131

" XBD=261 XHG=181 YBD=349 YHG=319>level " XBD=313 XHG=280 YBD=346 YHG=318>of " XBD=391 XHG=335 YBD=346 YHG=319>the " XBD=497 XHG=411 YBD=345 YHG=319>total " XBD=608 XHG=517 YBD=346 YHG=318>fluid. " XBD=723 XHG=653 YBD=346 YHG=318>The " XBD=888 XHG=744 YBD=345 YHG=318>chloride " XBD=1046 XHG=909 YBD=345 YHG=318>content " XBD=1101 XHG=1066 YBD=344 YHG=318>of " XBD=1182 XHG=1123 YBD=346 YHG=318>the " XBD=1294 XHG=1200 YBD=346 YHG=318>three" XBD=354 XHG=182 YBD=390 YHG=355>specimens " XBD=505 XHG=393 YBD=382 YHG=355>varied " XBD=693 XHG=544 YBD=382 YHG=354>between " XBD=792 XHG=732 YBD=380 YHG=353>660 " XBD=890 XHG=822 YBD=381 YHG=354>and " XBD=979 XHG=918 YBD=381 YHG=353>670 " XBD=1083 XHG=1017 YBD=387 YHG=361>mg. " XBD=1175 XHG=1115 YBD=388 YHG=362>per " XBD=1291 XHG=1206 YBD=382 YHG=354>cent." XBD=420 XHG=184 YBD=426 YHG=391>Microscopical " XBD=685 XHG=458 YBD=418 YHG=390>examination " XBD=825 XHG=719 YBD=417 YHG=390>failed " XBD=900 XHG=862 YBD=418 YHG=391>to " XBD=1030 XHG=939 YBD=417 YHG=390>show " XBD=1138 XHG=1069 YBD=423 YHG=398>any " XBD=1294 XHG=1175 YBD=417 YHG=390>micro-" XBD=356 XHG=184 YBD=462 YHG=427>organisms " XBD=422 XHG=387 YBD=454 YHG=427>in " XBD=511 XHG=454 YBD=454 YHG=427>the " XBD=616 XHG=544 YBD=454 YHG=426>first " XBD=815 XHG=647 YBD=460 YHG=426>specimen " XBD=915 XHG=847 YBD=453 YHG=426>and " XBD=1092 XHG=948 YBD=453 YHG=426>cultures " XBD=1294 XHG=1124 YBD=453 YHG=425>remained" XBD=295 XHG=183 YBD=492 YHG=463>sterile. " XBD=380 XHG=340 YBD=490 YHG=463>In " XBD=476 XHG=418 YBD=489 YHG=462>the " XBD=637 XHG=516 YBD=489 YHG=462>second " XBD=768 XHG=677 YBD=489 YHG=470>some " XBD=1071 XHG=811 YBD=496 YHG=462>Gram-positive " XBD=1295 XHG=1111 YBD=495 YHG=461>branching" XBD=341 XHG=184 YBD=527 YHG=499>filaments " XBD=545 XHG=360 YBD=531 YHG=497>suggestive " XBD=601 XHG=565 YBD=524 YHG=498>of " XBD=642 XHG=622 YBD=524 YHG=506>a " XBD=883 XHG=661 YBD=532 YHG=497>streptothrix " XBD=986 XHG=902 YBD=525 YHG=506>were " XBD=1095 XHG=1005 YBD=529 YHG=506>seen, " XBD=1183 XHG=1115 YBD=524 YHG=497>and " XBD=1294 XHG=1202 YBD=531 YHG=505>upon" XBD=324 XHG=184 YBD=568 YHG=535>washing " XBD=402 XHG=345 YBD=561 YHG=534>the " XBD=487 XHG=425 YBD=568 YHG=542>pus " XBD=593 XHG=510 YBD=561 YHG=533>with " XBD=718 XHG=616 YBD=560 YHG=533>saline " XBD=879 XHG=743 YBD=561 YHG=533>definite " XBD=1011 XHG=901 YBD=561 YHG=533>tinted " XBD=1187 XHG=1035 YBD=567 YHG=534>granules " XBD=1294 XHG=1210 YBD=560 YHG=541>were" XBD=345 XHG=184 YBD=602 YHG=570>obtained, " XBD=537 XHG=358 YBD=603 YHG=569>consisting " XBD=671 XHG=549 YBD=597 YHG=570>almost " XBD=825 XHG=684 YBD=603 YHG=569>entirely " XBD=872 XHG=837 YBD=596 YHG=569>of " XBD=1075 XHG=885 YBD=604 YHG=569>mycelium. " XBD=1190 XHG=1121 YBD=597 YHG=569>The " XBD=1295 XHG=1203 YBD=597 YHG=569>third" XBD=341 XHG=183 YBD=643 YHG=607>specimen " XBD=538 XHG=360 YBD=633 YHG=605>confirmed " XBD=649 XHG=556 YBD=633 YHG=606>these " XBD=812 XHG=669 YBD=639 YHG=605>findings " XBD=900 XHG=832 YBD=633 YHG=606>and " XBD=1097 XHG=920 YBD=633 YHG=605>contained " XBD=1207 XHG=1115 YBD=633 YHG=614>more " XBD=1295 XHG=1227 YBD=633 YHG=605>and" XBD=282 XHG=183 YBD=677 YHG=644>larger " XBD=420 XHG=299 YBD=669 YHG=650>masses " XBD=470 XHG=435 YBD=669 YHG=642>of " XBD=669 XHG=490 YBD=675 YHG=641>mycelium " XBD=751 XHG=686 YBD=676 YHG=642>(see " XBD=910 XHG=767 YBD=676 YHG=640>Figure). " XBD=1086 XHG=956 YBD=669 YHG=642>Smears " XBD=1137 XHG=1101 YBD=668 YHG=642>of " XBD=1215 XHG=1156 YBD=669 YHG=642>the " XBD=1294 XHG=1232 YBD=677 YHG=649>pus" XBD=264 XHG=179 YBD=707 YHG=680>from " XBD=341 XHG=285 YBD=706 YHG=678>the " XBD=486 XHG=363 YBD=705 YHG=677>middle " XBD=565 XHG=509 YBD=705 YHG=686>ear " XBD=656 XHG=588 YBD=705 YHG=678>and " XBD=847 XHG=678 YBD=712 YHG=677>meninges " XBD=974 XHG=870 YBD=706 YHG=677>taken " XBD=1033 XHG=996 YBD=705 YHG=678>at " XBD=1295 XHG=1057 YBD=712 YHG=679>post mortem" XBD=263 XHG=184 YBD=743 YHG=715>both " XBD=413 XHG=283 YBD=741 YHG=714>showed " XBD=492 XHG=433 YBD=741 YHG=714>the " XBD=605 XHG=514 YBD=742 YHG=722>same " XBD=888 XHG=629 YBD=748 YHG=713>Gram-positive " XBD=1095 XHG=911 YBD=747 YHG=713>branching " XBD=1292 XHG=1116 YBD=742 YHG=713>filaments." XBD=234 XHG=185 YBD=779 YHG=751>No " XBD=347 XHG=255 YBD=778 YHG=750>other " XBD=533 XHG=368 YBD=784 YHG=749>organism " XBD=622 XHG=554 YBD=777 YHG=758>was " XBD=807 XHG=645 YBD=778 YHG=750>observed " XBD=1122 XHG=828 YBD=784 YHG=749>microscopically." XBD=402 XHG=223 YBD=814 YHG=786>Numerous " XBD=583 XHG=438 YBD=813 YHG=786>cultures " XBD=702 XHG=618 YBD=813 YHG=794>were " XBD=836 XHG=737 YBD=813 YHG=787>made " XBD=957 XHG=873 YBD=814 YHG=786>both " XBD=1193 XHG=991 YBD=819 YHG=785>aerobically " XBD=1295 XHG=1227 YBD=812 YHG=785>and" XBD=419 XHG=183 YBD=855 YHG=822>anaerobically " XBD=530 XHG=438 YBD=856 YHG=830>upon " XBD=650 XHG=550 YBD=849 YHG=821>blood " XBD=768 XHG=678 YBD=856 YHG=830>agar, " XBD=930 XHG=785 YBD=856 YHG=822>glycerin " XBD=1040 XHG=950 YBD=855 YHG=830>agar, " XBD=1196 XHG=1065 YBD=856 YHG=822>glucose " XBD=1296 XHG=1216 YBD=855 YHG=830>agar" XBD=246 XHG=183 YBD=887 YHG=859>and " XBD=389 XHG=261 YBD=893 YHG=859>glucose " XBD=515 XHG=407 YBD=886 YHG=858>broth. " XBD=615 XHG=560 YBD=886 YHG=859>All " XBD=801 XHG=630 YBD=886 YHG=858>remained " XBD=928 XHG=817 YBD=886 YHG=858>sterile " XBD=1028 XHG=945 YBD=886 YHG=858>with " XBD=1102 XHG=1043 YBD=886 YHG=858>the " XBD=1296 XHG=1119 YBD=893 YHG=858>exception" XBD=215 XHG=182 YBD=922 YHG=895>of " XBD=319 XHG=229 YBD=923 YHG=894>those " XBD=513 XHG=334 YBD=922 YHG=895>incubated " XBD=774 XHG=528 YBD=928 YHG=894>anaerobically " XBD=823 XHG=788 YBD=921 YHG=894>in " XBD=964 XHG=832 YBD=928 YHG=895>glucose " XBD=1091 XHG=980 YBD=927 YHG=894>broth, " XBD=1139 XHG=1101 YBD=922 YHG=893>in " XBD=1261 XHG=1152 YBD=922 YHG=894>which " XBD=1296 XHG=1275 YBD=921 YHG=901>a" XBD=330 XHG=183 YBD=966 YHG=931>granular " XBD=519 XHG=357 YBD=959 YHG=931>sediment " XBD=714 XHG=547 YBD=965 YHG=931>appeared " XBD=832 XHG=742 YBD=958 YHG=930>after " XBD=924 XHG=860 YBD=959 YHG=930>five " XBD=1047 XHG=954 YBD=964 YHG=930>days. " XBD=1172 XHG=1093 YBD=958 YHG=930>This " XBD=1297 XHG=1200 YBD=959 YHG=931>when" XBD=307 XHG=183 YBD=996 YHG=967>stained " XBD=477 XHG=344 YBD=995 YHG=967>showed " XBD=608 XHG=514 YBD=995 YHG=967>short " XBD=907 XHG=648 YBD=1001 YHG=966>Gram-positive " XBD=1111 XHG=946 YBD=994 YHG=966>filaments " XBD=1214 XHG=1151 YBD=995 YHG=967>but " XBD=1296 XHG=1252 YBD=994 YHG=975>no" XBD=366 XHG=184 YBD=1038 YHG=1003>branching. " XBD=611 XHG=412 YBD=1031 YHG=1003>Subculture " XBD=729 XHG=637 YBD=1038 YHG=1012>upon " XBD=852 XHG=756 YBD=1031 YHG=1003>other " XBD=988 XHG=877 YBD=1030 YHG=1003>media " XBD=1115 XHG=1011 YBD=1030 YHG=1002>failed " XBD=1179 XHG=1141 YBD=1030 YHG=1004>to " XBD=1297 XHG=1205 YBD=1031 YHG=1003>show" XBD=248 XHG=183 YBD=1074 YHG=1048>any " XBD=387 XHG=262 YBD=1073 YHG=1040>growth " XBD=571 XHG=403 YBD=1068 YHG=1040>whatever " XBD=655 XHG=587 YBD=1067 YHG=1040>and " XBD=730 XHG=671 YBD=1067 YHG=1040>the " XBD=886 XHG=747 YBD=1072 YHG=1039>original " XBD=1034 XHG=903 YBD=1073 YHG=1040>glucose " XBD=1152 XHG=1052 YBD=1067 YHG=1040>broth " XBD=1296 XHG=1169 YBD=1068 YHG=1040>culture" XBD=315 XHG=185 YBD=1111 YHG=1075>quickly " XBD=401 XHG=326 YBD=1104 YHG=1076>died " XBD=482 XHG=415 YBD=1104 YHG=1077>out." XBD=293 XHG=229 YBD=1153 YHG=1120>We " XBD=405 XHG=312 YBD=1153 YHG=1130>were " XBD=609 XHG=426 YBD=1153 YHG=1120>therefore " XBD=769 XHG=631 YBD=1152 YHG=1119>unable " XBD=833 XHG=791 YBD=1153 YHG=1121>to " XBD=1033 XHG=854 YBD=1153 YHG=1119>establish " XBD=1114 XHG=1050 YBD=1153 YHG=1121>the " XBD=1298 XHG=1135 YBD=1163 YHG=1119>identity" XBD=222 XHG=186 YBD=1200 YHG=1167>of " XBD=318 XHG=246 YBD=1199 YHG=1166>this " XBD=601 XHG=345 YBD=1209 YHG=1166>streptothrix. " XBD=877 XHG=681 YBD=1210 YHG=1166>Difficulty " XBD=942 XHG=902 YBD=1199 YHG=1166>in " XBD=1165 XHG=970 YBD=1211 YHG=1166>obtaining " XBD=1297 XHG=1192 YBD=1200 YHG=1167>satis-" XBD=324 XHG=185 YBD=1255 YHG=1214>factory " XBD=521 XHG=360 YBD=1246 YHG=1213>cultures " XBD=653 XHG=555 YBD=1246 YHG=1214>from " XBD=936 XHG=691 YBD=1255 YHG=1213>streptothrix " XBD=1171 XHG=973 YBD=1247 YHG=1213>infections " XBD=1239 XHG=1207 YBD=1247 YHG=1214>is " XBD=1299 XHG=1277 YBD=1246 YHG=1224>a" XBD=289 XHG=185 YBD=1301 YHG=1259>fairly " XBD=493 XHG=324 YBD=1293 YHG=1270>common " XBD=757 XHG=531 YBD=1302 YHG=1259>experience, " XBD=870 XHG=796 YBD=1293 YHG=1260>and " XBD=972 XHG=907 YBD=1292 YHG=1260>the " XBD=1194 XHG=1009 YBD=1303 YHG=1258>diagnosis " XBD=1298 XHG=1230 YBD=1292 YHG=1261>has" XBD=324 XHG=185 YBD=1348 YHG=1306>usually " XBD=393 XHG=353 YBD=1340 YHG=1309>to " XBD=470 XHG=424 YBD=1340 YHG=1307>be " XBD=616 XHG=500 YBD=1339 YHG=1306>based " XBD=747 XHG=645 YBD=1349 YHG=1317>upon " XBD=844 XHG=779 YBD=1339 YHG=1307>the " XBD=1047 XHG=874 YBD=1348 YHG=1316>presence " XBD=1116 XHG=1079 YBD=1340 YHG=1307>of " XBD=1299 XHG=1148 YBD=1339 YHG=1306>definite" XBD=349 XHG=185 YBD=1396 YHG=1341>granules " XBD=412 XHG=372 YBD=1387 YHG=1364>or " XBD=576 XHG=432 YBD=1386 YHG=1354>Drusen " XBD=637 XHG=598 YBD=1386 YHG=1352>in " XBD=725 XHG=659 YBD=1386 YHG=1355>the " XBD=816 XHG=746 YBD=1396 YHG=1363>pus " XBD=915 XHG=841 YBD=1386 YHG=1354>and " XBD=1002 XHG=936 YBD=1386 YHG=1354>the " XBD=1301 XHG=1024 YBD=1395 YHG=1352>microscopical" XBD=406 XHG=187 YBD=1442 YHG=1410>appearance " XBD=470 XHG=432 YBD=1433 YHG=1402>of " XBD=559 XHG=494 YBD=1433 YHG=1401>the " XBD=771 XHG=585 YBD=1441 YHG=1399>organism " XBD=835 XHG=796 YBD=1432 YHG=1400>in " XBD=980 XHG=861 YBD=1433 YHG=1400>direct " XBD=1155 XHG=1005 YBD=1433 YHG=1410>smears.

