Undescended Testicles.

If there is true crytorchidism, i. e., if the testicle is in the abdominal cavity, nothing should be done. When situated in the inguinal canal, operation is advisable for several reasons. In the first place, especially in a young boy, the testicle may not become as badly atrophied as it always does in adults that have not been operated on. Then undescended testes are liable to malignant developments. Besides this, a testicle situated in the inguinal region is exposed to injuries from blows, etc. It is best to explain, when only one testicle is undescended, that the organ is more or less useless, and that, for practical purposes, its removal is a simpler, and, therefore, better operation than its transfer to the scrotum. If the latter procedure is insiston, make the region thoroughly aseptic,nd incise over the testicle parallel to Poupart's ligament, carrying the incision a short distance over the root of the scrotum. Separate any adhesions that may have formed, and draw the cord downward. If it does not descend readily, it must be liberated from any attachments until it is quite free, and of normal length. It is advantageous to make a new channel for it as in Bassini's operation for hernia. Then draw the testicle into the scrotum, and anchor. As this method, although the best in all probabilities, is by no means invariably successful, the operation must only be undertaken after the parents or guardians have been fully informed as to the possibilities of failure.-Internat. Jour. Surgery.

Treatment of a Case of Pulmonary

Tuberculosis.

Duvol (American Gynecological and Ob. stetrical Journal, December, 1899) describes a typical case of pulmonary tuberculosis, with treatment employed and results obtained.

The patient was a young married woman aged thirty-four years. Her family history was negative, and her health had been good until about three years before, when she contracted what seemed at the time an ordinary cold, since which she has suffered continually from a severe cough.

When treatment was inaugurated, she was much emaciated and very weak. She had night sweats, an average pulse of ninetyfour per minute, and a temperature of 99.5° F. Her digestion was weak, and her bowels constipated. Physical examination revealed dullness and rales in the right apex, with prolonged breathing. Her sputum was loaded with bacilli. The treatment employed consisted in the administration of syrup of the hypophosphites (McArthur), two drachms four times a day in a tablespoonful of whisky. Codeine phosphate in one-fourth grain doses was given in tablet form whenever the cough required it. Within two weeks her appetite and digestion were considerably improved, and she was much stronger. At the close of her fourth week of treatment she had gained four pounds in body weight, and able to seek further relief in another climate. The plan of medical treatment was continued substantially as begun, and she made a splendid recovery.

Painless Hypodermics.

was

The spot where the needle is expected to enter is touched with a toothpick dipped in strong carbolic acid, a white spot immediately appears (due to coagulation of the albumen in the tissues). Shortly after, a perfect anesthesia of the spot is manifest, and the hypodermic needle can be pushed through the skin without pain at this point, and the infiltration of the tissues begun. If a large arc is to be injected, several spots are marked with the toothpick dipped in the strong carbolic acid, the needle being inserted through these points.-Med. Standard.

Controls Nervous Headache.

Dr. G. C. Baldwin, Bloomingsport, Ind., gives the case of a patient suffering for years from sick headache, at times being utterly prostrated, an irritable stomach rendering it difficult to find any remedy which could be used for several hours. Under the use of Celerina, his strength was increased and appetite improved. If given at the commencement of an attack of nervous headache, it checks it.