264 AROUND THE WORLD VIA INDIA. 



feature of the clinical teaching in this, as well as in 

 all other medical colleges in India. The attending staff 

 of this hospital consists exclusively of the clinical teach- 

 ers of Grant Medical College. 



PREVALENT DISEASES. 



Tropical abscesses are very common in Bombay. 

 They affect most frequently the thighs and gluteal re- 

 gions. They do not give rise to serious constitutional 

 symptoms and the local symptoms are likewise mild. 

 Speedy healing after incision and drainage may confi- 

 dently be expected. Tetanus is most frequently met 

 with during the two hottest months of the year, April 

 and May. The serum treatment has not had an exten- 

 sive trial, and the mortality is large, more than 50 per 

 cent. In one case an intra-cerebral injection of the 

 antitetanic serum was made. The patient died. On 

 postmortem the serum was found at the site of injection, 

 no absorption having taken place. In the treatment of 

 tetanus, hydrate of chloral and potassic bromid in very 

 large doses are relied on. Hydrophobia is quite preva- 

 lent in India. Bombay sent last year 65 cases of sus- 

 pected dog bite to the Pasteur Institute at Simla. Ele- 

 phantiasis of the scrotum is much more common among 

 the Parsees than among the Hindus. Patients thus 

 affected now seek surgical relief before the weight of 

 the swelling becomes a source of great inconvenience, 

 as the former objections to the operation have been 

 overcome by the better operative results. Many cases 

 of hydrocele in young men develop during the hottest 

 months of the year. About from fifty to sixty patients 

 with stone in the bladder apply for relief every year. 



Hernia in women is very rarely met with in India, 

 and the surgeons believe that this is due to their spare 

 bodias and the vigorous exercise incident to the hard 

 work the common women are required to undergo. Sev- 

 eral cases of Madura foot and ainhum find their way 

 into the hospital every year. Actinomycosis and bias- 



