Athothis : a satire on modern medicine / by Thomas C. Minor.

complicated case ; for you are indeed master of your own specialty. There can be no possible doubt but that the ilio-hypogastric and ilio-inguinal nerves are sadly dis- eased, but I am nevertheless disposed to think that our patient has renal colic, and that the tubules of the papil- lae of the kidney, if carefully examined, would reveal the presence of numerous granulated urates. Uric acid infarction is a very common complaint in this city. The frightful agony suffered by our client is due to the pas- sage of a renal calculus from the ureter to the bladder. If I could make microscopical sections of the pyramidal portions of our patient's renal organs, I could show you the characteristic yellowish-red bands extending to the tubules. A full chemical analysis of the urine is neces- sary in this case, and I shall preserve a specimen for investigation in my laboratory, as I am now preparing a paper for the Philautian Society on this very subject. It is strange, however, that the sick man has not vomited, and this is convincing evidence that the case has numer- ous complications. If I am permitted to make a sugges- tion, I should say that the sufferer, in addition to regular hypodermic doses of morphine, should likewise have three hot baths during the twenty-four hours, and also a strong solution of carbonate of lithia. Doctor Killem smiled in a vague, bewildered manner, and, glancing askance at the frowning Professor Billem, said: " I think you are both correct; in other words, we are dealing with a case of lumbo-abdominal neuralgia complicated with renal colic and gastralgia; but I must insist that our patient has gastralgia, since that was my original diagnosis. Have you any suggestions as to treatment, Professor Billem ? " The party addressed, glaring angrily at Doc- tor Pillem, answered wrathfully : " I would amend Pillem's