Patient.
—The patient, a robust male, was admitted to Dr. Musgrave's medical service, in St. Paul's Hospital, February 26, 1907, complaining of severe pain in the abdomen. On March 1. he was transferred to Dr. McDill's service, and during his absence came under my care
History.
—He was a native of the United States, of Irish-German descent, and by occupation was a machinist and engineer. He had resided in the Philippine Islands since 1900 and had previously lived in Guatemala for six years. He was a man of large muscular build, and of great vitality. He had a chancroid in 1902, and two attacks of gonorrhea, the last in 1903-1904. In December, 1906, he had a severe attack of estivo-autumnal malarial fever. He never had dysentery to his knowledge.
Present Illness.
—For seven days previous to entering the hospital he had been suffering from a pain in the abdomen