A WEEKLY JOURNAL OF MEDICINE, SURGERY, AND THE COLLATERAL
SCIENCES,

EDITED BY

EDWARD J. BERMINGHAM, A. M., M. D.,

SURGEON TO THE GOOD SAMARITAN HOSPITAL FOR DISEASES OF THE RECTUM AND
TO THE OUT-PATIENT DEPARTMENT OF BELLEVUE HOSPITAL, PHYSICIAN

TO THE CHAPIN HOME, FELLOW OF THE AMERICAN ACADEMY OF

MEDICINE AND OF THE NEW YORK ACADEMY OF MEDICINE,
MEMBER OF THE MEDICAL SOCIETY OF THE

COUNTY OF NEW YORK.

AND

FREDERICK A. LYONS, A. M., M. D.,

ADJUNCT PROFESSOR OF MATERIA MEDICA, THERAPEUTICS AND CHEMISTRY, IN
THE AMERICAN VETERINARY COLLEGE.

VOLUME IV, JULY-DEC., 1878.

NEW YORK:

THE HOSPITAL GAZETTE,

145 & 147 WEST 41st ST., Cor. B'way.

1878.

CONTRIBUTORS TO VOLUME IV.

AGNEW, D. HAYES, Philadelphia. LYONS, F. A., New York.

ASHHURST, J. Jr., Philadelphia.
BERMINGHAM, E. J., New York.
BOZEMAN, N., New York.
BUFFUM, C. T., New York.
CLARK, ANDREW, London, Eng.
COHEN, J. SOLIS, Philadelphia.
DAVIS, J. C., New York.
FELDMAN, B. M., New York.
FINCH, G. T., Hartford, Conn.
FLAMMER, T. M., Missouri.
GIRALT, J. J. U., New York.
GOELET, A. H., New York.
GOODELL, WM., Philadelphia.

HAMILTON, F. H., New York.

HARVEY, T. W., New Jersey.
HUNTER, C. T., Philadelphia.
HOCHHEIMER, E., New York.
JACOBI, A., New York.

JANEWAY, E. G, New York.

JESSUP, A. J., New York.

KANE, H. H., New York.

MACKENZIE, J. N., New York.

MEAD, S., Brooklyn, N. Y.
MEIGS, J. FORSYTH, Philadelphia.
MILLER, S. M., Philadelphia.
MORTON, T. G., Philadelphia.
NORRIS, WM. F., Philadelphia.
PAOLI, G. C., Chicago.
PENROSE, R. A. F., Philadelphia.
PEPPER, WM., Philadelphia.
PIFFARD, H. G., New York.
PLANT, WM. T., Syracuse, N. Y.
RUSSELL, T. E., New York.
SANDS, H. B.. New York.

SAYRE, L. A., New York.
SEGUIN, E. C., New York.
SHAFFER, N. M., New York.
Strawbridge, GEO., Philadelphia.
ST. JOHN, S. B., Hartford, Conn.
TANSLEY, J. O., New York.

TAYLOR, J. M., Philadelphia.

THOMAS, T. G., New York.

KRETZSCHMAR, P. H., B’klyn, N.Y. THOMSON, Wм., Philadelphia.

LACAYO, A., New York.
Levis, R. J., Philadelphia.
LITTLE, J. L., New York.
LLOYD, F. M., Philadelphia.
LOOMIS, A. L., New York.

THOMPSON, J. H., New York.
VALENTINE, J. F., Brooklyn, N. Y.
WIGHT, J. S., Brooklyn, N. Y.,
WOOD, H. C. Jr., Philadelphia.
WIENER, R. G., New York.

225511

AND

ARCHIVES OF CLINICAL SURGERY.

A WEEKLY JOURNAL OF MEDICINE, SURGERY AND THE COLLATERAL SCIENCES.

EDITED BY

EDWARD J. BERMINGHAM, M.D., and FREDERICK A. LYONS, M.D. H. H. KANE, M.D., Associate Editor.

VOL. 4, No. 1.

NEW YORK, JULY 4TH, 1878.

WHOLE NO. 40.

[The editors hold themselves in no way responsible for the views expressed by contributors.]

LECTURES.

A CLINICAL LECTURE.

Delivered at the University Hospital

BY

WM. GOODELL, A.M., M.D..

Professor of Clinical Gynecology to the University of Pennsylvania.
(Reported for THE HOSPITAL Gazette.)

I. SUBPERITONEAL FIBROID TUMOR.—II. CARUNCLE OF THE URETHRA.-III. CANCER OF THE CERVIX AND VAGINA.

Subperitoneal Fibroid Tumor.-This patient is forty-three years old and has been married for twenty years, but has never conceived. Her menses have been regular but are always accompanied by a great deal of pain. There has been frequent micturition with bearing down pains and a dragging sensation in walking. We very commonly find these symptoms in women who have been married for any length of time without bearing children. This woman wishes exceedingly to have a child and has come here to ask me what is the matter, and if necessary, to be put upon the proper treatment.

Some years ago a women came to my office complaining of pretty much the same symptoms as this patient. She had been married for ten years and had had no children. She wanted to know what I could do for her. I examined her and found some anteflexion of the womb and some slight stenosis of the cervical canal. I dilated the cervix and she went away greatly relieved of her dysmenorrhoea. Still she did not become pregnant. Again I dilated the cervix, but still no conception took place. I was debating with much perplexity what to do next, when I bethought me of the husband and told the wife to send him to me. After a good deal of hesitation the man was led to tell me that some time before seeing me he had gone to consult some quack with regard to his wife's sterility, and that this person had examined his semen and told him that there was no life