Bheumatic Arthritis. 507 



7. 200. Rheumatic Chang-es in the Metatarso-phalang-eal 



Joints. — Heads of left metatarsal bones — in spirit, illustrating 

 the above. 



From the foot of a man, aged 45, whose leg was amputated for a 

 chronic ulcer, ending in epithelioma. The bones of the foot were 

 anchylosed and considerably altered in many ways. 



The cartilage of the two outer metatarsals is marked by 

 grooves filled with fibrous tissue. The head of these two bones 

 is irregular in shape. On the two inner toes the cartilage is 

 at places worn away, especially on the under side. That on 

 the second toe is cut to expose the bone. 



The changes in this specimen may be due to causes other 

 than rheumatism, although the condition resembles what is 

 described as due to rheumatism. G. C. 2794. c. 



Presented by J OH's Duncan, F.R.C.S.E. 



7. 201. Rheumatic Nodules in the Knee- Joint. — Cast in 



glue and glycerine of the knees of a child affected with 

 rheumatism. 



On each side there are numerous projections caused by the 

 nodules, which were present in the synovial membranes round 

 and above the patella. G. C. 3298. 



Presented by John Thomson, M.D., 1891. 



Joi7it Affections caused hy Miscellaneous Organisms — 

 Gonococcus. 



7. 202. Gonorrhoeal Inflammation of the Knee-joint.— 



Cast in glue and glycerine of the left knee of a man suffering 

 from so-called gonorrhoeal rheumatism. 



The front of the knee shows the shape typical of acute 

 synovitis. G. C. 2882. 



Presented by Charles W. Cathcart, F.R.C.S.E. 



