of the sigmoid flexure of the colon was found firmly impacted in the inguinal canal, and at the most prominent point the intestine was nearly in a state of mortification.

Hepatitis.—On the 24th March a man was admitted with violent pain in the right side, urgent vomiting, and faltering pulse. He survived only six hours. On examination a large abscess was found in the liver, which had burst into the abdomen.

Uremia.—On September 8th a man was admitted with retention of urine, which was ascertained to depend upon disease of the prostate gland and bladder. On the ninth day from admission an abscess burst into the urethra. Soon after, the urine became totally suppressed, and fatal coma supervened. A large abscess was discovered in the prostate gland, with extensive extravasation of blood. A case of Bright’s disease of the kidney remained over from last year, in which haematuria was a prominent symptom. Death took place about the middle of January, and the usual granular state of the kidneys was found.

Ovarian Disease.—On October 8th a female aged 58 was admitted with a tumor of considerable size in the left iliac region, with fluctuation in the peritoneum and oedema of the lower limbs. The patient was much distressed with vomiting and hectic fever, and as the case was not suitable for operation, nothing but palliative measures could be adopted. Death took place 73 days after admission. Both ovaries were the seat of multilocular cysts, filled with serous fluid. The left had burst into the abdomen, and excited general peritonitis. The intestines were perfectly black.

Caries.—The subject of this fatal case was a seaman who was sent from shipboard with enormous sloughing ulcers over both hips, caused (according to the patient’s own confession) by a resolute maintenance of an irksome position, in order to obtain his discharge. It was evident, however, that spinal disease was at the root of this patient’s malady, for after death several of the vertebrae of the back and loins were found destroyed by caries. He survived 40 days.

Burns and Scalds.—A fatal case of burn occurred in a girl of 15, caused by her clothes catching fire as she was passing the door of a blacksmith’s forge. Both lower limbs were scorched over their entire surface, and the case was almost hopeless from the first. An enormous abscess was found over the gluteal region. The left knee joint became exposed, exhaustion set in, and the patient died comatose.

Fracture.—On February 15th a woman was admitted who had fallen over a cliff at St. George’s Bay, and sustained a compound fracture of the right ankle joint, simple fracture of several ribs, and general concussion. A consultation was held in her case and from the extensive and complex character of the injuries, and the advanced age of the patient, amputation was considered unsuitable. Death occurred in three weeks from exhaustion, in fact rallying never took place.

Concussion.—A man was brought to hospital on October 25th who had fallen down a flight of steps and was taken up insensible. When laid in bed he presented the appearance of a person in a tranquil sleep. He breathed without noise, his pulse was slow and soft, his pupils were contracted, and when spoken to he answered sensibly. As no mark of external violence could be detected, and the breath smelled of alcohol, it was thought probable that the symptoms might be owing as much to the effect of drink as of the fall. Sulphate of Zinc was administered in large and repeated doses, and an attempt was made to use the stomach pump. A quantity of warm water was injected into the stomach, and on tickling the fauces vomiting was excited and the contents of the stomach evacuated. Cold water was then poured on the head, and after a time some degree of consciousness was restored. He recognised those about him (having been formerly a patient in hospital), and was able to sit up and take some food. Next day considerable hopes were entertained of his recovery, but a tendency to stupor still remained, which was not diminished by purgatives and counter-irritants, and he gradually sank 86 hours after admission. On examination a large quantity of blood, fluid and coagulated was found extravasated upon the brain, the right anterior lobe of which was lacerated. The skull was of remarkable thinness, but presented no appearance of fracture or depression.

General Debility.—Under this head is recorded the sudden death of a woman aged 68. Signs of diseased heart of the fatty character were discovered on examination.

Operations.—The only capital operation performed during the year was an amputation of the forearm for a gunshot injury of the hand, caused by the bursting of a gun. The patient made a good recovery.

Cases now in Hospital.—The most important case at present in hospital is a compound fracture of right leg, where the lower fragment of the tibia protruded an inch and a half through the wound. The fracture was reduced, and the case is progressing favourably.

Visitation.

The hospital visitation for 1867 has been as follows:—

Visits.
Ladies ....................................... 112
His Honor the Superintendent .......... 1
Members of Provincial Council and General Assembly ....................... 62