principal symptom is hematogenous
icterus with cyanosis,--the urine contains blood and blood-coloring
matter. Some cases have shown in a marked degree acute fatty
degeneration of the internal organs--Buhl's disease.

Apart from the common visceral hemorrhages, the results of injuries at
birth, bleeding from one or more of the surfaces is a not uncommon
event in the new-born, particularly in hospital-practice. According to
Osler Townsend reports 45 cases in 6700 deliveries, the hemorrhage
being both general and from the navel alone. Bleeding also occurs from
the bowels, stomach, and mouth, generally beginning in the first week,
but in rare instances it is delayed to the second or third. Out of 50
cases collected by Townsend 31 died and 19 recovered. The nature of the
disease is unknown, and postmortem examination reveals no pathologic
changes, although the general and not local nature of the affection,
its self-limited character, the presence of fever, and the greater
prevalence of the disease in hospitals, suggest an infectious origin
(Townsend). Kent a speaks of a new-born infant dying of spontaneous
hemorrhage from about the hips.

Infantile scurvy, or Barlow's disease, has lately attracted marked
attention, and is interesting for the numerous extravasations and
spontaneous hemorrhages which are associated with it. A most
interesting collection of specimens taken from the victims of Barlow's
disease were shown in London in 1895.

In an article on the successful preventive treatment of tetanus
neonatorum, or the "scourge of St. Kilda," of the new-born, Turner says
the first mention of trismus nascentium or tetanus neonatorum was made
by Rev. Kenneth Macaulay in 1764, after a visit to the island of St.
Kilda in 1758. This gentleman states that the infants of this island
give up nursing on the fourth or fifth day after birth; on the seventh
day their gums are so clinched together that it is impossible to get
anything down their throats; soon after this they are seized with
convulsive fits and die on the eighth day. So general was this trouble
on the island of St. Kilda that the mothers never thought of making any
preparation for the coming baby, and it was wrapped in a dirty piece of
blanket till the ninth or tenth day, when, if the child survived, the
affection of the mother asserted itself. This lax method of caring for
the infant, the neglect to dress the cord, and the unsanitary condition
of the dwellings, make it