usually in the lower lobe of the right lung, are not infrequent. They are manifested by temporary fever, hemoptysis, relative localized dullness and abnormal auscultatory signs. Thoracic aneurysm, abscess or gangrene and tumors are also to be borne in mind.

From pulmonary tuberculosis we have at times to distinguish hectic-like conditions due to suppuration in other parts or to malaria. The latter disease is usually readily detected by the absence of cough and expectoration, by the more severe and regular chills and higher fever and enlarged spleen, by the curative effects of quinine, and by the finding of plasmodia in the blood. It goes without saying, however, that malarial poisoning may complicate any stage of tuberculosis. In septicemia and pyemia we find evidence of local infection, a leucocytosis of about 30,000 and an absence of local tubercular lesions.

Chlorosis, pernicious anemia, leukemia, pseudoleukemia, syphilis, diabetes mellitus, influenza, suppurative cholangitis, pyelitis, pyelonephritis, chronic inflammation of the abdominal viscera, chronic osseous lesions and the prolonged use of morphine may all in a measure simulate the fever and some other general symptoms of pulmonary phythisis.

EDITORIAL ITEMS.

The Blood in Dermatoses.—According to T. Bezancon and M. Labbe (quoted in Practical Medicine Series) dermatoses are usually accompanied with increased eosinophily, and often with hyperleucocytosis. The chemic, clinical and pathologic results of A. Gibier corroborated by Le Reboullet, justify him, he claims, in regarding nevi, freckles, dark circles around the eyes, "bilious" complexion and pregnancy pigmentation as biliary melanoderma due to bile pigment in the blood.

Treatment of Syphilis.-The hypodermic method seems to be gaining in favor. Du Castel, Leredde and others (Practical

Medicine Series) claim that severe symptoms should be treated by mercurial injections alone. The dose should be increased until the symptoms are favorably influenced. The cyanide or sublimate should be used in doses of three or four centigrams. The benzoate or biniodide should be given in twice these doses.

How to Obtain the Babinski Reflex.-Patrick directs to draw the well-sharpened end of an orange stick slowly forward along the outer edge of the entire length of the sole, using a fair degree of pressure. The great toe becomes more and more extended until, at the end of the stroke, it stands almost at a right angle with the other toes.

For Cardiac Pain.-Sansom (Progressive Medicine) has seen but little benefit from the nitrites, and prefers phenacetin and antipyrin to opiates.

Nocturnal Cough of Phthisis.-Anders (Progressive Medicine) commends the effect of 10-minim doses of oil of sandalwood on sugar every three or four hours. He also recommends patients to practice recumbency during the day, in association with deep breathing.

Tubercular Hemoptysis.-Oil of erigeron, in 5-minim capsules every two, three or four hours (Progressive Medicine) has been found of use by Anders.

Anginose Fever.-Newburger (Philadelphia Medical Journal) calls attention to the asthma-like attacks in the latter stage of coronary sclerosis, and to the irregular temperature with slight evening rises due to imperfect removal of waste by an impaired circulation.

The new officers of the Oregon State Medical Society, elected September 11, 1902, are as follows: President, Dr. Henry Waldo Coe, Portland, Ore.; First Vice-President, Dr. F. W. Van Dyke, Grants Pass; Second Vice-President, Dr. J. A. Keisendorfer, The Dalles; Third Vice-President, J. P. Tamiesie, Hillsboro; Secretary, Dr. A. D. Mackenzie, Portland; Treasurer, Dr. Mae Cardwell; Councilors, Dr. W. J. May, Baker City; Dr. J. Fulton, Astoria; Dr. Wm. Amos, Dr. G. F. Wilson, Portland; Dr. C. S. White, Gervais; Dr. S. T. Linklater, Hillsboro; Dr. W. T. Williamson, Salem; Dr. Wm. House, Pendleton; Dr. Ellis, Dr. R. C. Coffey, Portland.

EditoJial Items continued on Page 258

BOOKS.

THE PRACTICAL MEDICINE SERIES OF YEAR BOOKS: Comprising ten volumes of the Year's Progress in Medicine and Surgery. Issued monthly. Under the general editorial charge of Gustavus P. Head, M. D., Professor of Larynology and Rhinology, Chica Post-Graduate Medical School. Volume X. Skin and Venereal Diseases; Nervous and Mental Diseases. Edited by W. L. Baum, M. D., Hugh T. Patrick, M. D., September, 1902. Chicago. The Year Book Publishers, 40 Dearborn street.

The section on skin diseases reflects the growing tendency towards seeking out the constitutional causes of dermatoses. The present status of actinotherapy is concisely stated. The year's progress in syphillis, gonorrhea and genito-urinary surgery is given in full.

In preparing the sections on nervous and mental diseases, Patrick and Mix have consulted the needs of the busy general practitioner and have excluded impractical matter of mere technical interest. The present volume completes the first year of the Practical Medicine Series. The publishers have done better than they promised; the total number of pages has footed up 2,800, instead of 2,250 as at first announced. For the second series they expect to make the number of pages 3,000, and to include two new departments-the one on suggestive therapeutics, by Daniel R. Brower; and the other a new word department, by William Healy.

