Calendar: 1891-1892 Page 850

clxii MEDICAL DEPARTMENT Ill- urgtri Describe case of tubercular disease of the ankle-joint with the appropriate treatment in the different stages Illustrate by cases which have been in the wards Describe the operations for ligature of the external iliac artery for femoral aneurism Give the collateral circulation subsequently established and the complications which may ensue What are the causes of non-union of fractures Describe minutely the various pathological conditions met with and the treatment required IY -Case in urgtrט for Comnuntarn medical man aged thirty-seven in indifferent health whilst removing chronically enlarged tonsil with guillotine which had not been recently employed pricked his finger with the prong of the instrument No attention was paid to this at the time but in twenty-four hours the finger became hot painful and swollen This rapidly extended to the arm which was extremely painful and hyper esthetio no cutaneous complication being apparent The gravest constitutional eymptoms supervened and continued for several days On the fourth day deep swelling was detected in the upper arm Surgical interference was necessary after which the constitutional symptoms disappeared and the patient recovered with useful arm What was the nature of this case Describe and explain in detail the local and constitutional eymptoms Discuss the diagnosis Suggest the treatment adopted