diseases, it is necessary to be well posted in the means of distinguishing them. The author has therefore added a chapter on Rupture of Gastric and Duodenal Ulcers, Appendicitis, different forms of Colic, Rupture of the gall bladder, and Tuber Pregnancy, Acute Pancreatitic Torsion of ovarian tumours and spleen, different forms of Intestinal Obstruction, &c. The experienced clinician knows best how diffcult may be the diagnosis of many of the above conditions. Therefore the writer who states clearly how he arrives at a differential diagnosis certainly confers a benefit on the learner. The diagnosis of the Intracranial Complications of Middle Ear Disease is now included in the chapter on Diseases of the Head, and is a most valuable addition to the book. The refinements of diagnosis by skiography, bacteriology, and blood examination come in for proper

notice. There is no doubt that a work like this is close and dry reading, owing to the multitude of facts which must necessarily be stated. At the same time, the writer has so thoroughly accomplished his task, and has infused so much lucidity into the book, that none can fail to acquire valuable information from it. Mr. Pearce Gould's book is a necessary one to the advanced student preparing for the higher examinations, and, we may say without hesitation, to those who have to teach surgical diagnosis.

The Edinburgh Medical Journal. Vol. XIV. July-December,

1903. Edinburgh and London : Young J. Pentland. THIS volume contains several interesting contributions to medical literature. Mr. A. E. Barker suggests a “Modification of Talma's Operation for Ascites." He remarks that aseptic peritoneal adhesions soon disappear. As the object of Talma's operation is the establishment of permanent adhesions, some more thorough procedure should be employed. He tried stripping the parietal peritoneum from the anterior wall of the abdomen over an area about the size of the hand. Two holes were then made in the pocket so formed, and the omentum

passed through and secured. The patient was believed to have benefited, but was still under observation when the communication was made. There is an important article by Dr. D. G. Hall on Cardiac Aneurysms. The pathology of the condition is fully discussed, and an attempt made to set out the clinical signs and symptoms of what is always a diagnostic puzzle. The article is exhaustive and well worth careful study.

Dr. Parkes Weber has an instructive article on “ Simple Persistent and Congenital Persistent Jaundice, Family Biliary Cirrhosis and Family Tendency to Jaundice.” This is one of the most interesting papers in the book, as it deals with some rare forms of hepatic disease which are very difficult to elucidate. An interesting contribution to medical history is a paper by Dr. Henry Barnes, on two cases in which Boerhaave was consulted. There is a paper on the “Pathology of Bone Cysts of the Nose,” by Mr. Logan Turner.

A System of Physiologic Therapeutics. A Practical Exposi

tion of the Methods, other than Drug-giving, useful for the Prevention of Disease and in the Treatment of the Sick. Edited by SOLOMON SOLIS COHEN, A.M., M.D. Volume VII. Mechano-therapy and Physical Education, including Massage and Exercise, by JOHN K. MITCHELL, M.D.; and Physical Education by Muscular Exercise, by LUTHER HULSEY GALICK, M.D. With Special Chapters on Orthopædic Apparatus, by JAMES K. YOUNG, M.D. On Corrective Manipulations in Orthopædic Surgery (including the Lorenz Method), by AUGUSTUS WILSON, M.D., and on Physical Methods in Ophthalmic Therapeutics, by WALTER L. PYLE, M.D. With 229 illustrations. Published

by Rebman, Limited, 129, Shaftesbury Avenue, W. 1904. THE major portion of this book, after a section on massage, is given up to the discussion of exercise, remedial and educational. The well-illustrated section on Massage, with its clear and concise explanations, should do a great deal to clear away

the mystery which surrounds this art, and enable the practitioner to acquire with ease such familiarity with the technique, as not to be entirely at the mercy of the operator, be he skilled or otherwise.

The section on remedial exercise covers a very wide ground, including, as it does, such subjects as the treatment of heart disease by Schott's system, exercises in co-ordination for locomotor ataxia, and the management of lateral curvature. A knowledge of “Therapeutic Gymnastics ” is almost indispensable at the present day if the medical profession is to keep patients from falling into the hands of the “innumerable

professors”—happily more numerous in America than in this country-among whom are found "enthusiastic devotees," who “proclaim physical culture as a universal panacea for all forms of disease and disorder, from bunions to baldness.”

The knowledge which can be derived from a perusal of this section will at any rate enable the medical practitioner to signify to the gymnast the kind of exercises he would like the patient to have, instead of passing the patient bodily over to the gymnast to be treated on the very general principles which guide the average gymnastic instructor. The exercises employed are mostly old friends, but a new and very useful exercise to straighten the spine by means of a rod is described on page 176; and again on page 196 we find an excellent sidecrawling movement to overcome a lateral curve.

Much useful information is to be found in the section on physical education by muscular exercises. Of particular interest is the discussion of the different gymnastic systems, and of the contrast between the athlete and the gymnast—a contrast decidedly in the athlete's favour.

In the Addenda we find a description of Lorenz's operation for congenital hip dislocation—a description in our opinion quite unique in its precision and lucidity. Each manipulative procedure is illustrated in such an exact way that the text is followed with ease, and the author shows a most intimate acquaintance with every detail of the procedure, which enables him, with the help of these illustrations, very rapidly to make the reader master of the method.

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