220 



TJII5YOID GLAND. 



The only case of disease of this gland was one of general symmetrical 

 enlargement occurring in a woman who had suffered from tuberculosis. 

 Colloid formation was the principal change associated with several 

 small cysts. The thryoid glands were otherwise quite small, often 

 showing irregular lobulations. No instances of accessory thryoids were 

 encountered. 



NERVOUS SYSTEM. 



Degeneration of the vagus and phrenic nerves were demonstrated in 

 one case of beriberi which caused death in an infant of 3 months. 2 



Lesions of the central nervous system included one case of cerebellar 

 abscess following otitis media, one of cerebral softening and one of 

 haemorrhage following an occipital fracture. 



The meningeal coverings of the two cerebral hemispheres in a case 

 of arterio-sclerosis were adherent and thickened, and inclosed numerous 

 small collections of clear fluid in cyst-like, flattened spaces within the 

 opaque membranes. Microscopically, this thickened layer of adherent 

 membrane showed a richly interlacing meshwork of fibers, in the spaces 

 of which there were many large polyhedral cells with large, deeply 

 staining nuclei and granular protoplasm. The blood supply was poor, 

 the walls of the vessels showing an advanced grade of atheroma. 



No gross syphilitic disturbances of the central nervous system were 

 encountered. 



GENITALIA. 



Disease of the male generative system was uncommon. There was 

 one case of scrotal and one of prostatic abscess. Three cases of hydrocele 

 on the left side were encountered. Tubercular cystitis occurred in 

 three cases, nontubercular in one. - 



The cutaneous lesions included 1 case of Impetigo contagiosa, 1 of 

 leucoderma, and i of chronic ulceration. The ulcers in 3 cases were 

 confined to the ventral aspect of the leg and in the fourth an ulcer 4 

 centimeters in diameter was present on the dorsal surface of the right 

 elbow. 



One case of supernumerary thumb was. seen. The two thumbs were 

 of equal size, each 1 centimeter shorter and smaller in proportion than 

 the normal thumb on the left hand. They formed a Y-shaped junction 

 at their union, being articulated side by side, with separate surfaces 

 at the end of each of the two metacarpals. Each thumb was well 

 formed and bore a perfect nail. 



: This case was reported by Dr. Albert at the Fifth Annual Meeting of the 

 Philippine Islands Medical Association, Manila, February 26-29, 1908. 



