THE EXPLORATORY ABDOMINAL INCISION. By WILLIAM

EASTERLY ASHTON, M.D.

OVARIAN NEOPLASMS. BY ALEXANDer J. C. Skene, M.D. .

RUPTURED TUBAL PREGNANCY. BY MATTHEW D. MANN, A.M.,
M.D.

UMBILICAL HERNIA, EARLY MENOPAUSE;

LACERATED

CERVIX AND VAGINAL ENTEROCELE; RECTOCELE,

LACERATED CERVIX, and retroVERSION. BY PAUL F.

MUNDÉ, M.D. .

AFFECTIONS OF THE LACHRYMAL GLAND. By SIMEON SNELL,

F.R.C.S. Ed. . .

.

PAGE

265

272

277

.

280

286

295

307

SCLERAL PUNCTURE IN DETACHMENT OF THE RETINA,

WITH ILLUSTRATIVE CASES. By G. E. DE SCHWEINITZ,

M.D.

CONGENITAL PTOSIS; EPITHELIOMA OF THE EYELID ;

OPERATION FOR THE RELIEF OF TRAUMATIC ECTRO-

PION. BY EDWARD B. HECKEL, A.M., M.D. . . .

TREATMENT OF TRACHOMA BY EXPRESSION AND BY

OTHER METHODS. By THOMAS R. POOLEY, M.D.

BLENNORRHOEAL CONJUNCTIVITIS; ITS ETIOLOGY, DIAG-

NOSIS, AND TREATMENT. By ALBERT RUFUS BAKER, M.D. 320

CHRONIC NON-SUPPURATIVE INFLAMMATION OF THE

MIDDLE EAR. By S. J. JONES, M.D., LL.D.

FIBROUS TUMOR OF THE NASO-PHARYNX. By J. MACKENZIE

BOOTH, M.A., M.D., C.M. (Aberdeen).

314

326

339

RINGWORM; PEDICULOSIS AND SCABIES; ECZEMA; PSORI-

ASIS; EPITHELIOMA. By GEORGE THOMAS JACKSON, M.D. . . . 345

LIST OF ILLUSTRATIONS TO VOLUME I.

(FOURTH SERIES.)

PLATES.

Professor Jean-Marie Charcot (portrait), opposite

The application of the wire-cuirass (Fig. 2) and the deformities resulting from
Pott's disease (Figs. 4, 5, 6, and 7)

Topographical relations of the cystic and common bile-ducts (Fig. 1).
Boy of twelve from whose bronchus a cartridge-shell one and a quarter inches
long by three-eighths of an inch in diameter was removed after tracheotomy
(Fig. 4)

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XV

149

213

225

233

245

Fibro-papilloma of the bladder (Fig. 3) and a fibro-myxoma (Fig. 4)
A case of epispadias before operation (Fig. 1) and the result nine days after the
operation (Fig. 2). . . .
Abscess of the lachrymal gland in a baby five months old (Fig. 1); enlarged
lachrymal gland of the right eyelid in a man aged fifty-five years (Fig. 2);
adenoma of the lachrymal gland in a woman of twenty-five years (Fig. 3) 289
A case of congenital ptosis before (Fig. 1) and after the operation for its relief
(Fig. 2)

Epithelioma of the lower eyelid before (Fig. 3) and after operation (Fig. 4)
Traumatic ectropion in a child relieved by operation (Fig. 5)

.

307

FIGURES.

Diagrams showing the recession of præcordial dulness, in a case of rheumatic
inflammation of the heart, in the space of twenty-four hours
Diagrams showing the recession of dulness in a case of pericarditis with effusion
in the space of nine days..

12

Areas of cardiac and hepatic dulness in a case of mitral insufficiency.
Sphygmogram of the radial pulse in a case of mitral insufficiency (Fig. 2)
Areas of cardiac and hepatic dulness in a case of chlorosis (Fig. 3)
Sphygmogram of the radial pulse in a case of chlorosis (Fig. 4)
Chart of the percentage of red blood-corpuscles and of hæmoglobin in a case of
pernicious anæmia

Chart of the percentage of red blood-corpuscles and of hæmoglobin in a case of pernicious anæmia

52

Temperature chart of (Case II.) pernicious anæmia.