REFERENCES.

1. Bell, H. H. : Jour. Inf. Dis., 1922, xxx., 99.2. Delepine, S. : Trans. Path. Soc. Lond., 1889, xl., 408.3. Drury, D. W. : Jour. Amer. Med. Assoc., 1929, xciii., 974.4. D’Ewart, J., and Dawson. G. D. : Brit. Med. Jour., 1927,

i., 719.5. Henry, H. : Jour. Path. and Bact., 1910, xiv., 104.6. Naunyn, B. : Mitt. med. Klin. (Königsberg), 1888, p. 300.7. Moersch, F. P. : Collected Papers, Mayo Clinic, 1921, xiii.,

1080. (With bibliography.)8. Sandford, A. H., and Voekler, M. : Arch. Surg., 1925, xi.,

809.9. Snoke, P. O. : Amer. Jour. Med. Sci., 1928, clxxv., 69.

10. Zanni, G. : Valsalva, 1929, v., 287.

MUCOCELE OF THE APPENDIXCAUSED BY EARLY CARCINOMA OF CÆCUM.

BY J. B. G. MUIR, M.B. LOND., F.R.C.S. ENG.,PRINCIPAL MEDICAL OFFICER, KAILAN MINING ADMINISTRATION,

TONGSHAN, NORTH CHINA.

