authors have produced a cleverly prepared compend that will prove an aid to the student in acquiring a knowledge of the subjects dealt with, provided he uses it in the sense and manner intended-namely, as a stepping-block, so to speak, to a further study of these conditions at the proper time.

HANDBOOK OF THE ANATOMY AND DISEASES OF THE EYE AND EAR. By D. B. SAINT JOHN ROOSA, M.D., Professor of Diseases of the Eye and Ear in the New York Post-graduate Medical School, and A. Edward Davis, M.D., Professor of Diseases of the Eye in the New York Postgraduate Medical School. Duodecimo, 300 pages. Philadelphia: F. A. Davis Company. 1904. (Price, $1.00 net.)

A manual of this kind will be welcomed by every physician who is called upon to treat diseases of the eye or ear. Into a compact and limited space the authors have presented the essential principles of treatment of these organs and, besides, sufficient anatomical studies are given to meet the purposes of the book. The volume is intended as a help to either the under- or postgraduate in utilising the material they see in the clinics, that is, to remember it sufficiently well to aid them in their further study and work. A busy doctor who must needs do some work upon the eye and ear, though not a specialist, will find it a reference book of great value. We do not see how a better book for the purposes named could have been made.

SAUNDERS'S QUESTION COMPENDS. ESSENTIALS OF ANATOMY. BY CHARLES B. NANCREDE, M.D., Professor of Surgery and Clinical Surgery in the University of Michigan, Ann Arbor. Seventh edition, revised. Duodecimo, 419 pages, illustrated. Philadelphia, New York, London: W. B. Saunders & Company. 1904. ($1.00 net.)

An excellent way to begin the study of anatomy is to take this compend into the laboratory and follow its lead in obtaining the first principles. Nancrede is an accomplished anatomist, as well as an experienced teacher. His book has passed to its seventh edition and brought up to the present date in all that relates to anatomical science. Especially has the chapter relating to the nervous system been renewed, while several new ideas relating to other topics have been incorporated, making this edition as complete as it can be.

REFRACTION AND HOW TO REFRACT. BY JAMES THORINGTON, M.D., Professor of Diseases of the Eye in the Philadelphia Polyclinic. Third edition. Duodecimo, 314 pages, illustrated. Philadelphia: P. Blakiston's Son & Company. 1904. (Price, $1.50.)

The student of refraction, and we do not mean the undergraduate alone,-will recognise a book that has been a delight to him for six years past. It is now freshened by additions and overhaulings, until it may be said, with a truth, to be the most

satisfactory exposition of this special topic that is before the professional public.

Thorington makes his theme interesting even to the general practitioner, not to mention its attractiveness to the ophthalmologist. If Thorington's teachings are once mastered by the novitiate it is quite certain that he will know "how to refract."

SAUNDERS'S QUESTION COMPENDS. ESSENTIALS OF MATERIA MEDICA AND PRESCRIPTION WRITING. BY HENRY MORRIS, M.D., College of Physicians, Philadelphia. Sixth edition, revised. By W. A. Bastedo, M.D., Tutor of Materia Medica and Pharmacology at the College of Physicians and Surgeons, New York. Duodecimo, 295 pages. Philadelphia, New York, London: W. B. Saunders & Company. 1905. ($1.00 net.)

The conservative attitude of this compend toward the newer experimental findings, relating to the action of drugs as applied in practice, is wise. In the very nature of things there must be revision and refindings before any new drug can take its appropriate place in the materia medica. Some of the articles have been rewritten and the whole brought forward to the present date. It is an excellent quiz masters' manual as well as students' preparation compend.

TRANSACTIONS OF THE NINTH ANNUAL MEETING OF THE AMERICAN LARYNGOLOGICAL, RHINOLOGICAL AND OTOLOGICAL SOCIETY, HELD AT LEXINGTON, KY., APRIL 30, MAY 1 and 3, 1903. Wendell C. Phillips, M.D., Secretary, New York. Published by the Society. 1903.

