Calendar: 1888-1889 Page 797

MEDICAL DEPARTMENT 789 At first his right pupil was dilated and after few days con- tracted About the same time faint blowing breathing was found between the spine of the right scapula and the vertebral column The venous engorgement was next observed on the left side of the face shoulder and thorax and the dyspnoea became orthopncea Tubular breathing could now be traced along the upper six dorsal vertebree Moist rales with tubular and prolonged expiration were in few days more heard over the apex of the right lung Again few days and it was found the breathing was almost entirely absent over the base of the right lung while still good over the whole of the left lung The dyspnoea had become most urgent Pneumonia rapidly developed in the base of the right lung and carried the patient off in forty-eight hours Throughout no difference was ever observed in the pulses no laryngeal stridor or voice change ever existed No other symptom of moment was observed beyond those stated What was the nature of the malady Trace its pathological course and development Give the differential diagnosis The whole duration of the disease from first to last was about four months Family history and personal antecedents of no value III -durgerg Describe the pathology of organic stricture of the urethra and detail the various kinds met with Describe the complications of stricture especially in con- nection with urinary fistulee Describe the methods of treatment of these forms of urinary fistulae and refer to cases in my ward during the last session mm φ IV -Ca3e in burger for Commentary gentleman aged 30 engaged in the wine trade who had lived freely and had had syphilis had suffered occasionally with sore throat During one of these attacks he exposed