Calendar: 1886-1887 Page 742

744 MEDICAL DEPARTMENT III -durgmi Describe the symptoms of case of severe hip disense in its several stages the circumstances under which the disorder arises and the pathological changes which take place during its progress Detail the methods of treatment to be adopted in the course of the diseaee State under what conditions surgical operation is called for and describe the proceeding in question Illustrate your remarks by reference to cases of this disease which have been in my surgical Wards lately Describe the various methods of producing counter- irritation in surgical disease and the special conditions in which this agent is useful and refer to cases in the Wards as illustrations IV -Cage in burger for Commentary healthy-looking man of florid complexion presented himself to his surgeon with somewhat oval swelling in the scrotum as big as cocoa-nut It was hard smooth and not painful to the touch The skin was natural The patient who had no history of venereal disease and had not met viith any injury stated that he had noticed the swelling for more than six years that it had slowly increased but had not given him pain and that he only complained of its in- creasing weight There was nothing wrong with his urinary functions An operation was performed and when the mass was examined it presented somewhat firm whitish homogeneous structure The patient made good recovery Eighteen months afterwards he began to lose flesh feel languid with pains about loins and abdomen followed by sickness loss of appetite and rapid diminution of strength On examination at this period the patient's skin presented sallow aspect and on the side corresponding to the site of the tumour there was well-defined hard swelling involving