These patients were in the service of my brother, Dr. Charles S. Hamilton, and myself at Mt. Carmel Hospital this year:
Case 1.—History.
—Mr. C. W., aged 49, was admitted to the hospital, May 10, 1907, at 2 p. m.; he walked to the elevator with his physician, Dr. Stanley, who had made a diagnosis of intestinal obstruction. The man, who had little or no fat, had an unusually fine physique. For several days he had been having pain in the pit of the stomach. There was a history of chronic dyspepsia and pain used to come on from one to three hours after food. When the accident occurred, at noon of the day preceding that of admission, he was pitching sheep into a stream. During such a physical effort, he was seized with sudden, severe pain in the abdomen. At first it was general, then under the sternum,