XLVI INTRODUCTORY. 



2. Fractures of the clavicle, which, though united, have resulted in deformity and 



shortening, or which interfere considerably with the free use of the arm. 



3. Phthisis pulmonalis. 



4. Permanent collection of fluid in the thoracic cavity. 



5. Emphysema of the lungs. 



6. Organic lesions of the heart and the larger vessels. 



7. Incurable caries of the clavicle, the sternum, or the ribs. 



IV. ABDOMEN. 



, 1. Incurable hypertrophy of the spleen or liver, with cachectic appearance of the 

 individual. 



2. Hernia, of any size or duration. 



3. Fluids in the abdominal cavity ; sensible induration of the viscera ; tumors and 



neoplasms. 



4. Prolapsus or fistula of the rectum, large hsemorrhoidal tumors, and fissures of the 



anus, if incurable. 



5. Incontinence of fseces. 



v.— GENITAL ORGANS. 



1. Termination of the urethra in the middle or at the root of the penis. 



2. Loss of both testicles. 



3. Permanent lodgment of either of the testicles in the inguinal canal or external ring. 



4. Incurable hydi'ocele, or large cysts on the spermatic cord. 



5. Chronic incurable hypertrophy of one or both testicles, when of considerable 



magnitude ; also varicocele of the spermatic cord. 



6. Incontinence of ui'ine. 



7. Vesical fistula. 



8. Vesical calculus. 



VI.— VERTEBRAL COLUMN AND BONY STRUCTURE. 



1. Marked deviation of the vertebral column from its normal figure. 



2. Cleft vertebral column. 



3. Marked prominence or obliquity of one or more vertebrse. 



4. Caries of the vertebras. 



5. Deformity from high or oblique position of the shoulders or of the pelvis. 



VII. — EXTREMITIES. 



a. — The extremities generally. 



1. Chi'onic inflammation or swelling of the joints ; relaxation of capsular and other 



ligaments, with power of voluntary dislocation ; dropsy of the joints ; pai'tial 

 or complete ankylosis ; contraction of the joints ; incurable tumors of the 

 periosteum or of the bones, if interfering with the free movements of the limb. 



2. Old and incm-able luxations ; abnormal joints. 



3. Incurable caries or necrosis of the bones. 



