, which is made worse by movements of the head.
Sodium bromide, twenty grains dissolved in water, may be given to
advantage three times daily between meals in these cases for not more
than two days. Phenacetin in eight-grain doses may also afford relief,
but should not be used more often than once or twice a day.

=Constant Headache.=--This, afflicting the patient all day and every
day, and increasing in severity at night, is suggestive of some
disease of the brain, as congestion, brain tumor, or meningitis, and
urgently demands skillful medical attention.

Part II

TUMORS
SKIN DISEASES
RHEUMATISM

BY

KENELM WINSLOW

AND

ALBERT WARREN FERRIS

CHAPTER I

=Growths and Enlargements=

_Benign and Malignant Tumors--Treatment of Rupture--Hernia in
Children--Varicocele--Causes of Varicose Veins--External and Internal
Piles._

=TUMORS.=--A tumor--in its original meaning--signifies a swelling. As
commonly used it means a new growth or enlargement of a part, which is
not due to injury or inflammation. Tumors occur at all ages, in both
sexes, and may attack any part of the body. Tumors are usually divided
into benign and malignant growths. In a general way the malignant
tumors are painful; they do not move about freely but become fixed to
the adjacent parts; their growth is more rapid; they often have no
well-defined borders; frequently they return after removal; the skin
covering them is often attached and cannot be moved readily without
also moving the tumor. Malignant tumors are divided into cancers
(carcinomata) and sarcomas (sarcomata). Cancer is much more frequent
than sarcoma. Cancer occurs more often in persons over thirty; there
appears to be a hereditary tendency to it in some families, and a
number of individuals in the same house or locality sometimes develop
cancer as if it were in some way communicated from one to another.
The common situations of cancer are the breast and womb in women, and
the lip and stomach of men. The neighboring glands become enlarged, as
are shown by the lumps which form under the jaw in cancer of the lip,
and which may be felt sometimes in the armpit in cancer of the breast;
these are, however, late signs, and the growth should never be
permitted to remain long enough for them to develop. Paleness,
weakness, and loss of strength often attend the development of cancer,
but many do not exhibit these symptoms.

Sarcoma is often seen in the young and well nouri