, and sterilized milk. In case it is
essential to use sterilized or pasteurized milk, if the baby receives
orange juice, as advised under the care of infants, scurvy will not
develop.

Scurvy is frequently mistaken for either rheumatism or paralysis in
babies.

=Symptoms.=--The lower limbs become painful, and the baby cries out
when it is moved. The legs are at first drawn up and become swollen
all around just above the knees, but not the knee joints themselves.
Later the whole thigh swells, and the baby lies without moving the
legs, with the feet rolled outward and appears to be paralyzed,
although it is only pain which prevents movement of the legs.
Sometimes there is swelling about the wrist and forearm, and the
breastbone may appear sunken in. Purplish spots occur on the legs and
other parts of the body. The gums, if there are teeth present, become
soft, tender, spongy, and bleed easily. There may be slight fever, the
temperature ranging from 101 deg. to 102 deg. F. The babies are exceedingly
pale, and lose all strength.

=Treatment.=--The treatment is very simple, and recovery rapidly takes
place as soon as it is carried out. The feeding of all patent baby
foods--condensed or sterilized milk--must be instantly stopped. A diet
of fresh milk, beef juice, and orange juice, as directed under the
care of infants, will bring about a speedy cure.

=GOUT.=--Notwithstanding the frequency with which one encounters
allusions to gout in English literature, it is unquestionably a rare
disease in the United States. In the Massachusetts General Hospital
there were, among 28,000 patients admitted in the last ten years, but
four cases of gout. This is not an altogether fair criterion, as
patients with gout are not generally of the class who seek hospitals,
nor is the disease one of those which would be most likely to lead one
into a hospital. Still, the experience of physicians in private
practice substantiates the view of the rarity of gout in this country.

We are still ignorant of the exact changes in the bodily condition
which lead to gout, but may say in a general way that in this disease
certain products, derived from our food and from the wear and tear of
tissues, are not properly used up or eliminated, and are retained in
the body. One of these products is known as sodium biurate, and is
deposited in the joints, giving rise to the inflammation and changes
to be described. Gout occurs chiefly in men past forty. The t