just below ensiform cartilage, but not otherwise. Heart apex just inside nipple line. Prsecordial dulness normal. On auscultation I found the heart irregular ; no abnormal sounds. Pulse irregular in volume and intermittentabout 76. Temperature subnormal. No history of fright or over-exertion. Ordered sinapisms to praecordia, and gave bismuth, morphia, &c. At 1 A. M., having been very restless in the meantime, she gave a shout, threw up her hands, and expired, five hours after my first and only

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... ime of seeing her alive. Necropsy, thirty-two hours after death.-Body fairly well nourished. Upon opening the chest the pericardium was seen bulging; it was dark in colour. When opened it was found to contain about two ounces of blood and two loose dark clots (post mortem 2). The heart when removed was seen to have a transverse rent about half an inch in length on its posterior surface (left ventricular) to the left, near the septum, two inches from the apex and communicating with the left ventricle. This surface was covered by a deep layer of fat, and no muscular tissue was visible. Valves normal. THE following case appears to me to be worthy of being placed upon record. M. W., aged thirty-six, multipara, was confined of her sixth child on Nov. 5th. She had not been very well for some months previously to her accouchement; the labour was somewhat lingering. She progressed fairly well until the fourth day, when she complained of feeling weak, and also of a rash which had broken out on the inner side of the forearms. I noticed a number of vesicles ; these were not very large at the onset, and had no inflammatory area. They quickly enlarged, and showed the characteristic bullae of pemphigus. At first the vesicles were confined to the front and inner side of the forearms, thence they spread to the inner side of the arms, the bullae being well marked in both axillae, and also along the inner side of both thighs. Some of the bullae were as large as small oranges; this is well shown in the engraving. Fresh bullse continued to appear at the rate of six or eight a day for a fortnight, the earlier ones gradually dying away, leaving only a superficial sore. The patient is now convalescing. There has been very little constitutional disturbance. The treatment adopted was keeping the patient's strength well up with good food and stimulants. In the way of medicine, a mixture of quinine, iron, and arsenic was given, and the parts were dusted frequently with zinc powder. The infant seemed none the worse for the condition of its mother, with the exception of being a little restless. Street, Somerset.