The marvelous growth of this society is indicative of the great interest laryngologists manifest in their specialty. Organised in 1896 by scarcely more than a dozen men, it now carries on its rolls a list of members numbering 240, of which number 41 met at Lexington, Ky., and created this excellent volume of transactions. The president's address, by Dr. J. A. Stucky, of Lexington, deals with questions of administration, in addition to which twenty-six papers were read, most of which were discussed with spirit. The book is well made up, but would be improved if it were bound in a substantial manner. Paper covers do not find ready place in the library in these practical days.

THIRTIETH ANNUAL REPORT OF THE SECRETARY OF THE STATE BOARD OF HEALTH OF THE STATE OF MICHIGAN, FOR THE FISCAL YEAR ENDING JUNE 30, 1902. Henry B. Baker, M.D., Secretary. Lansing: Robert Smith & Company, State Printers and Binders. 1903.

Michigan has been famous for the efficiency of its board of health from the creation of that important body, and especially has the secretary of the board proved an executive officer of great administrative capacity. The annual report is always a marvel of condensed sanitary information, modestly presented, and in

dicates a thorough watchfulness of the health interests of the state. The dissemination of information through bulletins frequently issued, is an excellent plan which is carried out most admirably by Dr. Baker, and is a most effective way of preventing the spread of contagious and infectious diseases.

BOOKS RECEIVED.

The Influence of Growth on Congenital and Acquired Deformities. By ADONIRAM BROWN JUDSON, M.D., Orthopedic Surgeon to the OutPatient Department, New York Hospital, 1878-1903. Octavo, pp. 286. Illustrated. New York: William Wood & Company. 1905.

Transactions of the Medical Association of the State of Alabama. Annual meeting held at Mobile, April 19-22, 1904. LEWIS C. MORRIS, M.D., Secretary.

International Clinics. A Quarterly of Illustrated Clinical Lectures and especially prepared articles on Treatment, Medicine, Surgery, Neurology, Pediatrics, Obstetrics, Gynecology, Orthopedics, Pathology, Dermatology, Ophthalmology, Otology, Rhinology, Laryngology, Hygiene and other topics of interest to students and practitioners. By leading members of the medical profession throughout the world. Edited by A. O. J. KELLY, A.M., M.D., Philadelphia. Volume IV. Fourteenth series. 1905. Philadelphia: J. B. Lippincott Company. (Cloth, $2.00.)

Studies in the Psychology of Sex-Sexual Selection in Man. I. Touch, II. Smell. III. Hearing. IV. Vision. By HAVELOCK ELLIS. Pages xii. 270. Sold only by subscription to physicians, lawyers, and scientists. Philadelphia: F. A. Davis Company. 1905. (Cloth, $2.00 net.)

Practical Pediatrics. A Manual of the Medical and Surgical Diseases of Infancy and Childhood. By Dr. E. GRAETZER, Editor of the Centralblatt Fur Kinderheilkunde. Authorised translation, with numerous additions and notes. By Herman B. Sheffield, M.D., Instructor in Diseases of Children, and Attending Pediatrist, New York Post-Graduate Medical School and Hospital. Pages xii. 544. Crown octavo. Philadelphia: F. A. Davis Company. 1905. (Flexible cloth, $3.00.)

By A. EDWARD DAVIS, A.M.,

Eye, Ear, Nose and Throat Nursing. M.D., Professor of Diseases of the Eye in the New York Post-Graduate Medical School and Hospital, and Beaman Douglass, M.D., Professor of Diseases of the Nose and Throat in the New York Post-Graduate Medical School and Hospital. With 32 illustrations. Pages xvi. 318. Philadelphia : F. A. Davis Company. 1905. (Price, $1.25.)

Saunders's Medical Hand-Atlases. Atlas and Epitome of Operative Ophthalmology. By Dr. O. HAAB, of Zürich. Edited, with additions, by George E. de Schweinitz, M.D., Professor of Ophthalmology in the University of Pennsylvania. With 30 colored lithographic plates, 154 textcuts, and 377 pages or text. Philadelphia, New York, London: W. B. Saunders & Company. 1905. (Cloth, $3.50 net.)

