the species are beautifully done, and would serve as a means of diagnosis in the hands of observers of good intelligence. Our interest in this volume is owing to our increased conviction of the possibilities of the transmission of diseases from our food animals to man, and any studies illustrating the diseases of the lower animals may serve to indicate by what avenues we become infected with some of them. Such a volume is a great credit to the author and the department he represents. THE EXTRA PHARMACOPIA, with the Additions Introduced into the British Pharmacopoeia, 1885. By William Martindale, F.C.S. Medical References and a Therapeutic Index of Diseases and Symptoms. By W. Wynn Westcott, M.B. Sixth Edition. London: H. K. Lewis, 136 Gower St., W. C., 1890. This little volume is 3x5 inches, with 485 pages, and is very full of good things. Pharmacopoeias are dry things, and none know this better than the makers of them and those who have to supply the wants of the practising physician, and so they follow them with practical commentaries and extras. There is not a doctor in this State who would not find this extra-pharmacopoeia exceedingly useful to him; containing as it does a large range of remedies and heretofore not well-known formulas, supplying the place of many larger books. The condensation of the volume has been effected largely by contraction and abbreviations, dosage being given in the index as well as the pagination. All the new remedies we read of that were given to the public before this little volume was printed we find here. Could not some American author take the hint and give us a similar one suited to the wants of the American practitioner ? Here is a field for the conjoint authorship of a good pharmacist and practising physician. TRANSACTIONS OF THE AMERICAN PEDIATRIC SOCIETY. First Session, together with the Proceedings of the Meeting for Organization, held in Washington, September 18th, 1888. Edited by William Perry Watson, A.M., M.D. Printed by T. B. Lippincott & Co, 1890. This is a very interesting volume, and remembering that it is the proceedings-the literary product-of two years, its value is greatly enhanced. Doubtless the study of diseases of children has been largely stimulated by the admirable special journal in this department, edited by the Secretary of this Society-THE ARCHIVES OF PEDIATRICS. While we do not believe that a genuine specialty can be made of the diseases of children, it is very gratifying to see men of ability studying in a very earnest way diseases which appertain largely to children, as well as to the dietetics of infancy. Such efforts are a credit to American medicine. CHEMICAL LECTURE NOTES. Taken from Prof. C. O. Curtman's Lectures at the St. Louis College of Pharmacy. By H. M. Whelpley, M.D., Ph.G. F.R.M.S. Published by the Author, St. Louis, Mo. This is an extended syllabus of lectures on inorganic chemistry and chemical physics, for the pharmaceutical and medical student. It is highly concentrated, so to speak, and serves, doubtless, an admirable purpose for Prof. Curtman's classes. For the average medical student it is too condensed, and would not be popular. For refreshing the memory of the chemical student it is admirable, and it is up to the latest sources of information. ELECTRICITY IN the Diseases oF WOMEN, with Special Reference to the Application of Strong Currents. By G. Betton Massey, M.D. F. A. Davis, Philadelphia. This small volume belongs to the Davis Pphysicians' and Students' Ready Reference Series, which in two years has reached its second edition. Not too much space is given to electro-physics, and what there is is practical and plain. The department of electro-therapeutics is illustrated by clinical records, and the book made generally acceptable by illustrations and the small, convenient shape in which it compasses the whole subject. The price, $1.50, puts it in reach of all. THE NEUBOSES OF THE GENITO-URINARY SYSTEM IN THE MALE This is another volume of Davis' Ready Reference Series, from the pen of an author who has given several good monographs to the profession on Diseases of the urinary apparatus. The little volume has neither table of contents nor index, but the title sufficiently explains the topics treated. WILMINGTON MEDICAL SOCIETY. REPORT MADE TO THE WILMINGTON MEDICAL SOCIETY AT THE REGULAR MEETING JULY 2, 1890-A CASE OF TRAUMATIC TETANUS, PATIENT DYING THE EIGHTEENTH DAY IN A STATE OF HYPERPYREXIA TWO DAYS AFTER ALL SPASMS HAD CEASED. By THOMAS F. WOOD, M.D., Wilmington, N. C. The following case was in the hands of several physicians from first to last, owing to the constrained absence of Dr. Jewett to appear before the Board of Medical Examiners, and on the part of the writer in attending the meeting of the Medical Society at Oxford; but as far as the policy of treatment and the fulfilment of details are concerned there was no failure or lapse, and owing to the assiduity of Dr. J. C. Shepard, who was associated in the case from its earliest stages, we owe the partial success of our efforts. A case of traumatic tetanus "after it passes the fourth day recovers, and from the end of the first week on, the chances for recovery increase rapidly increase day by day, and after the second week there is but little danger of a fatal termination, though death may take place (from exhaustion usually) after the lapse of several weeks, six or more. I have myself seen it occur on the 37th day." (Dr. P. S. Conner, in Pepper's System, p. 553. Traumatic tetanus is too common a disease to need any particular description, and it