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I. The Treatment of Advanced Conditions of Equinovarus. By R. Swan (Dublin). When, says the author, the person afflicted with equino-varus has reached the age of ten years, either with early treatment and subsequent relapse, or without treatment, feat¬ ures are presented which preclude the hope oi success being attended by tenotomy and extension. The tarsal bones are thickened, and the typical distortion is increased. The large adventitios bursa is dense,

Pulse 128 ; temperature 102.8°. There was no oozing through the dressings. Ordered a dose of white mixture, with milk and cooling drinks. On March 30th the stump was dressed, looking very well; union taking place ; no tension or irritation. The same dressing was reapplied and the limb swung. Temperature 99.2°. Ordered a quinine mixture, with diet of beef-tea, milk, and milk pudding.

206-TH BaITISH ADDRESS IN SURGERY. [JULY 29 I9I. MUDICAL JOURNAL [JL 9 91 out that the only way to avoid diagnostic mistakes is, first, to gather carefully and correctly the data-the facts on which the diagnosis has to be based-by exhaustive and accurate clinical observation and examination; secondly, after these data have been obtained, to weigh them impartially and judicially, taking all the facts into consideration, avoiding, so far as possible, preconceived opinions, giving due weight to the symptoms and sensa-tioAs of the patient as well as to the physical signs; and, thirdly, to draw a logical and correct conclusion from the premisses. If what I have said will stimulate some of you to observe your cases with greater thoroughness and 'interest, and will help you to avoid some of the mistakes which I myself have made, I shall be well content.