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are indebted to Professor Davis for this carefully written little work. The book is of special interest, not only to the physician, but also to the educated nurse and the mother, both of whom will find much valuable information which they should possess.

POCKET REFERENCE BOOK AND VISITING LIST. Perpetual. J. H. Chambers Publisher, St. Louis, Mo. 1903. Price, $1.00.

This excellent Reference Book and Visiting List is arranged for any year or part of the year, the dates being left blank to be filled in by the physician. The visiting list contains much useful information in the way of calendars, care of batteries, disinfectants, poisons and antidotes, tables of doses, etc. It is a handy size, handsomely bound in red morocco, and is one of the best visiting lists we have.

TWENTIETH CENTURY PRACTICE. An International Encyclopedia of Modern Medical Science by Leading Authorities of Europe and America. Edited by THOMAS L. STEDMAN, M. D., New York City. In 21 volumes. Volume XXI. Supplement. William Wood & Company, New York. The twenty-first volume, or supplement, of the Twentieth Century Practice of Medicine has just been issued. It is under the able editorship of Dr. Thomas L. Stedman, of New York. This volume, issued two years after the completion of the twentieth volume of the Twentieth Century, contains much valuable information. The Roentgen rays occupies an important article in relation to diagnosis and treatment. The agency of the mosquito in the transmission of yellow fever is another article quite worth the price of the volume. The article on dysentery, a term which now covers at least two distinct diseases, is also published in the supplement. Cancer also demands special attention in this volume, as does hematology and various other important subjects. The chapter on the diseases of the lungs, written by Winslow Anderson, M. D., deals at length with post-operative lung complications—a subject which has not heretofore received much attention. The advanced treatment in many of the diseases of the lungs is also considered in the same chapter. All who have the Twentieth Century Practice should by all means possess the supplement, and to those who have not the entire set this volume will be found invaluable as regards the very latest scientific knowledge and methods of treatment.

A NURSE'S GUIDE FOR THE OPERATING ROOM. By NICHOLAS SENN, M. D.,
Ph. D., LL.D., C. M., Professor of Surgery, Rush Medical College, in
Affiliation with the University of Chicago; Attending Surgeon to the
Presbyterian Hospital; Surgeon-in-Chief, St. Joseph's Hospital; Profes-
sional Lecturer on Military Surgery, University of Chicago; Chief of the
Operating Staff with the Army in the Field During the Spanish-American
War; Surgeon-General of the State of Illinois. Published under the
direction of the Sisters of Charity, St. Joseph's Hospital, 300 Garfield
Avenue, Chicago. W. T. Keener & Co., 90 Wabash Ave., Chicago, Ill.
Professor Nicholas Senn has issued a very complete
Nurse's Guide for the Operating Room, which is published
under the direction of the Sisters of Charity, St. Joseph's
Hospital, Chicago. The little volume is written in Dr.
Senn's clear and forcible style. It should be in the hands
of every surgical nurse in the country. The contents
include preparation of the operating room; preparation for
major and minor operations; disinfections for the hands,
instruments, etc.; general, local and spinal anesthesia;
sterilization of dressings, instruments, and a table of com-
mon antiseptic solutions. The Sisters of Charity are to be
congratulated on having so excellent a man in their surgical
department.

A BRIEF MANUAL OF PRESCRIPTION-WRITING. In Latin or English, for the
Use of Physicians, Pharmacists, and Medical and Pharmacal Students.
By M. L. NEFF, A M., M.D., Cedar Rapids, Ia. Pages v-152. Size, 8x54
inches. Extra cloth, 75 cents, net, delivered. Philadelphia, Pa.: F. A.
Davis Co, Publishers, 1914-16 Cherry Street.
An excellent little volume has been prepared by Dr. Neff
on the subject of Prescription Writing-a very important
subject. The work is of special interest to senior students,
and we take pleasure in recommending it to them.

