Calendar: 1899-1900 Page 829

FACULTY OF MEDICINE clxXvii ft What signs will require your interference in the delivery WW י JL of Breech Presentation Mention how you will act in assisting or completing delivery In the event of Haemorrhage during third month of Pregnancy what may lead you to suppose the abortion inevitable What would be your treatment Describe fully the anatomical structure of Fallopian tube IV uvgerg What are the symptoms of volvulus of the sigmoid flexure and state how you would deal with case Describe the changes which occur in rheumatoid arthritis the etiology of the disease and the treatment Describe the symptoms of aneurism of the third part of the axillary artery and the methods of treatment which you would adopt if tjrfuu1 8fid Οίίν oliiaiA 0ί ίι1ίί χ οί י£י 0מ aoi £0mmehtarg an Case of &uraetg man aged 73 was admitted on October 12th with the If following history and symptoms -The patient very healthy and temperate man wras in his usual health on Oct 7th The following morning at while in bed he was seized with sudden abdominal pain and vomiting On that day there was slight action of the bowels but no further action in response to warm water injections on the 9th and 10th the vomiting continued and on the 11th and 12th the vomited matter was feculent When admitted on the afternoon of the 12th the face had pinched appear- ance and livid colour eyes much sunken 98 120 There was general distension of the abdomen with pa- roxysmal pain and tenderness referred to the right side of the umbilicus Rectal examination gave negative result Abdominal section was performed Discuss the probable diagnosis and sequence of events in this case State what was found pn opening the abdomen and what treatment was adopted