" XBD=362 XHG=230 YBD=2380 YHG=2346>CYSTIC " XBD=590 XHG=391 YBD=2378 YHG=2346>dilatation " XBD=656 XHG=618 YBD=2378 YHG=2346>of " XBD=748 XHG=683 YBD=2378 YHG=2345>the " XBD=964 XHG=776 YBD=2386 YHG=2345>appendix " XBD=1023 XHG=990 YBD=2377 YHG=2345>is " XBD=1299 XHG=1051 YBD=2387 YHG=2345>occasionally" XBD=352 XHG=184 YBD=2427 YHG=2393>recorded " XBD=405 XHG=365 YBD=2426 YHG=2394>in " XBD=700 XHG=419 YBD=2435 YHG=2392>long-standing " XBD=817 XHG=715 YBD=2425 YHG=2402>cases " XBD=871 XHG=833 YBD=2424 YHG=2392>of " XBD=1075 XHG=888 YBD=2425 YHG=2391>catarrhal " XBD=1297 XHG=1087 YBD=2424 YHG=2391>inflamma-" XBD=260 XHG=184 YBD=2473 YHG=2440>tion " XBD=409 XHG=291 YBD=2473 YHG=2439>where " XBD=546 XHG=442 YBD=2473 YHG=2439>there " XBD=610 XHG=577 YBD=2472 YHG=2440>is " XBD=829 XHG=643 YBD=2472 YHG=2439>occlusion " XBD=902 XHG=863 YBD=2470 YHG=2439>of " XBD=999 XHG=934 YBD=2471 YHG=2438>the " XBD=1299 XHG=1033 YBD=2480 YHG=2439>appendicular" XBD=312 XHG=185 YBD=2525 YHG=2486>orifice, " XBD=409 XHG=340 YBD=2519 YHG=2486>but " XBD=466 XHG=434 YBD=2519 YHG=2487>it " XBD=525 XHG=491 YBD=2519 YHG=2487>is " XBD=677 XHG=550 YBD=2519 YHG=2485>rather " XBD=753 XHG=704 YBD=2518 YHG=2496>an " XBD=941 XHG=780 YBD=2518 YHG=2485>unusual " XBD=1232 XHG=968 YBD=2526 YHG=2485>complication " XBD=1298 XHG=1260 YBD=2517 YHG=2484>of" XBD=384 XHG=185 YBD=2566 YHG=2533>carcinoma " XBD=454 XHG=416 YBD=2565 YHG=2534>of " XBD=549 XHG=484 YBD=2566 YHG=2532>the " XBD=727 XHG=580 YBD=2566 YHG=2542>caecum. " XBD=915 XHG=778 YBD=2565 YHG=2531>Wilkie " XBD=1013 XHG=945 YBD=2563 YHG=2530>has " XBD=1200 XHG=1043 YBD=2572 YHG=2531>pointed " XBD=1298 XHG=1232 YBD=2564 YHG=2532>out" XBD=265 XHG=185 YBD=2612 YHG=2578>that " XBD=399 XHG=293 YBD=2612 YHG=2581>acute " XBD=673 XHG=426 YBD=2620 YHG=2579>appendicitis " XBD=789 XHG=700 YBD=2619 YHG=2588>may " XBD=862 XHG=816 YBD=2611 YHG=2578>be " XBD=956 XHG=891 YBD=2611 YHG=2577>the " XBD=1064 XHG=983 YBD=2610 YHG=2577>first " XBD=1298 XHG=1089 YBD=2611 YHG=2577>indication" XBD=222 XHG=186 YBD=2658 YHG=2627>of " XBD=335 XHG=261 YBD=2657 YHG=2624>this " XBD=515 XHG=375 YBD=2659 YHG=2625>disease " XBD=664 XHG=555 YBD=2658 YHG=2624>when " XBD=772 XHG=707 YBD=2658 YHG=2624>the " XBD=959 XHG=814 YBD=2667 YHG=2623>growth " XBD=1191 XHG=1002 YBD=2657 YHG=2623>obstructs " XBD=1298 XHG=1232 YBD=2658 YHG=2623>the" XBD=361 XHG=184 YBD=2713 YHG=2671>proximal " XBD=504 XHG=379 YBD=2705 YHG=2673>lumen " XBD=564 XHG=527 YBD=2704 YHG=2673>of " XBD=649 XHG=585 YBD=2705 YHG=2671>the " XBD=871 XHG=671 YBD=2713 YHG=2671>appendix, " XBD=934 XHG=895 YBD=2703 YHG=2680>so " XBD=1042 XHG=957 YBD=2703 YHG=2669>that " XBD=1129 XHG=1064 YBD=2704 YHG=2670>the " XBD=1298 XHG=1149 YBD=2712 YHG=2670>patient" XBD=301 XHG=184 YBD=2751 YHG=2717>whose " XBD=538 XHG=315 YBD=2759 YHG=2720>case-report " XBD=695 XHG=550 YBD=2751 YHG=2718>follows " XBD=799 XHG=710 YBD=2759 YHG=2728>may " XBD=859 XHG=812 YBD=2751 YHG=2717>be " XBD=1091 XHG=875 YBD=2751 YHG=2717>considered " XBD=1298 XHG=1103 YBD=2751 YHG=2719>fortunate" XBD=221 XHG=183 YBD=2797 YHG=2764>in " XBD=324 XHG=243 YBD=2796 YHG=2763>that " XBD=395 XHG=348 YBD=2796 YHG=2774>an " XBD=520 XHG=418 YBD=2806 YHG=2765>early |>" XBD=652 XHG=542 YBD=2798 YHG=2765>caecal " XBD=820 XHG=674 YBD=2806 YHG=2764>growth " XBD=979 XHG=843 YBD=2798 YHG=2763>caused " XBD=1025 XHG=1003 YBD=2797 YHG=2774>a " XBD=1235 XHG=1049 YBD=2798 YHG=2764>mucocele " XBD=1298 XHG=1259 YBD=2797 YHG=2764>of" XBD=246 XHG=185 YBD=2843 YHG=2809>the " XBD=465 XHG=270 YBD=2852 YHG=2810>appendix." XBD=260 XHG=229 YBD=2888 YHG=2856>A " XBD=447 XHG=290 YBD=2889 YHG=2857>Russian " XBD=669 XHG=477 YBD=2896 YHG=2858>musician, " XBD=794 XHG=700 YBD=2899 YHG=2857>aged " XBD=881 XHG=825 YBD=2896 YHG=2858>37, " XBD=1107 XHG=912 YBD=2890 YHG=2857>consulted " XBD=1195 XHG=1137 YBD=2890 YHG=2867>me " XBD=1297 XHG=1223 YBD=2890 YHG=2857>last" XBD=285 XHG=184 YBD=2944 YHG=2901>April " XBD=367 XHG=309 YBD=2936 YHG=2905>for " XBD=594 XHG=397 YBD=2945 YHG=2903>dyspepsia " XBD=832 XHG=624 YBD=2937 YHG=2903>associated " XBD=954 XHG=859 YBD=2937 YHG=2902>with " XBD=1093 XHG=980 YBD=2945 YHG=2903>fairly " XBD=1297 XHG=1122 YBD=2936 YHG=2906>constant" XBD=392 XHG=185 YBD=2981 YHG=2948>abdominal " XBD=515 XHG=417 YBD=2991 YHG=2950>pain. " XBD=636 XHG=568 YBD=2982 YHG=2950>His " XBD=873 XHG=663 YBD=2991 YHG=2952>symptoms " XBD=993 XHG=898 YBD=2983 YHG=2960>were " XBD=1231 XHG=1020 YBD=2991 YHG=2951>suggestive " XBD=1297 XHG=1259 YBD=2982 YHG=2950>of" XBD=206 XHG=185 YBD=3025 YHG=3003>a " XBD=352 XHG=220 YBD=3036 YHG=2995>gastric " XBD=476 XHG=367 YBD=3034 YHG=2995>ulcer, " XBD=562 XHG=492 YBD=3027 YHG=2995>but " XBD=683 XHG=579 YBD=3029 YHG=2995>there " XBD=774 XHG=698 YBD=3029 YHG=3006>was " XBD=838 XHG=789 YBD=3028 YHG=3007>no " XBD=1053 XHG=854 YBD=3037 YHG=2996>epigastric " XBD=1295 