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creased rapidly during the last few days ; the skin is deeplyjaundiced; the dorsum of the left foot red and muchswollen, with two or three dusky spots threateninggangrene.From the 15th to the 18th the temperature rose from

980 to 103°, the whole limb becoming immensely swollen,the skin in parts being gangrenous. The patient was

delirious at night, and death occurred on the 19th.Autopsy, twelve hours after death.-From the state of the

body it was not possible to make a very complete examina-tion. Lungs: Lower lobes intensely congested and cede-matous, with two or three small dark patches with suppu-rating centres. Bronchi contained a large quantity of thicksemi-purulent fluid, which was very offensive. Heartnormal. No abscesses in liver. Femoral vein, in the upperpart, contained a large decolorised clot filling its canal.

ROYAL WESTMINSTER OPHTHALMICHOSPITAL.

CASE OF PTOSIS; COMPLETE PARALYSIS OF INTERNALSUPERIOR AND INFERIOR RECTI MUSCLES TREATED

BY FARADAIC ELECTRICITY.

(Under the care of Mr. JABEZ HOGG.)SARAH A-, aged thirty-eight, admitted Oct. 19tb, 1873,

a married woman, and has had five children, four of whomare living and very healthy. She herself appears a fairlynourished woman. Her husband has suffered from rheu-matism for the last eleven years, and has been an inmate of

King’s College Hospital under treatment for ulcers in thelegs. No history of syphilis ; nor is there loss of tissue ofthe fauces. There are no nodes or periosteal pains. Three

days before she made application for admission (Oct. 16th)she appeared to be quite well, having got up in the morningwith no evidence of ptosis or impaired vision. Later on inthe day she noticed that the right lid suddenly drooped,and all her endeavours to raise it were useless.

Oct. 20th.-The right lid is now completely closed, andcannot be raised or moved. The patient feels as if a heavyweight were pressing on it. When forcibly raised, the lidfalls slowly, and resumes its closed position solely by itsown weight. In the left eye the movements of the lids andmuscles are perfect. The affected eyeball is somewhatabducted by the action of the external rectus, and cannotbe drawn inwards beyond the median line, neither can it bemoved upwards or downwards. There is also crosseddiplopia. She states that on the day previous to the attackshe had been exposed to a heavy storm of rain, and her feetand clothes got very wet. She took a stiff glass of hotrum-and-water, and did not feel any ill effects, as far ascould be indicated by any catarrhal svmptoms.She was placed on full diet on her admission, and ordered

one drachm of the syrup of iodide of iron, and half anounce of cod-liver oil three times a day. Galvanism to beapplied to the inner angle of the eye and the temple forten minutes daily.22nd.-She had a blister applied behind the right ear.24th.-She states that she has suffered from continual

headache for nearly two months, and has been deaf in theright ear for two years. In the left ear deafness commencedtwo months ago. She can hear the ticking of a watch atthree inches distance on the left side. The lid can be raiseda little, and there seems a little power in the external rectus.Nov. 4th.-No change whatever in the condition of the

recti muscles, although the patient feels stronger. She wasordered ten-grain doses of iodide of potassium, with onedrachm of tincture of chinchona, three times a day.15th.-She remains much in the same condition.17th.-One of Stohrer’s batteries was used for the first

time. She can now raise the lid a little better. An

ophthalmoscopic examination shows the case to be one ofanesthesia retinae. There is no trace of neuritis.27th.-The lid can now be easily raised, and there is

some power over the internal rectus.Dec. 2nd.-She is much better in every respect, and can

now draw the eye inwards ; but, owing to the stronger actionof the external rectus, she cannot keep the eye at presentin the median line. There is also some action exhibited bythe inferior rectus.4th.-The hearing is very much improved.

6th.-Has complained of a good deal of headache for thepast two days, increasing in severity during the night. Adraught, consisting of three drops of tincture of aconiteand ten grains of chloral hydrate, was ordered to be takenat bedtime, and it afforded considerable relief.The faradisation was continued up to the 12th for about

fifteen minutes daily, when the recti muscles had entirelyresumed their normal action; and on the 13th the patientleft the hospital quite well.

UNIVERSITY COLLEGE HOSPITAL.A CASE SHOWING THE DURATION OF PREGNANCY.

THE following case, which has recently come under theobservation of Mr. William Murrell, obstetric assistant,demonstrates the duration of pregnancy. The objectionswhich usually apply to the statements of pregnant singlewomen do not seem to obtain in the present instance, thedate of conception having been accurately fixed by severalcorroborative circumstances. It will be seen that a periodof 280 days elapsed between the alleged seduction and thebirth of the child, thus giving the duration most commonlyaccepted by obstetricians and medico-legists. It is im-

portant to note that the pregnancy is affirmed to have re-sulted from a single intercourse.

E. F-, aged twenty-five, a dressmaker, went on Nov.21st, 1872, on a visit to her sister in the country. She theremet, and was seduced by, a young man to whom she hadbeen formerly engaged. The patient stated most positivelythat this was the only occasion on which she ever bad sexnalintercourse. She had not met her lover for many monthsbefore this occurrence, and did not again see him until she"swore the child against him " some weeks after her con-finement. She can positively fix the date by certain changeswhich occurred in her family arrangements on that day, andalso by an entry made in her pocket-book on her returnhome. The patient distinctly remembers that she hadceased menstruating on the day previous to that on whichshe was seduced. She quickened on March 7th, 1873, 106days, or fifteen weeks and a day, from the date of inter-course. At the time of her confinement she was a maternitypatient at this hospital, and, on reference to the records ofthe case, it appears that delivery took place cn August 30th,after a labour of forty hours. From this it is seen that

gestation lasted 280 days, or rather that this was the periodwhich elapsed between her seduction and delivery.

DORSET COUNTY INFIRMARY.

LARGE SCIRRHUS OF LEFT MAMMA.

(Under the care of Mr. TUDOR.)FoR the following notes we are indebted to Dr. Alfred

Holles, house-surgeon.A. S-, aged sixty-three, married, was admitted in

Nov. 1872, with a large, painful, irregularly oval tumour inthe left breast. When first noticed, four years ago, it wasthe size of a walnut. For three years it remained quiescent,beingpainful onlyoccasionally,butfor the last twelve monthsit has been increasing very rapidly in size, and causes

extreme pain. The patient’s mother died at the age ofseventy-two, with carcinoma mammae, having had eightchildren. One daughter died of phthisis pulmonalis, andone of some scrofulous affection. The patient has had twoattacks of acute rheumatism, and there is a loud systolicbellows-murmur at the left apex of the heart. She has leda, regular and very respectable married life, and is anxiousto have the tumour removed from her breast.

Dec. 3rd.-This morning patient was placed under theinfluence of chloroform, which was well borne, and Mr.Tudor removed the diseased mass. It was found to beslightly adherent to the structures beneath at its upperand outer base, and a small gland was felt to be enlargedvery high up in the axilla. The arteries were secured withcarbolised catgut ligatures; the raw surfaces were spongedover with a solution of chloride of zinc, forty grains to theounce, and the flaps were adjusted with silver-wire sutures,a small piece of drainage tube being fixed in the most de-pendent corner of the wound. Lint soaked in carbolic oil

(one in twenty-four) covered the line of incision, and over