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truly practical point in the case was this, that there was nocomplication which they ought to dread so much in typhoidfever as constipation, whether in the commencement or inthe course of the disease.-Dr. FINNY referred to the factthat at the present day constipation was the rule ratherthan the exception. The danger of constipation might beaverted where the bowels could be moved by enemata. Helaid great importance on the size of the spleen, and he didnot consider a patient well until he saw the spleen reducedto its normal size.-Dr. GRIMSHAW said Murchison did notconsider there was bonci fide relapse unless there were spots.Secondary fever could not be considered to be relapse of theoriginal disease, and was extremely rare. He had not him-self seen more than a dozen bond fide cases of relapsealtogether.

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CHESTER MEDICAL SOCIETY.

Sarcoma of Anterior Mediastinum. - Aortic Aneurysm, -Five Cases of S’tone treated by Lithotrity at one sitting.-Bound-celled Sarcoma of Mamma. - Chronic Lead-poisoning.THE first meeting of the session was held on Nov. 6th,

W. M. Dobie, M.D., President, in the chair.Mr. GEORGE HABRisoN showed a Sarcoma of the Ante-

terior Mediastinum, having the superior vena cava and bothbrachio-cephalic veins embedded in its substance, with theirlumen constricted. The patient, a man aged forty-six,from whose body this tumour was removed, had come underMr. Harrison’s observation on July 28th of the present year,suffering from cough, dyspnœa, and cedema of the neck,upper extremities, and upper part of the trunk, with hydro-thorax, which symptoms increased up to the time of hisdeath on Oct. 7th.Mr. HENRY DOBIE showed a specimen of Aortic Aneurism

involving the whole transverse portion of the arch. Theinnominate, left carotid, and left subclavian arteries all

opened out of the sac. Pressure was exerted upon thebifurcation of the trachea, giving rise to intense dyspnoeaduring the last few weeks of the patient’s life. Shortlybefore death the cricoid cartilage had subsided behind themanubrium sterni, and the rate of the pulse was sometimesover 150; no perceptible difference between the pulsesexisted. The patient was a man thirty-five years of age.His illness, dating from the first appearance of cough anddyspnœa, lasted eight months.-Commenting on these twocases, Dr. BALTHAZAR FOSTER, a visitor, said he consideredthat cedema of both sides of the neck pointed to the existenceof tumour as opposed to aneurysm. In aneurysm he hadfound the right and left pulses modified respectively,according as the ascending or descending portions of thearch were affected, while they were modified equally whenthe transverse portion was the seat of disease, as inMr. Dobie’s case. He had found that aneurysm in youngpersons was almost always the result of syphilis. Withregard to treatment, he had never seen an aneurysm curedby any drug but iodide of potassium, which must be givenin very large quantities, often three drachms a day. Headvised aconite as a means of reducing the pulse rate,because, unlike digitalis, it did so without distending thearterial walls.

Dr. EYTON JoNFS related a case of Aortic Aneurysm, inwhich the symptoms of dyspnœa had been greatly relievedby the hypodermic injection of pilocarpine, but death hadoccurred suddenly shortly after a repetition of the dose ona subsequent day.The PRESIDENT exhibited under the microscope a speci-

men of Ascitic Fluid containing large Proliferating CancerCells from a case the diagnosis of which was doubtful beforetheir discovery.Mr. TAYLOR read notes of five cases of Stone treated by

Lithotrity at one sitting. In his last case the fragmentshad to be removed by lithotomy, owing to the large size ofthe stone. On one of these patients he had performedlithotomy nine years previously, removing two stonesglued together. All had made a good recovery.-Severalmembers took part in the discussion which followed, andvarious theories were advanced to account for the rarity ofvesical calculus in the Cheshire district. Dr. Eyton Jonesspoke of its rarity in Denbighshire and in Herefordshire,Mr. Hoops and Mr. Miller of its rarity in the north of Ire-land, and Dr. Weaver and Surgeon-Major Tomlinson of itsfrequent occurrence in India.