XHG=1068 YBD=3034 YHG=2996>tenderness," XBD=358 XHG=185 YBD=3082 YHG=3040>although " XBD=598 XHG=384 YBD=3074 YHG=3041>tenderness " XBD=700 XHG=623 YBD=3074 YHG=3051>was " XBD=819 XHG=726 YBD=3083 YHG=3052>very " XBD=1000 XHG=845 YBD=3074 YHG=3041>marked " XBD=1076 XHG=1027 YBD=3074 YHG=3051>on " XBD=1297 XHG=1100 YBD=3083 YHG=3041>palpation" XBD=221 XHG=182 YBD=3118 YHG=3086>in " XBD=311 XHG=249 YBD=3119 YHG=3086>the " XBD=438 XHG=339 YBD=3128 YHG=3086>right " XBD=565 XHG=479 YBD=3120 YHG=3088>iliac " XBD=706 XHG=594 YBD=3126 YHG=3088>fossa, " XBD=859 XHG=736 YBD=3120 YHG=3087>where " XBD=912 XHG=889 YBD=3120 YHG=3098>a " XBD=1096 XHG=942 YBD=3130 YHG=3087>slightly " XBD=1297 XHG=1124 YBD=3120 YHG=3087>movable" XBD=340 XHG=184 YBD=3171 YHG=3132>tumour, " XBD=471 XHG=356 YBD=3165 YHG=3133>about " XBD=550 XHG=486 YBD=3166 YHG=3132>the " XBD=638 XHG=565 YBD=3167 YHG=3134>size " XBD=693 XHG=654 YBD=3166 YHG=3135>of " XBD=729 XHG=707 YBD=3166 YHG=3144>a " XBD=910 XHG=742 YBD=3176 YHG=3135>pigeon’s " XBD=1004 XHG=924 YBD=3176 YHG=3144>egg, " XBD=1095 XHG=1019 YBD=3167 YHG=3143>was " XBD=1294 XHG=1110 YBD=3167 YHG=3133>detected." XBD=221 XHG=186 YBD=3209 YHG=3176>It " XBD=439 XHG=258 YBD=3219 YHG=3179>appeared " XBD=518 XHG=478 YBD=3211 YHG=3181>to " XBD=604 XHG=556 YBD=3212 YHG=3179>be " XBD=708 XHG=643 YBD=3212 YHG=3179>the " XBD=936 XHG=747 YBD=3220 YHG=3180>appendix " XBD=1207 XHG=976 YBD=3212 YHG=3179>surrounded " XBD=1296 XHG=1245 YBD=3220 YHG=3179>by" XBD=357 XHG=185 YBD=3256 YHG=3222>adherent " XBD=597 XHG=393 YBD=3262 YHG=3226>omentum, " XBD=702 XHG=632 YBD=3257 YHG=3224>but " XBD=858 XHG=738 YBD=3258 YHG=3225>above " XBD=923 XHG=891 YBD=3257 YHG=3227>it " XBD=981 XHG=959 YBD=3257 YHG=3235>a " XBD=1168 XHG=1016 YBD=3258 YHG=3225>definite " XBD=1298 XHG=1202 YBD=3257 YHG=3225>hard" XBD=392 XHG=184 YBD=3310 YHG=3267>thickening " XBD=450 XHG=412 YBD=3302 YHG=3271>of " XBD=535 XHG=470 YBD=3302 YHG=3270>the " XBD=694 XHG=555 YBD=3303 YHG=3279>caecum " XBD=789 XHG=712 YBD=3303 YHG=3280>was " XBD=993 XHG=810 YBD=3311 YHG=3273>apparent " XBD=1089 XHG=1013 YBD=3303 YHG=3271>and " XBD=1186 XHG=1108 YBD=3304 YHG=3280>was " XBD=1298 XHG=1205 YBD=3312 YHG=3281>very" XBD=319 XHG=184 YBD=3347 YHG=3314>tender. " XBD=387 XHG=369 YBD=3346 YHG=3314>I " XBD=558 XHG=405 YBD=3348 YHG=3315>advised " XBD=623 XHG=575 YBD=3348 YHG=3326>an " XBD=880 XHG=639 YBD=3357 YHG=3316>exploratory " XBD=1101 XHG=896 YBD=3356 YHG=3317>operation, " XBD=1160 XHG=1119 YBD=3349 YHG=3319>to " XBD=1298 XHG=1175 YBD=3350 YHG=3316>which" XBD=229 XHG=184 YBD=3393 YHG=3357>he " XBD=386 XHG=246 YBD=3402 YHG=3360>agreed." XBD=476 XHG=227 YBD=3447 YHG=3405>Laparotomy " XBD=572 XHG=495 YBD=3439 YHG=3416>was " XBD=809 XHG=596 YBD=3448 YHG=3407>performed " XBD=991 XHG=825 YBD=3448 YHG=3406>through " XBD=1037 XHG=1014 YBD=3440 YHG=3417>a " XBD=1163 XHG=1060 YBD=3449 YHG=3407>right " XBD=1295 XHG=1188 YBD=3449 YHG=3418>para-" XBD=327 XHG=185 YBD=3484 YHG=3452>median " XBD=515 XHG=349 YBD=3490 YHG=3453>incision, " XBD=616 XHG=541 YBD=3484 YHG=3453>and " XBD=688 XHG=639 YBD=3484 YHG=3463>an " XBD=815 XHG=712 YBD=3493 YHG=3453>early " XBD=984 XHG=838 YBD=3493 YHG=3452>growth " XBD=1046 XHG=1007 YBD=3485 YHG=3454>of " XBD=1135 XHG=1070 YBD=3486 YHG=3453>the " XBD=1298 XHG=1158 YBD=3487 YHG=3464>csecum" XBD=256 XHG=183 YBD=3528 YHG=3505>was " XBD=395 XHG=269 YBD=3529 YHG=3497>found. " XBD=523 XHG=445 YBD=3529 YHG=3497>The " XBD=724 XHG=539 YBD=3537 YHG=3498>proximal " XBD=953 XHG=739 YBD=3529 YHG=3497>two-thirds " XBD=1009 XHG=970 YBD=3530 YHG=3499>of " XBD=1090 XHG=1025 YBD=3531 YHG=3497>the " XBD=1297 XHG=1107 YBD=3538 YHG=3499>appendix" XBD=272 XHG=182 YBD=3574 YHG=3551>were " XBD=492 XHG=299 YBD=3574 YHG=3541>distended " XBD=599 XHG=517 YBD=3574 YHG=3543>into " XBD=649 XHG=627 YBD=3574 YHG=3553>a " XBD=795 XHG=678 YBD=3583 YHG=3543>cystic " XBD=987 XHG=824 YBD=3584 YHG=3543>swelling " XBD=1079 XHG=1013 YBD=3576 YHG=3542>the " XBD=1181 XHG=1106 YBD=3576 YHG=3544>size " XBD=1248 XHG=1209 YBD=3576 YHG=3545>of " XBD=1297 XHG=1275 YBD=3576 YHG=3554>a" XBD=287 XHG=184 YBD=3619 YHG=3588>small " XBD=394 XHG=316 YBD=3629 YHG=3597>egg, " XBD=547 XHG=426 YBD=3620 YHG=3586>which " XBD=654 XHG=577 YBD=3620 YHG=3597>was " XBD=812 XHG=684 YBD=3629 YHG=3587>partly " XBD=1087 XHG=842 YBD=3630 YHG=3588>invaginated " XBD=1199 XHG=1117 YBD=3621 YHG=3590>into " XBD=1298 XHG=1232 YBD=3623 YHG=3588>the" XBD=326 XHG=184 YBD=3666 YHG=3642>ceecum. " XBD=409 XHG=376 YBD=3664 YHG=3632>A " XBD=502 XHG=430 YBD=3666 YHG=3634>few " XBD=620 XHG=526 YBD=3665 YHG=3632>hard " XBD=720 XHG=644 YBD=3665 YHG=3632>and " XBD=876 XHG=746 YBD=3674 YHG=3632>shotty " XBD=1033 XHG=900 YBD=3675 YHG=3633>glands " XBD=1095 XHG=1054 YBD=3665 YHG=3634>in " XBD=1186 XHG=1120 YBD=3667 YHG=3633>the " XBD=1296 XHG=1207 YBD=3667 YHG=3634>ileo-

