TO 



J. K. MITCHELL, M.D. 



rSOFESSOE OF THK PRACTICE OK MKDICIXE IN THE JEFFEESON .MEDICAL COLLEGE 

 OF rHILADELPHIA, 



®j}is Elorh on f piling 



IS RESPECTFULLY DEDICATED 

 BY n I S FRIEND AND F 11 M E R PUPIL, 



ELISHA J. LEWIS, M.D. 