is only the salient points in this one that need to be narrated, the particular feature being that the patient died in a condition of hyperpyrexia on the eighteenth day, after all convulsive movements cease. Mr. Ellis (an old Confederate soldier), a carpenter by trade, aged about 50, ran a small nail nearly through his foot. It healed rapidly, but in two weeks his foot swelled and pained, and in about a fortnight after his accident he had pain in his throat, similar, as he expressed it, to the beginning of a tonsilitis. This first symptom he discovered on Tuesday, 20th May, aud on Thursday he was seen by Dr. R. D. Jewett, who turned him over to me the same after noon. Dr. Jewett commenced treatment by giving 15 grs. antipyrin every two hours. It answered very well, enabling the patient to sleep many hours at a time; but on Friday, the fourth day of the disease, there were such spasms in the muscles of the throat and neck, that antipyrin was abandoned for hydrate chloral, 25 grs. every two hours, day and night. Opisthotonos was very marked at intervals on the fourth day, but rigidity of the jaws did not begin until the fifth day, when at times the patient in unguarded moments, in an effort at talking, bit his tongue quite severely, and of his own accord after that slipped the rubber end of a lead-pencil in his mouth and kept it there except while feeding. For two or three days the fear of strangling kept him from attempting to drink enough fluids to keep him alive, but the antispasmodic effects of the chloral, which we supplemented with 1-100 gr. sulph. physostigmine every six hours; gave him courage to attempt to take food. When fully under the influence of the drug he took daily a quart of good milk and one or two large Irish potatoes, which amount of nourishment he increased up to the sixteenth day of his sickness; some days taking a quart of milk and as much rich chicken-soup, expressing a relish for it. All the early days of this case temperature, pulse, breathing were nearly normal. Bowels were constipated, flow of urine copious. On the 1st June and twelfth day of disease, at 9 o'clock, pulse 90, temperature normal. Spasm of the muscles of neck and throat subsiding; can open his mouth and admit his middle finger edgeways. Spasms of the muscles of loins and hips increasing and at times violent. At 3 o'clock his temperature rose to 104.3° F., pulse 140, but was reduced in an hour or so after the administration of 15 grs. of antipyrin, remaining normal, or nearly so, for five days. June 2d, thirteenth day of tetanus, patient got permission to smoke a cigar, after he had taken the liberty of smoking half of one before our arrival. He was in high spirits, took fluid nourishment abundantly. His habit was to keep his eyes closed, not from photophobia, but from a cause I could not understand, as he could tolerate the bright light of his room when he chose to open them. His pupils were normal and sensitive, but there was a habitual moderate knitting of the brows. (It was deemed advisable in the first week of the case to make a free incision into the old cicatrix, as the patient sometimes com plained of pain. His wound was dressed with oil of turpentine, but for the last three or four days of the patient's sickness the cotton was not removed, and when removed it was offensive.) June 3d, fourteenth day of disease, pulse 100, temperature 98.4°, respiration 30. It was deemed prudent now to increase the interval between the doses of chloral to three hours, so favorable were all the symptoms. The spasms returned being especially severe in the hips and thighs. The nurse had to resort to strong pressure below the crest of the hips to give the patient comfort and enable him to assert control over muscular action. The original dose of 25 grs. of chloral was resumed every two hours, and the sulphate phy sostigmine increased to 1-50, and finally to 1-30 gr. six hours apart, controlling the spasm completely. Bowels are very constipated, as they have been almost from the beginning; 15 grs. calomel ordered. P. M. of the fourteenth day. temperature 100.1°, pulse 100, respiration 28. Had one spasm in the legs during the intervals of visits (9 hours). June 4th, fifteenth day of disease. Free movement of bowels induced by calomel; temperature 100°, pulse 100, respiration 24; spasms in neck and legs occasionally; has to be on his guard not to bite his tongue. P. M., temperature 99.4°, pulse 96, respiration 24. June 5th, sixteenth day. A. M., temperature 101.4°, pulse 106, respiration 30. No spasms since last evening at 6 P. M., when temperature was 101.1°, pulse 103, respiration 36. June 6th. seventeenth day. A. M., temperature 104.5°, pulse 142, respiration 45. Antipyrin in 15 gr. doses, with 10 grs. quinine, were given every two hours, having no effect on the temperature until 75 grs. of each drug had been given. During their administration whiskey was given freely to sustain the heart's action. Temperature was reduced at 6 P. M to 102°, at 9 to 101°. There were no convulsive movements, patient being restored to a good degree of intelligence and spirits. June 7th, eighteenth day of disease. Temperature at 6 o'clock 103°, at 7 o'clock asked to be helped to turn over, and in the act died. A review of this case presents some peculiarities: The slowness of the access of serious symptoms, not manifesting serious spasmodic seizures until the third day; in a safe degree of temperature for twelve days; no involvement of the muscles of respiration until the last four days of his life, when the respiration was markedly abdom |