" XBD=1447 XHG=1337 YBD=344 YHG=312>csecal " XBD=1589 XHG=1461 YBD=354 YHG=313>region " XBD=1739 XHG=1608 YBD=345 YHG=311>served " XBD=1796 XHG=1756 YBD=344 YHG=314>to " XBD=1969 XHG=1814 YBD=344 YHG=310>confirm " XBD=2051 XHG=1986 YBD=343 YHG=309>the " XBD=2201 XHG=2068 YBD=343 YHG=313>nature " XBD=2257 XHG=2219 YBD=342 YHG=312>of " XBD=2338 XHG=2274 YBD=343 YHG=310>the " XBD=2466 XHG=2355 YBD=343 YHG=310>csecal" XBD=1500 XHG=1338 YBD=397 YHG=359>tumour, " XBD=1616 XHG=1541 YBD=390 YHG=358>and " XBD=1672 XHG=1655 YBD=389 YHG=357>I " XBD=1961 XHG=1723 YBD=399 YHG=357>accordingly " XBD=2223 XHG=2008 YBD=397 YHG=356>performed " XBD=2284 XHG=2262 YBD=387 YHG=366>a " XBD=2464 XHG=2321 YBD=397 YHG=357>partial" XBD=1557 XHG=1337 YBD=445 YHG=404>colectomy, " XBD=1771 XHG=1605 YBD=446 YHG=405>excising " XBD=1882 XHG=1817 YBD=437 YHG=403>the " XBD=2066 XHG=1928 YBD=437 YHG=412>caecum " XBD=2205 XHG=2111 YBD=436 YHG=402>with " XBD=2300 XHG=2249 YBD=434 YHG=402>its " XBD=2465 XHG=2346 YBD=443 YHG=402>cystic" XBD=1553 XHG=1338 YBD=491 YHG=450>appendage " XBD=1656 XHG=1581 YBD=483 YHG=451>and " XBD=1748 XHG=1683 YBD=483 YHG=449>the " XBD=1977 XHG=1776 YBD=491 YHG=450>ascending " XBD=2079 XHG=2003 YBD=482 YHG=449>and " XBD=2291 XHG=2105 YBD=491 YHG=448>proximal " XBD=2396 XHG=2316 YBD=480 YHG=447>half " XBD=2463 XHG=2424 YBD=480 YHG=449>of" XBD=1402 XHG=1338 YBD=528 YHG=495>the " XBD=1641 XHG=1431 YBD=528 YHG=498>transverse " XBD=1789 XHG=1670 YBD=535 YHG=497>colon, " XBD=1913 XHG=1818 YBD=530 YHG=496>with " XBD=2006 XHG=1941 YBD=529 YHG=496>the " XBD=2208 XHG=2035 YBD=537 YHG=496>enlarged " XBD=2377 XHG=2236 YBD=536 YHG=494>glands. " XBD=2463 XHG=2428 YBD=525 YHG=493>A" XBD=1569 XHG=1338 YBD=573 YHG=540>side-to-side " XBD=1756 XHG=1585 YBD=583 YHG=542>junction " XBD=1848 XHG=1771 YBD=575 YHG=553>was " XBD=1974 XHG=1866 YBD=576 YHG=543>made " XBD=2159 XHG=1992 YBD=576 YHG=542>between " XBD=2241 XHG=2176 YBD=574 YHG=541>the " XBD=2370 XHG=2255 YBD=574 YHG=541>ileum " XBD=2464 XHG=2388 YBD=573 YHG=539>and" XBD=1402 XHG=1338 YBD=619 YHG=586>the " XBD=1539 XHG=1426 YBD=619 YHG=587>distal " XBD=1639 XHG=1559 YBD=619 YHG=586>half " XBD=1701 XHG=1663 YBD=620 YHG=589>of " XBD=1789 XHG=1724 YBD=621 YHG=588>the " XBD=2022 XHG=1812 YBD=623 YHG=592>transverse " XBD=2163 XHG=2046 YBD=623 YHG=590>colon. " XBD=2293 XHG=2215 YBD=621 YHG=587>The " XBD=2466 XHG=2314 YBD=629 YHG=586>patient" XBD=1447 XHG=1339 YBD=665 YHG=633>made " XBD=1538 XHG=1490 YBD=665 YHG=643>an " XBD=1870 XHG=1580 YBD=675 YHG=634>uninterrupted " XBD=2099 XHG=1911 YBD=678 YHG=646>recovery, " XBD=2236 XHG=2142 YBD=669 YHG=635>with " XBD=2465 XHG=2278 YBD=676 YHG=634>complete" XBD=1443 XHG=1337 YBD=713 YHG=680>relief " XBD=1501 XHG=1463 YBD=711 YHG=679>of " XBD=1579 XHG=1521 YBD=711 YHG=679>his " XBD=1819 XHG=1600 YBD=720 YHG=682>symptoms, " XBD=1963 XHG=1841 YBD=715 YHG=681>which " XBD=2058 XHG=1982 YBD=714 YHG=682>had " XBD=2172 XHG=2078 YBD=716 YHG=682>been " XBD=2320 XHG=2192 YBD=715 YHG=681>rather " XBD=2377 XHG=2337 YBD=714 YHG=682>in " XBD=2466 XHG=2398 YBD=713 YHG=679>the" XBD=1471 XHG=1338 YBD=758 YHG=727>nature " XBD=1529 XHG=1491 YBD=757 YHG=726>of " XBD=1814 XHG=1548 YBD=766 YHG=726>appendicular " XBD=2047 XHG=1833 YBD=770 YHG=729>gastralgia." XBD=1535 XHG=1387 YBD=804 YHG=771>Section " XBD=1607 XHG=1568 YBD=803 YHG=773>of " XBD=1702 XHG=1637 YBD=804 YHG=770>the " XBD=1887 XHG=1734 YBD=805 YHG=774>tumour " XBD=2067 XHG=1919 YBD=807 YHG=773>showed " XBD=2120 XHG=2099 YBD=806 YHG=785>a " XBD=2296 XHG=2153 YBD=816 YHG=775>typical " XBD=2463 XHG=2326 YBD=807 YHG=773>adeno-" XBD=1549 XHG=1339 YBD=851 YHG=819>carcinoma " XBD=1613 XHG=1575 YBD=850 YHG=819>of " XBD=1702 XHG=1638 YBD=851 YHG=817>the |>" XBD=1876 XHG=1728 YBD=857 YHG=828>csecum, " XBD=2125 XHG=1901 YBD=862 YHG=819>infiltrating " XBD=2214 XHG=2149 YBD=853 YHG=820>the " XBD=2466 XHG=2239 YBD=854 YHG=820>submucous" XBD=1440 XHG=1337 YBD=906 YHG=865>layer " XBD=1550 XHG=1474 YBD=897 YHG=864>and " XBD=1808 XHG=1583 YBD=906 YHG=865>completely " XBD=2037 XHG=1844 YBD=907 YHG=866>occluding " XBD=2135 XHG=2071 YBD=899 YHG=865>the " XBD=2293 XHG=2169 YBD=899 YHG=866>orifice " XBD=2365 XHG=2327 YBD=899 YHG=868>of " XBD=2465 XHG=2399 YBD=899 YHG=865>the" XBD=1537 XHG=1339 YBD=952 YHG=911>appendix. " XBD=1666 XHG=1588 YBD=944 YHG=910>The " XBD=1795 XHG=1678 YBD=952 YHG=911>cystic " XBD=2006 XHG=1806 YBD=944 YHG=911>dilatation " XBD=2056 XHG=2018 YBD=943 YHG=912>of " XBD=2131 XHG=2067 YBD=945 YHG=911>the " XBD=2254 XHG=2140 YBD=944 YHG=912>latter " XBD=2465 XHG=2266 YBD=945 YHG=912>contained" XBD=1456 XHG=1340 YBD=990 YHG=957>about " XBD=1782 XHG=1489 YBD=999 YHG=957>three-quarters " XBD=1853 XHG=1815 YBD=990 YHG=959>of " XBD=1934 XHG=1886 YBD=989 YHG=967>an " XBD=2085 XHG=1969 YBD=991 YHG=968>ounce " XBD=2156 XHG=2118 YBD=990 YHG=959>of " XBD=2285 XHG=2189 YBD=991 YHG=958>clear " XBD=2461 XHG=2318 YBD=997 YHG=968>mucus," XBD=1461 XHG=1319 YBD=1044 YHG=1003>which " XBD=1558 XHG=1481 YBD=1037 YHG=1014>was " XBD=1690 XHG=1586 YBD=1045 YHG=1005>quite " XBD=1847 XHG=1720 YBD=1037 YHG=1004>sterile " XBD=1923 XHG=1875 YBD=1037 YHG=1014>on " XBD=2105 XHG=1952 YBD=1037 YHG=1005>culture. " XBD=2306 XHG=2159 YBD=1037 YHG=1003>Several " XBD=2371 XHG=2333 YBD=1037 YHG=1006>of " XBD=2465 XHG=2398 YBD=1037 YHG=1004>the" XBD=1560 XHG=1319 YBD=1111 YHG=1047>mesenteric " XBD=1711 XHG=1579 YBD=1092 YHG=1051>glands " XBD=1903 XHG=1730 YBD=1083 YHG=1051>revealed " XBD=2022 XHG=1921 YBD=1091 YHG=1051>early " XBD=2273 XHG=2043 YBD=1083 YHG=1052>metastases.

