Calendar: 1889-1890 Page 781

medical department 135 II -Ca3c ut jffltKtan for Commentate healthy-looking man of 50 came to London to be operated on for haemorrhoids and was completely relieved About two months after the operation he got out of health-became very weak and nervous and slept badly During the next two or three months he got worse in spite of rest and change of air and most careful treatment At length the breath-sounds in the upper part of the right lung were observed to be less dis- tinct than on the other side and in the course of two months more after steadily increasing debility emaciation occasional attacks of rapid breathing restlessness and extreme exhaus- tion the case terminated fatally few days before death patch about two inches in diameter was detected about an inch and half below the left clavicle where the breathing was harsh and almost bronchial and dull to percussion no expectoration no disease of heart liver or kidneys Brain and nervous system wrere normal as far as could be ascer- tained Discuss the case particularly as to the probable nature of the disease and the cause of death י III -J urgen Describe the progress of case of acquired syphilis as far as the eruptive stage What are the signs which enable you to distinguish between the true infecting sore of syphilis and local contagious ulcer or non-infecting sore Give the causes symptoms and pathology of the cerebral complications termed "concussion" and 44compression" of the brain How do you distinguish between these two conditions What are the principal modes by which cysts originate Give their structure and the secondary changes which occur