Calendar: 1878-1879 Page 652

650 MEDICAL DEPARTMENT What do you consider to be tbe value of alcohol in Medi- cine Illustrate your remarks upon its therapeutical action by reference to cases you have watched Trace the development of tubercle in connection with tbe pia-mater or the peritoneum and describe the changes which may take place in it Describe fully any non-fatal case of hemiplegia you have seen during the past six months Discuss the probable nature of the lesion and the treatment What are the symptoms of syphilitic diseases of the kidney Mention the chief forms of microscopic fungi met with in the human organism and give sketches of their microscopical characters IV -Cage in iHrttcine for Commentary ROBUST well-developed but rather pale man 45 years of age but looking ten years older with grey hair and well deve- loped arms senilis accustomed to good living had complained during the past two years of feeling of weight below the ensiform cartilage flatulence and sense of fulness and un- easiness in the region of the stomach The liver was of the normal size and the breath sounds were natural but the heart's action was feeble About two hours after eating rather large meal the patient was seized with sudden faintness accompanied with nausea and violent abdominal pain few hours later he became blind and soon passed into state of collapse tbe surface became pale and cold and the skin was bathed with perspiration There was no paralysis Tbe patient died about twelve hours after the seizure Comment upon the above case state the treatment you would have adopted and describe the morbid changes you would have expected to find upon post mortem examination Give sketches of any microscopic changes you would expect to discover in the tissues