NEW INVENTIONSAN OCCLUDER FOR SQUINT.

|>|>" XBD=1720 XHG=1386 YBD=1362 YHG=1329>THEORETICALLY " XBD=1846 XHG=1748 YBD=1363 YHG=1330>total " XBD=2060 XHG=1874 YBD=1363 YHG=1330>occlusion " XBD=2128 XHG=2091 YBD=1361 YHG=1329>of " XBD=2221 XHG=2157 YBD=1361 YHG=1327>the " XBD=2374 XHG=2249 YBD=1362 YHG=1327>better " XBD=2472 XHG=2401 YBD=1371 YHG=1339>eye" XBD=1459 XHG=1341 YBD=1418 YHG=1375>ought " XBD=1539 XHG=1498 YBD=1409 YHG=1379>to " XBD=1623 XHG=1578 YBD=1410 YHG=1377>be " XBD=1761 XHG=1662 YBD=1410 YHG=1377>ideal " XBD=1857 XHG=1798 YBD=1409 YHG=1377>for " XBD=2134 XHG=1896 YBD=1418 YHG=1377>overcoming " XBD=2390 XHG=2173 YBD=1418 YHG=1375>amblyopia " XBD=2467 XHG=2427 YBD=1409 YHG=1376>in" XBD=1567 XHG=1341 YBD=1465 YHG=1426>convergent " XBD=1764 XHG=1611 YBD=1465 YHG=1425>squint ; " XBD=2054 XHG=1821 YBD=1466 YHG=1424>practically, " XBD=2282 XHG=2098 YBD=1462 YHG=1422>however, " XBD=2471 XHG=2324 YBD=1456 YHG=1423>certain" XBD=1632 XHG=1341 YBD=1512 YHG=1469>disadvantages " XBD=1758 XHG=1647 YBD=1503 YHG=1480>occur " XBD=1894 XHG=1771 YBD=1504 YHG=1469>which " XBD=2001 XHG=1909 YBD=1504 YHG=1470>tend " XBD=2057 XHG=2016 YBD=1502 YHG=1472>to " XBD=2275 XHG=2073 YBD=1503 YHG=1469>neutralise " XBD=2355 XHG=2290 YBD=1502 YHG=1468>the " XBD=2468 XHG=2370 YBD=1512 YHG=1469>good" XBD=1461 XHG=1340 YBD=1550 YHG=1516>effect. " XBD=1660 XHG=1511 YBD=1559 YHG=1517>Among " XBD=1746 XHG=1681 YBD=1550 YHG=1516>the " XBD=1871 XHG=1770 YBD=1550 YHG=1526>more " XBD=2102 XHG=1893 YBD=1560 YHG=1519>important " XBD=2165 XHG=2126 YBD=1549 YHG=1517>of " XBD=2292 XHG=2187 YBD=1549 YHG=1514>these " XBD=2377 XHG=2314 YBD=1549 YHG=1526>are " XBD=2468 XHG=2400 YBD=1550 YHG=1515>the" XBD=1551 XHG=1339 YBD=1606 YHG=1563>following : " XBD=1870 XHG=1598 YBD=1596 YHG=1564>simultaneous " XBD=2022 XHG=1901 YBD=1597 YHG=1565>vision " XBD=2094 XHG=2056 YBD=1596 YHG=1564>of " XBD=2191 XHG=2125 YBD=1596 YHG=1562>the " XBD=2298 XHG=2223 YBD=1596 YHG=1565>two " XBD=2470 XHG=2331 YBD=1605 YHG=1573>eyes-" XBD=1362 XHG=1340 YBD=1643 YHG=1620>a " XBD=1458 XHG=1375 YBD=1652 YHG=1612>step " XBD=1635 XHG=1470 YBD=1644 YHG=1611>towards " XBD=1843 XHG=1647 YBD=1654 YHG=1610>achieving " XBD=2047 XHG=1854 YBD=1644 YHG=1610>binocular " XBD=2262 XHG=2059 YBD=1643 YHG=1611>vision-is " XBD=2468 XHG=2274 YBD=1652 YHG=1609>definitely" XBD=1554 XHG=1341 YBD=1696 YHG=1657>sacrificed ; " XBD=1764 XHG=1589 YBD=1700 YHG=1657>mobility " XBD=1822 XHG=1784 YBD=1690 YHG=1659>of " XBD=1907 XHG=1842 YBD=1691 YHG=1657>the " XBD=2106 XHG=1927 YBD=1692 YHG=1657>occluded " XBD=2193 XHG=2125 YBD=1700 YHG=1668>eye " XBD=2244 XHG=2211 YBD=1690 YHG=1658>is " XBD=2466 XHG=2261 YBD=1690 YHG=1656>interfered" XBD=1453 XHG=1319 YBD=1746 YHG=1704>with; " XBD=1554 XHG=1478 YBD=1737 YHG=1704>and " XBD=1821 XHG=1570 YBD=1747 YHG=1714>convergence " XBD=1870 XHG=1837 YBD=1737 YHG=1706>is " XBD=1954 XHG=1886 YBD=1737 YHG=1707>not " XBD=2132 XHG=1970 YBD=1738 YHG=1705>relaxed. " XBD=2274 XHG=2195 YBD=1737 YHG=1703>The " XBD=2464 XHG=2292 YBD=1745 YHG=1705>question" XBD=1429 XHG=1319 YBD=1784 YHG=1748>thus " XBD=1572 XHG=1457 YBD=1785 YHG=1752>arises " XBD=1766 XHG=1599 YBD=1785 YHG=1750>whether " XBD=1893 XHG=1795 YBD=1784 YHG=1752>total " XBD=2107 XHG=1921 YBD=1784 YHG=1752>occlusion " XBD=2169 XHG=2135 YBD=1784 YHG=1753>is " XBD=2394 XHG=2196 YBD=1792 YHG=1760>necessary " XBD=2469 XHG=2424 YBD=1782 YHG=1759>or" XBD=1434 XHG=1319 YBD=1832 YHG=1775>even " XBD=1659 XHG=1466 YBD=1832 YHG=1797>desirable. " XBD=1752 XHG=1710 YBD=1830 YHG=1798>In " XBD=1853 XHG=1788 YBD=1831 YHG=1797>the " XBD=2014 XHG=1886 YBD=1840 YHG=1798>design " XBD=2131 XHG=2046 YBD=1830 YHG=1808>now " XBD=2356 XHG=2164 YBD=1830 YHG=1796>described |>" XBD=2469 XHG=2388 YBD=1831 YHG=1795>this." XBD=1520 XHG=1340 YBD=1888 YHG=1845>principle " XBD=1623 XHG=1553 YBD=1877 YHG=1844>has " XBD=1754 XHG=1659 YBD=1879 YHG=1844>been " XBD=1990 XHG=1791 YBD=1887 YHG=1844>dispensed " XBD=2128 XHG=2023 YBD=1878 YHG=1844>with. " XBD=2256 XHG=2177 YBD=1877 YHG=1843>The " XBD=2469 XHG=2294 YBD=1877 YHG=1843>occluder

