INTRODUCTORY. XXXV 



45. Cirsocele, if large and painful and swelling considerably when the person exam- 



ined is in the erect position. 



46. Rectal fistula ; artificial anus. 



47. Chronic prolapsus of the rectum and incapacity to retain the fseces. 



48. Considerable hsemoi'rhoidal tumors, particularly when combined with great haemor- 



rhage and ulceration. 



49. Difficult micturition or incontinence of urine. 



50. Gravel or calculus in bladder. 



51. Strictures and injuries of the urethra ; tumefaction and induration of the prostate 



gland ; incurable vesical fistula. 



52. Hypospadia. 



53. Loss of one of the larger members of the body. 



54. Considerable curvature, lengthening, or shortening of the extremities ; atrophy 



and paralysis thereof 



55. Stiffness or unserviceableness of the larger articulations in consequence of cicatrices, 



contractions, fungoid growths, swelling of the heads of bones ; ankylosis ; 

 concretions within the joints ; white swelling ; old luxations. 



56. Exostosis and such other deformities of the bones as interfere with free movement, 



whether originating idiopathically or from badly-united fractures. 



57. Clearly demonstrable relaxation of the ligaments of any articulation so as to per- 



mit dislocations by ordinary motion. 



58. Ganglia on the articulations, if they be large, have grown into the tendinous 



parts, adhere firmly to the bones, cause pain, or interfere with the mobility 

 of the articulation. 



59. Loss, stiff"ness, or curvature of the thumb of either hand. 



60. Loss of the right index-finger. 



61. Loss of two or more fingers of one hand. 



62. Stiff"ness or curvature of any finger whereby the free use of the hand is interfered 



with. 



63. A supernumerary finger, if located in such manner as to interfere with the free 



use of the hand. 



64. The growing together of the fingers, or their connection by ?i web. 



65. Flat-footedness, if the deformity have reached such a degree that in walking the 



foot rests on the inner margin. 



66. Old ulcers, combined with some cachectic condition and easily re-opening, particu- 



larly on the feet ; such as are ordinarily surrounded by varicose veins, and 

 accompanied by induration and swelling of the cellular tissue, and oftentimes 

 by exostosis. 



67. Large cicatrices of ulcers breaking open easily and frequently. 



68. Cicatrices connected with the subjacent bones and interfering with the free motion 



of the member. 



69. Large varicose tumors, involving part of the foot and the lower part of the leg, 



which are painful and threaten to bui'st upon bodily exertion. 



70. Loss of one or both great toes or loss of several other toes. 



