rare. The most common cause is traumatism, and a Japanese surgeon has reported several cases since the beginning of the Russo-Japanese War, in cavalry officers, whose adductor muscles have been damaged and this condition has resulted. When there is no history of traumatism, there is no clue as to why certain muscles should be affected. In the case reported, such a large mass of muscle was infiltrated with bone that there was no motion at either knee or ankle. On one side the femur and muscles were normal, which could be distinctly seen by the X-Ray apparatus; on the opposite side, extending from the pelvis along the track of the adductor muscles there was a bony deposit almost similar to the bone in the shaft of the femur. The second radiograph showed the process extending into the lower leg. The flexed bone could be seen, and extending to one side a solid mass of infiltrated bony muscle. In a short time all the muscle on that side of the limb would be affected, and there would be a solid bony mass in addition to the fibula itself. The muscular motions, of course, will be lost, and the patient may have to lose the lower extremity. The prognosis in these cases is very bad and treatment is unsatisfactory. Such cases are rare when, as in the present case, there is no history of traumatism. HYSTERICAL COUGH. Dr. G. B. McAuliffe presented a young woman who was suffering from paroxysms of hysterical coughing which resembled in sound the barking of a dog. About one year ago she began to cough, and has coughed almost uninterruptedly ever since. Examination showed no local lesion, and the cough seemed to be purely laryngeal. Nothing abnormal is to be seen in the larynx except a slight redness over the arytenoids. Extralaryngeal applications of electricity afford relief, but internal medication has been of no avail. The application of adrenalin by means of a spray gives relief for twelve or fourteen hours, when another paroxysm comes on. This, however, is merely a symptomatic treatment of the cough. Dr. D. J. McDonald said that he had seen the patient about a year ago, and that he had applied electricity each day, first using the high-tension and later the galvanic current. When D OCTOR, this is pre-eminently the age of ANTISEPSIS, but the problem is how to secure that in a manner at once the most convenient and harmless, and at the same time accompanied by such an effect upon the tissues as to lead to rapid healing. In Tyree's Antiseptic Powder you will find a combination so skilfully made that it is destructive to pathogenic bacteria, and yet bland and unirritating to the most delicate mucous membrane, and its application is accompanied by such a mild degree of stimulation and astringency as to promote the rapid healing of the tissues with which it comes in to contact. It has been used very successfully in Uterine and Vaginal Catarrhs, Gonorrhoea and Gleet, in Dysentery, in Catarrhs of the Nose and Throat, and in Inflammation of the Mouth and Gums. Its great economy and convenience consists in the fact that you add the water yourself-paying for only the Antiseptic Powder. Thousands of physicians are making successful use of it every day. If you will only try it you will be quickly convinced of its great value. Sample and a beautifully illustrated little booklet representing the rare obstetrical and gynecological specimens of the Ariny Medical Museum at Washington, mailed free of charge to physicians. J. S. Tyree, Chemist, Washington, D. C. MEDICAL DEPARTMENT. FACULTY. JAMES H. KIRKLAND, A.M., Ph.D., LL.D., Chancellor. WILLIAM L. DUDLEY, B.S., M.D., Dean, G. C. SAVAGE, M.D.. Secretary, Professor DUNCAN EVE, M.A., M.D., Professor of J. A. WITHERSPOON, M.D., Professor of THOMAS MENEES, M.D., Emeritus Professor of Obstetrics. GEORGE H. PRICE, B. E., M.S., M.D., Pro- W. H. WITT, M.A., M.D., Professor of Ma- J. T. ALTMAN, M.D., Professor of Obstet- RICHARD A. BARR, B.A., M.D., Professor of Abdominal Surgery and Physician to the Dispensary. LUCIUS E. BURCH, M.D., Professor of Gy. SAMUEL S. BRIGGS, M.D., Professor of OWEN H. WILSON, B.E., M.D., Clinica W. FRANK GLENN, M.D., Clinical Pro- G. P. EDWARDS, M.D., Clinical Professor J. A. GAINES, M.D., Adjunct Professor of W. A. BRYAN, M.D., Adjunct Professor of High school and first grade teachers' certificates constitute the minimum requirements for entrance. College graduates are permitted to take the first and second years' work in one session. The entire course covers four years, and is strictly graded. The work of each year must be completed before any student can be advanced to the studies of the next succeeding year. Certificates of proficiency from other reputable medical colleges will be accepted, and students from such colleges will be advanced accordingly. Our