pupils were contracted. Not having micturated, his bladder was emptied with a catheter. Next day oozing from the ear had ceased. The man was still very drowsy. Temperature 99'8°; pulse 80. Ice was now kept on the head. On the 22nd there was extreme tenderness on and above the left mastoid process. Six leeches were put on this spot. Next day there was less tenderness and pain; less drowsy. He complained that his left ear was deaf. On April 6th a laceration in the upper part of the membrana tympani was detected. Three days after this note he was permitted to go home, a.nd enjoined to report himself from time to time, which, however, he failed to do. It is believed that had he not quickly resumed work, recourse to the hospital would soon have been had for advice. ROYAL WESTMINSTER OPHTHALMIC HOSPITAL. CASE OF SEVERE NEURO-RETINITIS IN BOTH EYES, FOLLOWED BY SEPARATION OF BOTH RETINÆ ; REPEATED TAPPINGS. (Under the care of Mr. MACNAMARA.) FOR the following notes we are indebted to Mr. J. G. Mackinlay, registrar. E. S-, aged twenty-seven, attended as an outpatient Sept. 3rd, 1878. She had been married between five and six years, and had had three children born at full time ; the eldest died in convulsions when two months old, the other two were living, and appeared healthy. She had had no miscarriages, and had always had good health. Was about
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