4th.-Came up to surgery this morning, and reported herself as quite well, with the exception of a little irregularity in menstruation. Remarks.-There can be no doubt, I think, that actual perforation did take place in this case, although the progress of it shows that the opening must have been small. The effect of the milk given the second day, Jan. 6th, confirmed the diagnosis; and that effect not being immediately produced pointed to the hole not being a large one, and to the possibility of

more »

... s being situated on the anterior surface of the stomach. The irritation of the urinary apparatus, produced probably by the great excess of lithates in the urine, is interesting physiologically, inasmuch as the most reasonable explanation of it appears to be, that an abnormal quantity of uric acid was formed through her being fed entirely on beef-tea. The complete success of the treatment adopted leads me to hope that recoveries from perforation of the stomach may, if the peritonitis consequent upon it can be subdued, be less rare than has hitherto been the rule.