Medical examiner . ate prac-tice for three years, I find that I havetreated ten cases of pneumonia, oneof which resulted fatally. Three of this number were of the negro race,and the fatal case belonged to thisgroup. The negros constitution suc -cumbs to attacks of acute disease-more readily than the white mans,and this is especially true in regardto pneumonia. But as this letter hasalready reached greater length thandesigned, I will leave the discussionof this point to a future number. Respectfully,MEDICUS St., New Orleans, July 20th, 1874. AN IMPROVED SPECULUM. By Daniel
Medical examiner . ate prac-tice for three years, I find that I havetreated ten cases of pneumonia, oneof which resulted fatally. Three of this number were of the negro race,and the fatal case belonged to thisgroup. The negros constitution suc -cumbs to attacks of acute disease-more readily than the white mans,and this is especially true in regardto pneumonia. But as this letter hasalready reached greater length thandesigned, I will leave the discussionof this point to a future number. Respectfully,MEDICUS St., New Orleans, July 20th, 1874. AN IMPROVED SPECULUM. By Daniel T. Nelson, , Prof. Phvsiologv and HistologyChicago Medical College. SO many forms of uterine speculumare now to be found in the stores,one may well hesitate to add to thenumber—already legion. But thisvariety demonstrates both the pro-gress of gynecology and the probablefact that a perfect speculum has notyet been made. The one I now offer the professionis very well represented by the ac-companying As will be seen, it is more likeNotts latest than any other instru-ment. It differs from Notts in hav-ing the lower blade longer and ofbetter shape to leceive the neck ofthe uterus, and in having handles for elevating and holding the upperblades. The measurements of the instru-ment are as follows : Lower blade,4/| inches; extending beyond upperblades 5-8 of an inch; length of in-strument, including handles, 7^ upper blades are made shorterthan the lower to correspond withthe anatomy of the parts, as the pos-terior vaginal wall is longer than theanterior. Some object to Notts, and doubt-less will to this instrument, that it istoo short. But no physician has anydifficulty in reaching the os uteri, ex-cept in rare cases, with the index fin-ger, the available length of whichrarely exceeds three and one-halfinches, and the lower blade of myinstrument is four and one-half inchesin length and the upper blades nearlyfour inches. If the os is not ex-posed when the
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187
