Book Review The Harvard Medical School and Its Clinical Opportunities . Compiled and Edited by Leroy E. Parkins, A.B. Boston, 1916
Boston Medical and Surgical Journal
apart and one inch long. The scalp itself appeared to bo decidedly parchment-like owing to the lack of subcutaneous fat. The eyebrows were represented by six I" len small lanugo hairs. The nails on the fingers and toes were slightly thickened and friable and suggested the conditions so commonly found in the ichthyotics of slight degree. The skin of the entire body presented a mild xerodermatous condition that was accentuated on the face, bands and the extensor surfaces. The horny layer was
... orny layer was increased and furfuraceously sealing. The natural lines of cleavage were pronounced. An interesting feature was the absolute luck of any hair follicles and the extreme dryncss of the skin as the result of the deficiency in the sebaceous and sweat glands. The child suffered from no subjective symptoms. The pathological report of Dr. White is as follows : EPIDERMIS. Tho stratum corneum is extremely thin and for long stretches packed into a solid ribbon which for the most part, exhibits an affinity for tho nuclear stain of polychrome methylin blue. The stratum granulosum as a normal layer is for the most part wanting. A differentiation between this layer and that of the true spinous cells is very bard to demonstrate; in other words, it is difficult to draw any definite line whatever, for large and small, more or less round cells with centrally placed and well characterized, solidly staining nuclei, surrounded with dense zones of acid-staining granules abound at all levels down to the lower half of the rete. Tho stratum spinosuni exhibits in its germinate layer a typical picture, but above this level the true spinous cells are of irregular size and emplacement. The layer as a whole is of normal thickness. OORIUM. The papillary layer is not remarkable but varies in height in different parts of the section. Tho reticular layer presents an extraordinary picture. Great rarefaction of tbe fibrous tissue is patent everywhere; in fact there is little to choose in density between the two layers of tbe coriinn. The really important and striking features of the ease, based on a careful study of ten and eleven serial sections respectively from different parts of the skin, are the following: there are comparatively few vessels; there is one arrector pili muscle ; there is one abortive follicle ; there is no hair shaft ; there are no sebaceous glands; and there are no sweat glands. A small volume of ninety pages attractively bound in red, giving brief historical accounts of the Harvard Medical School and its cooperating hospitals, has been compiled by a student of this medical school. It traces the history of the medical school since its inception in 1782, and gives a careful account of the present buildings, with an exterior and an interior picture and a ground plan. Then follow brief statements of seventeen hospitals situated in Boston and its vicinity whose rich clinical material is available for the use of the medical school, with a picture of each. A statement of the Boston Medical Library and a statistical table correlating the information about the hospitals complete tbe volume. The book presents in convenient form a simple and concise statement of the advantages for medical study which Boston, and more particularly the Harvard Medical School, offers, combined with a record of the historic interest which centers around many of its old hospitals and medical centers, and as such will, no doubt, find a useful place. The Practice of Urology. A Surgical Treatise on Genito-Urinary Diseases, including Syphilis. Professor of Genito-Urinary Surgery, New York Polyclinic. Profusely Illustrated. Second Edition. New York: William Wood and Company. 1916. The first edition of this hook was published three years ago and was reviewed at length, and in commendatory fashion, in this Journal. Tbe present (second) edition is practically identical with the first, some slight changes and additions having been made in Hie section devoted to the teaching of cystoscopy, and in the technic of various operations. The author has added also a section on "local anesthesia." The general appearance of the book is unchanged, and this second edition merits the approbation and success which its first edition deserved and obtained.