tive and absorbing covering of the
uncircumcised glans as a ready medium of transmission of the virus from
one system to the other. He calls attention to the frequent granular
condition of the uterine os, in confirmed cases of tuberculosis, as
something that is too much overlooked. This view of the case, from Dr.
Bernheim's stand-point, is worthy of greater consideration than it has
generally received at the hands of the profession.

The great number of examples that have recently come to light in
connection with the direct inoculability of tubercular consumption, both
in the later works on phthisis and in the medical press, are not without
interest or without a lesson. The case recorded within the past year of
a healthy chambermaid, who was immediately inoculated with tubercular
matter with rapidly-following constitutional effects through a scratch
on the hand, received from the sharp edge of a broken china cuspidor
that a consumptive was using, is one of these cases that are to the
point; so it is evident that the uncircumcised need not always wait for
the degeneration of syphilis into syphilitic phthisis or syphilitic
scrofula to become a consumptive, but it is within the greatest range of
possibility and probability that he may become at once a consumptive
through an excoriation or abrasion received during coition with a
tubercular woman. So many tubercular prostitutes ply their trade, or, to
be more definite, so many prostitutes become tubercular, and in its
different stages follow their occupation as the only means of keeping
out of the poor-house, that man runs as much if not more risk, in
consorting with the class, of contracting tuberculosis than that of
contracting syphilis.

There is something about syphilis that is not generally noticed; we are
all well acquainted with the dire results that usually follow syphilitic
infection, its course through every stage of suffering and misery, its
transmission and effects in tubercular meningitis or in syphilitic
affections of the mesentery through heredity in children, and of the
many horrible cases of destruction of tissue, in skin, mucous membrane,
cartilage, or bone, with their attending mutilations and disfigurations;
but there is no record of the great number of cases, and very few
physicians of any extended practice but who can recall some such cases,
where, after undoubted syphilitic infection, with the usual course of
primary sores and secondary eruption, the