A Textbook of Legal Medicine. By FRANK WINTHROP DRAPER, A.M., M.D., Professor of Legal Medicine in Harvard University. Octavo, 573 pages, fully illustrated. Philadelphia, New York, London: W. B. Saunders & Company. 1905. (Cloth $4.00 net.)

Bacteriology and Surgical Technic for Nurses. By EMILY M. A. STONEY, Superintendent of the Training School for Nurses, Saint Anthony's Hospital, Rock Island, Ill. Second edition, thoroughly revised and much enlarged by Frederic R. Griffith, M.D., Surgeon, Fellow of the New York Academy of Medicine. Duodecimo volume of 278 pages, fully illustrated. Philadelphia, New York, London: W. B. Saunders & Company. 1905. (Cloth, $1.50 net.)

The Modern Mastoid Operation. By FREDERICK WHITING, A.M., M.D., Professor of Otology, Cornell University Medical College. Royal square octavo, pp. xiii. 353. Illustrated by 25 half-tone and 23 key plates made from original drawings. Philadelphia: P. Blakiston's Son & Company. 1905. (Half morocco, $6.00 net.)

LITERARY AND JOURNALISTIC NOTES.

THE Iowa Medical Journal, in its January issue, published a directory of Iowa physicians, arranged by counties. This is followed by an alphabetical list, the whole constituting an enormous labor and no inconsiderable cost. The enterprise of this sterling journal is to be commended. It is generally speaking, a thankless task to prepare such lists, but we hope the journal's work will be appreciated by its numerous readers, not only within the state but outside of it.

THE Georgia Practician is the name title of a new medical publication, edited by Martin Cooley, M.D., and published at Savannah. It begins with a lesson in philology and serves notice on the exchange bureau of diagnosis-and-treatment that it will have none of it. We wish the Practician success.

"KING'S Medical Prescriptions," is the title of a book containing selected formulas from prominent physicians, published by the Practice Science Company, 108 Fulton street, New York. Superfine paper; large type; octavo, 346 pages. Second edition; cloth, $1.00, or paper covers, 50 cents, postpaid.

ITEM.

THE Denver Chemical Manufacturing Company, of New York, has put out a booklet on antiphlogistine, which is a clever bit of advertising. It contains a number of reproductions in color, showing various applications of antiphlogistine for many different purposes, and is printed on heavy calendered paper, giving it an artistic appearance quite beyond the common order.

D. Appleton & line of

high-class medical publications; good, profitable territory open in the state of New York.

D. APPLETON & COMPANY,

435 Fifth Ave., New York City.

BUFFALO MEDICAL JOURNAL.

VOL. XLIV.-Lx.

APRIL, 1905.

ORIGINAL COMMUNICATIONS.

No. 9

A Case of Cystic Goitre.'

BY NATHAN JACOBSON, M. D., Syracuse, N. Y.

Professor of Clinical Surgery in the College of Medicine, Syracuse University; Surgeon to St. Joseph's Hospital.

DESIRE to occupy but a few minutes of your time in the presentation of the history of a case of cystic goitre:

The patient, a boy of 18, who was attending school, was brought to me on the 22d of March, 1904, by his physician, Dr. Kaple, of Elbridge. His father came with him also. The boy had had measles and whooping cough, but otherwise had been free from the diseases of early life nor had he ever been seriously sick. When but eight years of age his neck began to enlarge in the median line and the growth had steadily increased in size since that time. During the past two years the increase had been greater than during the preceding eight; and in fact during the past six months it had been particularly rapid. He suffered no great distress in breathing except when his head was carried well backwards.

Examination showed the presence of a smooth tumor with an irregular surface which was elastic and in which fluctuation could be made out. The mass was placed largely to the right side of the median line. At its most prominent part the circumference of the neck was 171⁄2 inches. With a hypodermic syringe introduced into the tumor some bloody fluid was withdrawn. The diagnosis of cystic goitre was made and radical operation advised.

An interesting point in the history of the case was the fact that the boy's father had a goitre, apparently of the adenomatous type. These were the only two instances in the family.

1. Read at the 37th annual meeting of the Medical Association of Central New York, held at Rochester, N. Y., September 20, 1904.