A MANUAL OF VENEREAL AND SEXUAL DISEASES. By Wм. A. HACKETT,
M.B., Ph.G., M.C.P.S. Ont., Professor of Dermatology and Venereal
Diseases, Michigan College of Medicine and Surgery; Attending Physi-
cian to the Emergency Hospital, Detroit; Member of Wayne County
Medical Society, Detroit Medical Society, etc., and N. E. ARONSTAM,
M.D., Ph.G., Assistant in Chemistry and Clinical Dermatology, Michigan
College of Medicine and Surgery; Attending Physician to the Emergency
Hospital, Detroit; Member of Wayne County Medical Society, Detroit
Medical Society, Medico-Legal Society, etc., New York. Price, $1.00.
G. P. Engelhard & Co., Chicago. 1901.

A complete little volume on Venereal Diseases has been prepared by Hackett and Aronstam, which represents in a small space the very latest knowledge we have on the subject. For the busy practitioner and the student this work will be found of special value.

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By WINSLOW ANDERSON, M. D., M. R. C. P. London, etc. Professor of Abdominal Surgery and Gynecology, College of Physicians and Surgeons of San Francisco; Surgeon in Chief of St. Winifred's Hospital, San Francisco, and Consulting Surgeon to the California General Hospital, San Francisco.

[Clinical lecture and operation at St. Winifred's Hospital, before members of the College of Physicians and Surgeons, and members of the Clinical Society of San Francisco.]

Vaginal atresia may be (1) congenital or (2) acquired. Either may be (a) complete or (b) incomplete. In the congenital variety of complete absence of the vagina the lower extremities of the Müllerian ducts have failed to develop into a vagina. Acquired atresia of the vagina may be the result of severe adhesive, granular or sloughing vaginitis consequent upon disease or the result of ancient methods of "treatment" by strong escharotics, such as acids, etc. Complete congenital atresia is a more or less rare malformation.

The following interesting case was brought to me at St. Winifred's Hospital for diagnosis two years ago by Dr. Shearer.

History.-Miss A. B. was 20 years old when she first consulted me, and measured 5 ft. 4 inches in height. She weighed 98 pounds.

Family History.-Miss B.'s mother, father and grand parents on both sides, as far as could be ascertained, have always enjoyed excellent health. The patient is the eldest of eight children, all of whom are living and healthy and strong. There is no history of any malformation of any kind traceable in any member of the family.

Personal History.- Miss B. has enjoyed fairly good health. Physically she has never been robust; although

VOL. XLVI-5

active and strong, she has always been slender. Mentally she has been ordinarily bright in her studies at school, and learned her studies and duties about the same as her sisters and other children. At the age of 16 she complained periodically of headaches and pains in the iliac and hypogastric regions, but thought nothing more about it until she was about 18, when her mother took her to consult a physician because she had never menstruated. The good old doctor, rather than submit the child to the indignity of an examination, gave her some "strong medicine" to make her "come around;" whatever it was (an emmenagogue presumably), it made the patient very ill. The headaches grew worse and the distress in the lower portion of the abdominal and pelvic regions became greater. Nothing more was done at this time and her symptoms gradually passed away. Two years later, at the age of 20, she consulted Dr. Shearer who brought her to me in 1900 for an examination.

Physical Examination.-Two years after this time and on January 19th, 1903, when the patient was 22 years of age she was sent to me by Dr. Miller and Dr. Howard for the purpose of performing a plastic operation to make a vagina. At this time the patient measured 5 ft. 5 inches in height, having grown one inch in two years, and weighed 104 pounds. Her mental faculties were quite normal. With a view to a possible matrimonial alliance her atresia vagina has worried her considerably of late. Physically she is poorly developed. The mammary glands are about the size one would find in a child of 12 or 14 years. Her hips and limbs are small. Altogether she presents the appearance of a child of 14 years of age. Her health has been fairly good for the past few years. There have been no periodical pains or uneasiness about the pelvis of late. She has never had any menstruation of any kind or vicarious discharges of blood from any organ. Her external organs of generation appeared perfectly normal. photograph.)

(See

A careful examination by the rectum and bimanually, with the aid of a large male sound in the bladder, established the fact that there was an absolute absence of the vagina. The vesical and rectal walls were in actual contact with not more than an eighth of an inch of tissue between

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