Medicine--Diseases of the Digestive System."_ Edited by Frank
Billings, M. D., of Chicago. An authorized translation from "Die
Deutsche Klinik" under the general editorial supervision of Julius
L. Salinger, M. D. Published by D. Appleton and Company, 1906.

It is reasonable to believe that when one of our leading American
physicians thinks enough of a foreign author to translate his
productions the material must be pretty well up to the top of
medical literature, and that is my only reason for selecting this
particular contribution on which to make my comments for the purpose
of contrast.

The case I select is strictly in line and parallels a case of my
own. It is a case of Diffuse and Circumscribed Peritonitis, treated
and reported by O. Vierordt, M. D., of Heidelberg.

_"Acute, Diffuse Peritonitus:_ As an introduction to the discussion
of our present views of acute peritonitis I will relate the
following clinical history:

"Case 1.--A previously healthy merchant, aged 31, was taken ill
after a few days of vague, dull pain in the right side of the
abdomen which he had disregarded, and upon the 20th of October,
about midday, he was seized with very severe pain in the right lower
abdominal region which compelled him to seek his bed; soon afterward
he had chilly sensations which increased to marked chills; there was
also nausea, eructation and vomiting, first of food and then of
bilious mucus; a little later tenesmus appeared, the patient first
voiding small, compact feces, followed by scant, thin dejecta.
Within a few hours the abdomen had become tympanitic, the pains