Mr. GnANGER read a short paper on the subject ofGlaucoma.Mr. AnCHER read notes of a case of Obstructive Jaundice,

which was accompanied by a severe attack of bronchitisentirely confined to the right side.

Dr. WEAVER related a case of Dropsy of the Amnion. inwhich at the commencement of labour considerable diffi-

culty had been found in discovering the os uteri, owing tothe great expansion of the vagina.

The annual meeting was held on Dec. 4th, Dr. Dobie,President, in the chair. The proceedings were opened bythe unanimous election of Mr. James Taylor as Presidentand Dr. IIaining as Vice-president for the ensuing year.

Mr. HAMILTON showed an Enchondroma of the ParotidGland of seventeen years’ growth, removed from a patientaged fifty-one. The diagnosis of enchondroma, had beenmade before removal. There was neither lymphatic enlarge-ment nor facial paralysis. The tumour had undergone somemucoid degeneration. Microscopic sections were exhibited.

Mr. MILLER showed a Round-celled Sarcoma of theMamma containing a large cyst, which had been removedby Mr. Taylor. The patient was a married woman agedsixty-three, her youngest child béing thirty years old.Thirteen months ago a piece of meat weighing 1G lb., whichshe was trying to hang from the ceiling, fell and struck herleft breast. She did not suffer from the effects of the blowat the time, but three months afterwards she discovered alump the size of a walnut at the seat of the injury. Aftertrying various applications without benefit, she consultedMr. Taylor, who drew off with a trocar and cannula a

quantity of blood-stained fluid. The puncture did not heal,and round the small wound a circular hard mass could befelt. The lymphatic glands were not affected. The patientwas then admitted into the Chester Infirmary, and herbreast removed.

! Mr. HENRY DOBIE showed two patients suffering fromChronic Lead-poisoning, in whom not only the gums butalso the mucous membrane of the lower lip and cheeksshowed the blue pigmentation of sulphide of lead. He

thought the pigmentation occurred wherever there wasmechanical abrasion. One of the patients showed twoparallel lines along the mucous membrane of each cheek,one corresponding to the line of junction of the lower teethwith the gum, the other to the line of meeting of the closedteeth. Both patients had suffered recently from colic andcerebral symptoms; in neither case was there albuminuriaor any paralysis.-Dr. WEAVER thought the extensivecolouration indicated general absorption of the lead intothe system.

Dr. ROBERTS read some notes of a case in which sym-ptoms of Subacute Rheumatism passed rapidly into those ofLocomotor Ataxy. Paralysis of motion came on shortlybefore the fatal termination. No post-mortem examinationcould be obtained.-Mr. TAYLOR, who saw the case, saidhe believed there was an inflammation of the posteriorcolumns, which would have resulted in sclerosis if time hadallowed.Upon the motion of Mr. TAYLOR, a Pathological Com-

mittee was formed to take charge of specimens, examineand report upon them to the Society, and to start theformation of a collection of microscopic specimens, to bethe property of the Society.

LEEDS AND WEST RIDING MEDICO-CHIRURGICAL SOCIETY.

Electricity in Laryngeal Disease.—Syphilitic Iieratitis.-Cancer an Thorax.—Arthrectomy for White Swelling.—Spina Bifida.—Strangulated Hernia.AT a special meeting held on Nov. 20th,Mr. JESSOP, the President, related a case of Sarcoma of the

Forehead, and showed the patient, a girl aged twenty, whowas admitted to the infirmary six weeks before with whatappeared to be a small node on the forehead. There wasnow a large nodulated growth, of bluish-red colour, in-volving the left eyelid, and to some extent the left side ofthe neck.

Mr. JESSOP also showed a man, aged fifty-six, who wasadmitted with a Compound Depressed Fracture of the RightParietal Bone with some Temporary Numbness of the Left