Calendar: 1878-1879 Page 651

MEDICAL DEPARTMENT 649 Describe tbe pathological changes which occur in the pro- duction of permanent stricture of the urethra in its varied forms the seat of the disease the effects on the adjacent parts the different plans of treatment now adopted and an estimate of their respective value Describe minutely the steps of the operation for excision of the elbow-joint II -Case in &urg er1 for Commentarn patient aged 67 living in the country and of healthy habits and occupation complains of urinary trouble He tells you he has been quite well until few months ago when he began to want to pass his water more frequently especially iu the day time and at night he found he was compelled to rise once or twice The act of micturition was attended with pain and after some weeks he noticed that more or less blood passed After exercise the blood was more noticeable There was also peculiar weight and sense of fulness about the rectum The pain which existed was particularly felt during the act of mictu- rition not after Ou consulting you he shows you some fluid which on ex- amination you find to be bloody urine and at the bottom of the vessel there are clots On examining the patient you find that full-sized catheter will pass freely along the urethra but that one of an ordinary shape does not enter the bladder readily On pressing the patient closely he tells you that sometimes in the act of micturition tbe water suddenly ceases flowing Give me your diagnosis of this case state the grounds for your opinions and say what modes of treatment may be needful III -iHctiicinr Describe the phenomena of the febrile condition and state the principles upon which the treatment of fever should be based