TWENTY-FIFTH ANNUAL REPORT OF THE BOARD OF HEALTH OF THE STATE OF NEW JERSEY, AND REPORT OF THE BUREAU OF VITAL STATISTICS, 1901.

We are indebted to the Secretary of the New Jersey Board of Health, Dr. Henry Mitchell, of Asbury Park, for this comprehensive and valuable report.

Lea's Series of POCKET TEXT-BOOKS. MATERIA MEDICA, THER APEUTICS, MEDICAL PHARMACY, PRESCRIPTION WRITING, AND MEDICAL LATIN.-A manual for Students and Practitioners. By William Schleif, Ph. G., M. D., Instructor in Pharmacy in the University of Pennsylvania. Series edited by Bert B. Gallandet, M. D., New York. Second edition;

revised and enlarged. Lea Brothers & Co., Philadelphia and New York.

Although a new edition has been demanded within an unexpectedly brief period, the whole text has been revised, the sections on prescription writing and medical Latin have been considerably enlarged, and an annotated therapeutic index and one on new remedies have been introduced. The physiologic action, therapeutics and toxicology of drugs take up most of the text, and are presented in a perspicuous and easily assimilable form. The book contains all the essential knowledge required in medical colleges on the subjects mentioned in the title, and can safely be recommended to students as a convenient hand-book at a very moderate price.

PROGRESSIVE MEDICINE, VOL. III, SEPTEMBER, 1902.-A Quarterly Digest of Advances, Discoveries and Improvements in the Medical and Surgical Sciences. Edited by Hobart Armory Hare, M. D., Professor of Therapeutics and Materia Medica in the Jefferson Medical College of Philadelphia. Octova, handsomely bound in cloth, 421 pages, 26 illustrations. Per volume, $2.50, by express prepaid to any address. Per annum, in four cloth-bound volumes, $10.00. Lea Brothers & Co., Publishers, Philadelphia and New York. Of special interest to the general practitioner is the digest of diseases of the thorax and its viscera, including the heart, lungs and blood vessels. The section on pulmonary tuberculosis is naturally the fullest. Many new points of view are brought out in the discussion of diseases of the heart and blood vessels. William S. Gottheil presents the subjects of dermatology and syphilis in a way that is serviceable to physicians generally. This resume is well illustrated. The advances in the pathology, diagnosis and treatment of nervous diseases is ably outlined by William G. Spiller. The compendium of obstetric progress, by Richard C. Norris, includes numerous recent practical suggestions on the care of the mother and child, before, during and after labor. REYNOLDS & NEWELL'S PRACTICAL MIDWIFERY.-A Manual of

Obstetrics for Students and Physicians, by Edward Reynolds, M. D., Assistant in Obstetrics, etc., and Franklin S. Newell, M. D., Assistant in Obstetrics and Gynecology in Harvard University Medical School, Boston. In one octavo volume of 531 pages, with 253 engravings, and 3 full-page

colored plates. Cloth, $3.75, net. Lea Brothers & Co., Publishers, Philadelphia and New York, 1902.

Dr. Reynolds is already known as the author of a practical manual of obstetrics for the use of students. Both he and Dr. Newell have had a large experience in teaching students the bedside principles and manipulations of midwifery, and the work, as might be anticipated, has a thoroughly practical tone. Special emphasis is laid upon obstetrical surgery and the pathology of labor. The authors have generally confined themselves to one plan of treatment, and that naturally what they considered best. The illustrations are quite numerous, as should be expected in a work of this kind, and are well chosen to elucidate mechanical points not readily comprehended through mere verbal descriptions. The work may be recommended as an admirable judicious guide to the study and practice of obstetric science and art.

A TREATISE ON DISEASES OF THE ANUS, RECTUM AND PELVIC COLON.-By James P. Tuttle, A. M., M. D., Professor of Rectal Surgery in the New York Polyclinic Medical School and Hospital, Visiting Surgeon to the Almshouse and Workhouse Hospitals. Octovo; 961 pages. With eight colored plated and three hundred and thirty-eight illustrations in the Text. Price in cloth, $6.00; half leather, $6.50. New York: D. Appleton and Company. 1902.

This work is a complete exposition of the diseases mentioned in the title, and is based on twenty years' general hospital experience and ten years' teaching in a special clinic. Modern methods and means of diagnosis are described fully and clearly, and operations are presented in explicit detail. Etiologic relations are given the prominence they merit. The original illustrations, by A. j. Hopkins and others, taken from actual clinical cases or dissections, and the multiple colored plates exemplifying pathologic conditions, add greatly to the value of a text that is most lucid, attractive and instructive.

DISEASES OF THE RECTUM AND ANUS.-Designed for Students and Practitioners of Medicine. By Samuel Goodwin Gant, M. D. LL. D., Professor of Rectal and Anal Surgery at the New York Post-Graduate Medical School and Hospital; Attending Surgeon for Rectal and Anal Diseases to the New York Post-Graduate Hospital, St. Mark's Hospital, Hebrew Sheltering Guardian Orphan Asylum and New York Infant