53

A convenient electrode for the application of the galvanic current
Microscopic section of the spinal cord showing acute hemorrhagic myelitis

(Fig. 1) . . .

Acute hemorrhagic myelitis (Figs. 2 and 3)

Diagrammatic sections of the spinal cord, showing the areas of sclerosis in common tabes (Figs. 1 and 2) and in cervical tabes (Figs. 3, 4, and 5) . . . . 111 Sections of the spinal cord, showing the sclerosed area in a case of paralysis of the brachial plexus (Figs. 6 and 7) . .

114

A neuroma from Scarpa's space undergoing myxomatous change.
Padded cuirass with jury-mast attached for cervical Pott's disease
Baby-carriage for child in cuirass made extra long and with rubber-tired wheels
(Fig. 3) . .

117

147

149

Jury-mast complete, with a firm basis of support to be incorporated in a plasterof-Paris jacket (Fig. 8)

150

Jury-mast and plaster-of-Paris jacket applied (Fig. 9).

150

Topographical relations of the artificial urethra formed in advanced cases of prostatic enlargement (Fig. 1)

169

Silver plug for keeping an artificial suprapubic urethra patulous (Fig. 2) . . 172 Apparatus for retaining the silver stopper securely in the suprapubic urethra

Allis' knife for Rhoads' operation of tendon elongation (Fig. 1)
Anderson's method of tendon elongation, illustrated (Fig. 2)

Diagrams illustrating Dr. Keen's method by which tendons may be lengthened
to a definite extent (Figs. 3, 4, and 5). . .

172

175

.

176

176

Wilson's adaptation of Anderson's method to tendon shortening (Figs. 6, 7, and 8) . . .

Dr. Trnka's method of tendon suturing and the application of the catgut

Schwartz's method of tendon anastomosis (after Lejars) (Fig. 22)
Tillaux and Duplay's method (after Lejars) .

Two methods for lengthening tendons somewhat more complicated than the preceding (Fig. 24 A, Fig. 24 B, Fig. 25 A, Fig. 25 B)

183

Deformity resulting from an unreduced fracture of the lower end of the radius (Fig. 1)

Restoration of the normal contour of the same case after refracture (Fig. 2)
Line of incision to expose the gall-bladder, with the retractors and calculus-
scoop in position (Fig. 2)

The Murphy button in position in cholecystenterostomy (Fig. 1)
Application of sutures to retain the Murphy button in position (Fig. 2)
Calculi from the gall-bladder (Fig. 3). . . .

Epithelioma of the bladder (Fig. 5).

202

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215

221

222

223

233

236

248

Diagrammatic representation of the method of applying a ligature to an ovarian

pedicle (Figs. 1, 2, 3, and 4) .

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262

293

Adenoma of the lachrymal gland after removal (Fig. 4) Microscopic appearance of a section of adenoma of the lachrymal gland (Fig. 5) 293 Diagram of the field of vision in a case of scleral puncture (Fig. 1) Field of vision of the same case two weeks after a second scleral puncture (Fig. 2), and again two months later (Fig. 3) Diagrams of the field of vision of Case II. before the scleral puncture (Fig. 4) and one week after the operation (Fig. 5) . . . . Diagram illustrating the partial detachment of the retina in Case II. (Fig. 6), and the final result of treatment on the field of vision (Fig. 7) Field of vision of Case III., illustrating extensive detachment of the retina (Fig. 8)

297

298

300

301

302

Diagram of the visual field of Case III. after operation practically without favorable result (Fig. 9)

302

... 303

Field of vision of Case IV., showing extensive detachment of the retina (Fig.
10) and some slight improvement after the operation (Fig. 11)
Diagrams illustrating the changes produced by the instillation of a solution of
eserine in a case of detachment of the retina (Figs. 12, 13, and 14)
Diagram of the visual field of a patient treated with eserine (Fig. 15)
Vertical section of a temporal bone, showing the external, middle, and internal
ear and Eustachian tube.

Jones' compound otoscope and Tröltsch's mirror with head-band attached
Tröltsch's mirror, with handle, ready for use

Conversation tube and long rubber tube adapted for aiding in the determi

nation of a diagnosis by exclusion

Hard rubber nebulizer and bottle.

Complete steam-atomizer

Silver Eustachian catheter (natural size)

Vertical section of the naso-pharynx, showing the Eustachian catheter in posi