college and hospital clinical facilities have never been so good, for under a new city law the clinical staff will have control of all charity patients. We welcome post graduates and encourage post graduate work. The next session begins Monday, October 3, 1904. Prospective students should write to the Secretary DR. G. C. SAVAGE, 139 N. Spruce Street, Nashville, Tennessee. first seen by him she had presented every symptom of hydrophobia, barking and foaming at the mouth, but was able to walk about. Under treatment her condition improved so that the attacks occurred only monthly, and later only once in two months. She was also given adrenalin and arsenic internally. FRACTURE OF THE BASE OF THE SKULL. Dr. John A. Bodine showed a boy who had been operated on by him at St. John's Hospital for fracture of the vault involving the base of the skull. The patient, while coasting down a long hill, having acquired a terrific impetus, crashed into a wagon, his head striking the hub of a wheel. The temporo-parietal region of the skull was not unlike an egg-shell crushed in. He was taken to the hospital in a condition of profound shock, and it was thought unwise to resort to any operative procedure to relieve the brain pressure or to stimulate with salt solution for fear of inaugurating intracranial bleeding. This condition of stupor lasted three days and three nights when his condition began to improve. With practically no anesthesia the larger portion of the parietal bone was removed. The fracture was compound and extended through the temporal bone and into the base, and was again compound in the vault of the pharynx. He had bled profusely into his stomach, which blood was vomited. When all of the depressed fragments of bone had been removed the boy's condition improved steadily until he was out of danger. Some time during the second week after the injury right sided facial paralysis, paralysis of the right external rectus muscle of the eye, and loss of taste in the right side of the tongue was noted. In addition, there was asymmetry of the soft palate during phonation. The study of the anatomy of the parts thus involved demonstrated clearly the line of fracture at the base of the skull. With facial paralysis, with asymmetry of the soft palate and loss of taste on the right side, the fracture must have included the bony parts traversed by the facial nerve between the geniculate ganglia and the origin of the chordæ tympani nerve. Furthermore, as there was paralysis of the external rectus muscle of the eye, without involvement of any of the nerves that lie in juxtaposition with the external rectus in the cavernous sinus, the line of fracture must have been near the posterior clinoid process of the sphenoid bone. It does not seem reasonable to expect that the ophthalmic nerve would have escaped, had the line of fracture been anterior to these processes. The fact that paralysis came on two weeks after the receipt of injury would indicate that it was due to an inflammatory process of the nerves, making the prognosis as to the ultimate recovery of these paralyzed muscles better than if the paralysis had been coincident with the injury. DEFORMITY FOLLOWING FRACTURE OF THE CONDYLE OF THE HUMERUS. Dr. Bodine also showed a case of, deformity following fracture of the external condyle of the humerus. When the patient was seen the arm was swollen, and a most careful examination under anesthesia demonstrated nothing more than that it was a fracture of the external condyle involving the joint. It was treated in a position of acute flexion, the hand midway between pronation and supination. When healing had occurred and the arm was taken down, the existing deformity over the external condyle was found. Nearly a full range of motion of the joint has been secured. Since this patient's injury the speaker has seen two other fractures of the external condyle identically like this one. He said that the deformity is due to the fractured piece being turned to an angle of 180 degrees, the surface looking toward the skin, and that there is but one way to remedy itby open suture with reposition of the fragment. This was done, under cocaine anæsthesia, in the last two cases seen with perfect results. REGENERATION OF THE RADIUS FROM ITS PERIOSTEUM. The next patient, shown by the same speaker, was a splendid example of a regeneration of the radius from its periosteum. Two years ago the little patient sustained an ordinary Colles' fracture. At a nearby dispensary the arm was put up between an anterior and posterior splint, padded with cotton, the bandage including the hand almost to the finger-tips. As this happened in July and the boy was not told to return for three days, violent cellulitis of the arm developed. The boy was seen by the speaker |