" XBD=1500 XHG=1339 YBD=2603 YHG=2570>consists " XBD=1568 XHG=1530 YBD=2603 YHG=2570>of " XBD=1676 XHG=1602 YBD=2603 YHG=2572>two " XBD=2033 XHG=1711 YBD=2614 YHG=2570>parts-a &dquo;half " XBD=2182 XHG=2064 YBD=2605 YHG=2572>lens&dquo; " XBD=2248 XHG=2211 YBD=2605 YHG=2573>of " XBD=2471 XHG=2283 YBD=2606 YHG=2572>Chavasse" XBD=1438 XHG=1339 YBD=2659 YHG=2617>glass " XBD=1585 XHG=1461 YBD=2650 YHG=2616>which " XBD=1741 XHG=1611 YBD=2650 YHG=2626>covers " XBD=1893 XHG=1765 YBD=2651 YHG=2617>rather " XBD=2021 XHG=1919 YBD=2651 YHG=2628>more " XBD=2142 XHG=2047 YBD=2651 YHG=2618>than " XBD=2233 XHG=2168 YBD=2652 YHG=2618>the " XBD=2366 XHG=2258 YBD=2652 YHG=2620>nasal " XBD=2471 XHG=2390 YBD=2652 YHG=2618>half" XBD=1378 XHG=1340 YBD=2697 YHG=2664>of " XBD=1464 XHG=1399 YBD=2697 YHG=2663>the " XBD=1672 XHG=1487 YBD=2705 YHG=2664>spectacle " XBD=1784 XHG=1690 YBD=2704 YHG=2664>lens, " XBD=1947 XHG=1805 YBD=2698 YHG=2664>behind " XBD=2090 XHG=1966 YBD=2699 YHG=2664>which " XBD=2140 XHG=2108 YBD=2699 YHG=2667>it " XBD=2193 XHG=2160 YBD=2698 YHG=2666>is " XBD=2328 XHG=2212 YBD=2706 YHG=2675>worn, " XBD=2424 XHG=2350 YBD=2699 YHG=2666>and " XBD=2472 XHG=2448 YBD=2699 YHG=2676>a" XBD=1476 XHG=1339 YBD=2744 YHG=2710>rubber " XBD=1727 XHG=1516 YBD=2753 YHG=2710>projection " XBD=1891 XHG=1767 YBD=2745 YHG=2710>which " XBD=2000 XHG=1930 YBD=2745 YHG=2722>can " XBD=2089 XHG=2042 YBD=2745 YHG=2711>be " XBD=2307 XHG=2129 YBD=2745 YHG=2712>trimmed " XBD=2474 XHG=2348 YBD=2746 YHG=2711>where" XBD=1536 XHG=1339 YBD=2799 YHG=2767>necessary " XBD=1604 XHG=1562 YBD=2789 YHG=2759>to " XBD=1676 XHG=1631 YBD=2790 YHG=2757>fit " XBD=1784 XHG=1701 YBD=2791 YHG=2759>into " XBD=1878 XHG=1812 YBD=2791 YHG=2757>the " XBD=2012 XHG=1904 YBD=2792 YHG=2759>inner " XBD=2168 XHG=2039 YBD=2801 YHG=2761>aspect " XBD=2234 XHG=2197 YBD=2791 YHG=2759>of " XBD=2327 XHG=2262 YBD=2791 YHG=2758>the " XBD=2469 XHG=2356 YBD=2792 YHG=2758>orbit." XBD=1528 XHG=1340 YBD=2838 YHG=2803>Chavasse " XBD=1652 XHG=1553 YBD=2846 YHG=2804>glass " XBD=1746 XHG=1677 YBD=2837 YHG=2803>has " XBD=1842 XHG=1773 YBD=2839 YHG=2815>one " XBD=2014 XHG=1870 YBD=2838 YHG=2806>surface " XBD=2143 XHG=2039 YBD=2847 YHG=2805>plain " XBD=2245 XHG=2169 YBD=2838 YHG=2805>and " XBD=2336 XHG=2272 YBD=2838 YHG=2804>the " XBD=2474 XHG=2364 YBD=2839 YHG=2804>other" XBD=1513 XHG=1339 YBD=2890 YHG=2851>mottled, " XBD=1603 XHG=1537 YBD=2885 YHG=2850>the " XBD=1736 XHG=1626 YBD=2885 YHG=2851>effect " XBD=1872 XHG=1759 YBD=2894 YHG=2851>being " XBD=1935 XHG=1895 YBD=2884 YHG=2854>to " XBD=2097 XHG=1959 YBD=2893 YHG=2853>permit " XBD=2142 XHG=2120 YBD=2884 YHG=2862>a " XBD=2349 XHG=2165 YBD=2893 YHG=2852>perfectly " XBD=2472 XHG=2371 YBD=2885 YHG=2852>clear" XBD=1435 XHG=1339 YBD=2931 YHG=2899>view " XBD=1503 XHG=1464 YBD=2930 YHG=2898>of " XBD=1599 XHG=1532 YBD=2931 YHG=2896>the " XBD=1695 XHG=1627 YBD=2939 YHG=2908>eye " XBD=1835 XHG=1724 YBD=2931 YHG=2897>while " XBD=1905 XHG=1864 YBD=2931 YHG=2900>at " XBD=2000 XHG=1935 YBD=2931 YHG=2898>the " XBD=2133 XHG=2031 YBD=2932 YHG=2908>same " XBD=2254 XHG=2161 YBD=2931 YHG=2899>time " XBD=2406 XHG=2284 YBD=2932 YHG=2899>vision " XBD=2474 XHG=2437 YBD=2932 YHG=2899>is." XBD=1500 XHG=1338 YBD=2978 YHG=2943>reduced " XBD=1566 XHG=1526 YBD=2976 YHG=2945>to " XBD=1743 XHG=1594 YBD=2984 YHG=2942>6/60ths " XBD=1809 XHG=1768 YBD=2976 YHG=2953>or " XBD=1916 XHG=1832 YBD=2977 YHG=2944>less." XBD=1464 XHG=1385 YBD=3022 YHG=2989>The " XBD=1713 XHG=1478 YBD=3032 YHG=2989>advantages " XBD=1766 XHG=1728 YBD=3022 YHG=2990>of " XBD=1857 XHG=1780 YBD=3023 YHG=2989>this " XBD=2043 XHG=1872 YBD=3023 YHG=2989>occluder " XBD=2147 XHG=2058 YBD=3032 YHG=2999>may " XBD=2208 XHG=2161 YBD=3023 YHG=2990>be " XBD=2470 XHG=2223 YBD=3023 YHG=2990>summarised" XBD=1380 XHG=1339 YBD=3068 YHG=3045>as " XBD=1580 XHG=1410 YBD=3068 YHG=3036>follows: |>" XBD=1580 XHG=1571 YBD=3067 YHG=3047>s " XBD=1681 XHG=1628 YBD=3075 YHG=3036>(1) " XBD=1752 XHG=1715 YBD=3068 YHG=3035>It " XBD=1873 XHG=1784 YBD=3077 YHG=3045>may " XBD=1952 XHG=1905 YBD=3069 YHG=3035>be " XBD=2065 XHG=1984 YBD=3068 YHG=3036>said " XBD=2137 XHG=2096 YBD=3068 YHG=3038>to " XBD=2216 XHG=2169 YBD=3069 YHG=3036>be " XBD=2470 XHG=2247 YBD=3077 YHG=3036>practically" XBD=1523 XHG=1336 YBD=3115 YHG=3081>invisible. " XBD=1628 XHG=1575 YBD=3121 YHG=3082>(2) " XBD=1681 XHG=1644 YBD=3114 YHG=3082>It " XBD=1853 XHG=1694 YBD=3123 YHG=3083>permits " XBD=2008 XHG=1865 YBD=3115 YHG=3082>central " XBD=2143 XHG=2021 YBD=3114 YHG=3082>vision " XBD=2198 XHG=2160 YBD=3114 YHG=3082>of " XBD=2276 XHG=2211 YBD=3114 YHG=3080>the " XBD=2471 XHG=2291 YBD=3114 YHG=3080>occluded" XBD=1406 XHG=1338 YBD=3169 YHG=3138>eye " XBD=1532 XHG=1443 YBD=3169 YHG=3129>only " XBD=1606 XHG=1564 YBD=3160 YHG=3129>in " XBD=1707 XHG=1641 YBD=3161 YHG=3127>the " XBD=1908 XHG=1742 YBD=3169 YHG=3129>position " XBD=1984 XHG=1945 YBD=3160 YHG=3128>of " XBD=2169 XHG=2017 YBD=3161 YHG=3127>relaxed " XBD=2469 XHG=2204 YBD=3170 YHG=3137>convergence." XBD=1392 XHG=1341 YBD=3214 YHG=3175>(3) " XBD=1455 XHG=1418 YBD=3207 YHG=3174>It " XBD=1710 XHG=1479 YBD=3215 YHG=3173>emphasises " XBD=1798 XHG=1733 YBD=3207 YHG=3173>the " XBD=1980 XHG=1821 YBD=3207 YHG=3174>relative " XBD=2173 XHG=2003 YBD=3215 YHG=3175>equality " XBD=2236 XHG=2198 YBD=3206 YHG=3174>of " XBD=2471 XHG=2259 YBD=3216 YHG=3173>peripheral" XBD=1461 XHG=1338 YBD=3253 YHG=3221>vision " XBD=1520 XHG=1479 YBD=3252 YHG=3221>in " XBD=1608 XHG=1541 YBD=3253 YHG=3219>the " XBD=1704 XHG=1627 YBD=3252 YHG=3222>two " XBD=1825 XHG=1725 YBD=3261 YHG=3229>eyes, " XBD=2096 XHG=1845 YBD=3261 YHG=3220>encouraging " XBD=2219 XHG=2116 YBD=3252 YHG=3229>more " XBD=2399 XHG=2238 YBD=3253 YHG=3220>reliance " XBD=2469 XHG=2420 YBD=3253 YHG=3229>on" XBD=1404 XHG=1339 YBD=3299 YHG=3265>the " XBD=1616 XHG=1422 YBD=3308 YHG=3266>squinting " XBD=1701 XHG=1633 YBD=3307 YHG=3276>eye " XBD=1795 XHG=1719 YBD=3298 YHG=3265>and " XBD=1924 XHG=1811 YBD=3298 YHG=3264>thus : " XBD=2011 XHG=1960 YBD=3306 YHG=3266>(a) " XBD=2266 XHG=2030 YBD=3309 YHG=3265>discourages " XBD=2333 XHG=2281 YBD=3299 YHG=3267>its " XBD=2470 XHG=2350 YBD=3299 YHG=3266>desire" XBD=1396 XHG=1337 YBD=3344 YHG=3313>for " XBD=1666 XHG=1414 YBD=3353 YHG=3313>suppression, " XBD=1736 XHG=1686 YBD=3351 YHG=3311>(b) " XBD=1970 XHG=1755 YBD=3345 YHG=3321>overcomes " XBD=2036 XHG=1984 YBD=3345 YHG=3313>its " XBD=2210 XHG=2052 YBD=3345 YHG=3312>relative " XBD=2468 XHG=2226 YBD=3353 YHG=3311>immobility." XBD=1393 XHG=1341 YBD=3399 YHG=3359>(4) " XBD=1456 XHG=1420 YBD=3391 YHG=3358>It " XBD=1713 XHG=1486 YBD=3400 YHG=3367>encourages " XBD=1765 XHG=1743 YBD=3389 YHG=3368>a " XBD=1959 XHG=1796 YBD=3400 YHG=3359>position " XBD=2032 XHG=1993 YBD=3390 YHG=3358>of " XBD=2127 XHG=2062 YBD=3391 YHG=3357>the " XBD=2279 XHG=2157 YBD=3391 YHG=3359>visual " XBD=2400 XHG=2309 YBD=3391 YHG=3368>axes " XBD=2469 XHG=2427 YBD=3391 YHG=3359>in" XBD=1460 XHG=1338 YBD=3438 YHG=3403>which " XBD=1623 XHG=1479 YBD=3446 YHG=3405>images " XBD=1711 XHG=1642 YBD=3437 YHG=3405>fall " XBD=1779 XHG=1732 YBD=3436 YHG=3414>on " XBD=2001 XHG=1801 YBD=3446 YHG=3405>relatively " XBD=2312 XHG=2021 YBD=3446 YHG=3404>corresponding " XBD=2467 XHG=2328 YBD=3446 YHG=3405>points." XBD=1393 XHG=1341 YBD=3490 YHG=3451>(5) " XBD=1501 XHG=1442 YBD=3491 YHG=3450>By " XBD=1719 XHG=1547 YBD=3492 YHG=3451>relaxing " XBD=1954 XHG=1764 YBD=3484 YHG=3451>excessive " XBD=2253 XHG=2001 YBD=3492 YHG=3460>convergence " XBD=2332 XHG=2298 YBD=3483 YHG=3452>it " XBD=2469 XHG=2380 YBD=3491 YHG=3459>may" XBD=1574 XHG=1339 YBD=3537 YHG=3496>secondarily " XBD=1729 XHG=1591 YBD=3529 YHG=3496>relieve " XBD=2073 XHG=1749 YBD=3529 YHG=3496>accommodative " XBD=2229 XHG=2093 YBD=3536 YHG=3505>spasm." XBD=1465 XHG=1386 YBD=3574 YHG=3540>The " XBD=1661 XHG=1489 YBD=3574 YHG=3541>occluder " XBD=1752 XHG=1682 YBD=3573 YHG=3541>has " XBD=1870 XHG=1774 YBD=3574 YHG=3541>been " XBD=2003 XHG=1893 YBD=3574 YHG=3541>made " XBD=2068 XHG=2026 YBD=3573 YHG=3543>at " XBD=2157 XHG=2091 YBD=3580 YHG=3550>my " XBD=2392 XHG=2180 YBD=3581 YHG=3540>suggestion " XBD=2471 XHG=2417 YBD=3582 YHG=3537>by" XBD=1485 XHG=1339 YBD=3619 YHG=3585>Messrs. " XBD=1690 XHG=1496 YBD=3620 YHG=3586>Theodore " XBD=2020 XHG=1709 YBD=3626 YHG=3586>Hamblin, Ltd., " XBD=2094 XHG=2039 YBD=3625 YHG=3587>15, " XBD=2375 XHG=2105 YBD=3626 YHG=3584>Wigmore-st., " XBD=2446 XHG=2385 YBD=3618 YHG=3583>W.

A. RUGG-GUNN, M.B. Edin., F.R.C.S. Eng.