—P. M., an Irishman, aged 37, single, entered hospital in 1908, in an unconscious condition, with a history of having had an apoplectiform attack. It was reported by his friends that he had had syphilis.
—The patient was a well-developed man with sandy hair and beard, apparently 50 years old. There was ptosis of the left upper eyelid. His face was pale; his lips very pale. There were sordes on the teeth and lips; the tongue was moist, swollen and coated. The pupils reacted to light. The thorax was deep and well muscled. There were a few diffuse, moist, large and small râles. The abdomen was apparently normal. The skin was cold and moist. The patellar reflexes, when first examined by an interne, were reported as normal or slightly increased, but were not elicited at any subsequent examination. The pulse was 80, weak and of low tension; the