Calendar: 1899-1900 Page 827

faculty op Medicine clxxv Mention the Infective Fevers that have more or less characteristic cutaneous eruption Describe fully any three of these rashes excluding that of Variola State the general symptoms of an intracranial abscess what special features would make you suspect its presence in lateral lobe of the cerebellum and how would you differentiate it from thrombosis of the lateral sinus Answers to Question must be written on separate papers II -Sage far £0mmentaru in iKetw'citie ו μ ן ί יי י girl 16 years of age was admitted from the out- patient department complaining of pains about the body generally but more particularly in the chest In the course of examining the chest in the out-patient room systolic murmur was heard over the cardiac apex and her tempera- י ture was found to be slightly raised over 100 Upon being questioned as to her previous health she stated that when years old she had scarlet fever and when 10 years old acute rheumatism She had another attack of rheumatism months ago and she had not felt well since For the last three weeks she had suffered from severe pains in the chest and they had been especially aggravated the last two nights Ο Τ Mil ג After admission it was noted that she was fairly well nourished-her skin was hot and dry and her temperature in the axilla 102 The pulse was full rapid and regular- tension increased There was little pain in the left ankle but no complaint of pain in other joints Chest examination revealed some dulness not absolute at the bases of both lungs more marked however on the left side The respiratory murmur was diminished and so were the vocal resonance and vocal fremitus The cardiac impulse was increased in force and the apex beat was visible in the fourth intercostal space in the nipple line On auscultation systolic murmur of musical tone was heard at the apex and could be traced into the lefi axilla Nothing else abnormal was noted