This is a valuable contribution to our knowledge of a very interesting subject, and well merits the prize which has been awarded it. The question of diagnosis before rupture, at the time of rupture, during the first three months, and at or about the viable period are very fully discussed. Considerable space is also devoted to the question of differential diagnosis. Among the concluding remarks on diagnosis the author says, "Those who diagnose or fancy they diagnose early extrauterine pregnancies depend on two things, principally, viz., the presence of all the most important signs of ordinary pregnancy and the interruption of menstruation, if only for a period or two, of course with the presence of an extrauterine tumor. Now the ordinary signs of pregnancy and menstrual suspension may both be absent, in which case they are apt to fail most disgracefully."
The results of rupture are one of two things,