Medical Notes. 607 



zons, there has been prevailing, since June, a sharp epi- 

 demic of yellow fever. 



Among children, the presence of worms is considered al- 

 most universal; and among the grown they are also much 

 more frequently seen than I have elsewhere noticed. The 

 number of these, sometimes, is almost beyond belief, and 

 the wonderful power the little victims have of getting 

 along with such tenants is truly surprising. They are, as 

 far as my observation and experience go, easily gotten rid 

 of by the use of santonin, which some parents make one 

 of the usual articles to be kept in the house, to be given 

 twice or three times a month, whether the children com- 

 plain or not. The plan seems to answer well enough. The 

 want of care in preparation of food, the general negligence 

 of domestic hygiene, the habit of dirt-eating, will all suffi- 

 ciently account for the presence of these parasites. I am 

 disposed to think that in some cases of icterus, or in some 

 of the severe colics, the presence of these animals lodged 

 in the biliary ducts is to be more than suspected. During 

 both of these complaints the discharge of worms by vomit- 

 ing is not unusual. In a case which occurred here, in the 

 person of an Indian, the rapid supervention of coma and 

 icterus, within six hours after an accession of pain at the 

 epigastrium, led the medical attendant to suspect the en- 

 trance of worms into the biliary ducts. Unfortunately, 

 the superstitious nature of the half-caste and Indian did 

 not allow of the diagnosis being confirmed after death, 

 which took place in twenty -four hours after he was at- 

 tacked. 



Cold Abscesses are very frequent, the result of constitu- 

 tional taints, improper alimentation, and general depress- 

 ing agencies. They are found mostly among the Indian 

 population, and locate themselves among the muscles of 

 the limbs or in the iliac fossa, where they linger along 



