American practitioner and news . , the right lobebeing the larger. Symptoms very much like Case 1; nervous-ness, flashes of heat and cold, distinct tremor all over body,nausea and vomiting, eyes slightly protruded; pulse 100. Treatment.—Removal, through low collar incision, asabove described. Convalescence uninterrupted and lipoma was also removed. Dunn: (loiter .;.-,.; Case 3. Miss l>.. age -i1 years, has had a goiter involvingthe righl lobe, for five or six years. Growth was slow untilpast three or four months, when il became quite rapid,causing great discomfort from pressure


American practitioner and news . , the right lobebeing the larger. Symptoms very much like Case 1; nervous-ness, flashes of heat and cold, distinct tremor all over body,nausea and vomiting, eyes slightly protruded; pulse 100. Treatment.—Removal, through low collar incision, asabove described. Convalescence uninterrupted and lipoma was also removed. Dunn: (loiter .;.-,.; Case 3. Miss l>.. age -i1 years, has had a goiter involvingthe righl lobe, for five or six years. Growth was slow untilpast three or four months, when il became quite rapid,causing great discomfort from pressure, a ilnll ache r smothering feeling, lias been quite nervous for four or five months;lias had DO nausea, hut attacks of diarrhoea at intervals forthe past tWO years. Decided muscular tremor in hands, armsand lower limbs all over the body, inside and out. Israpidly growing worse; has losl 15 pounds in weighl in laslthree months; now weighs 115 pounds. Eyes moderatelyprominent ; pulse 100; tumor size of a hens egg On righl CASE 3. Treatment.— Tumor was removed through a low collar in-cision, and found to be cystic. A portion of the thyr id glandwas also removed. The wound was closed with drainagePatient lefl the hospital on the seventh day. had doubletonsilitis on fhr eighl day. and was followed on the fourteenthday by erysipelas in the collar incision, which yielded at onceto the administarion of a single dose of antistreptococcicscrum. Recovery was complete and entirely satisfactory, thepatient stating thai she is in better health now than r\r\-before. 35h The American Practitioner and News. LAMINECTOMY. GEORGE A. HENDON. M. , KY. The following case is reported from memory and must, asa result, be vague in some points: A woman, aged 42 and weighing about 165 pounds, fellfrom a window a distance of about 30 feet, striking uponsoft sodden ground. Her left fore-arm was broken (both bones)midway between elbow and wrist. When I saw her some 30or 40 mniutes aft


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