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in Relation to the Operation for Undescended Testicle, and an Explanation of the Ectopic Testicle of the So-called Perineal Type. — Dr. C. G. Burdick read this paper. He stated that having made the mistake, and seen others make a similar error, of not replacing the testicle in the scrotum in operations for undescended testicle, he had been led to make several dissections of the superficial fascia of the inguinal region, with the following results: The deep layer of the superficial fascia as it passed downward over the inner aspect of Poupart's ligament divided, the anterior layer pass- ing downward in front of the spermatic cord to become continuous with the dartos of the anterior portion of the scrotum, the posterior passing behind the cord formed a free edge which viagra sans prescription canada lay 1 to 2 cm. below the viagra ohne rezept erfahrungen pubic spine and was attached to the symphysis pubis. Therefore the cord entered the scrotum between the.se two fascial planes. If an instrument such as a pair of blunt scissors was passed between this free edge one could readily demonstrate how this posterior layer extended downward and inward, and was attached to the margin of viagra ohne rezept erfahrungen the ramus of the pubis and ischium internally and below, and externally to the fascia lata. The importance of this posterior layer of fascia in attempting to replace an undescended testicle in the scrotum lay in the comparative ease with which a testicle might be replaced beneath it and so by no pos- sible chance could it ever get into the scrotum. These two fascial planes were readily demonstrated in every operation for an undescended testicle by placing a blunt retractor in the lower angle of the wound and by re- tracting the skin viagra sans prescription canada upward and inward the two planes would be readily brought into view. The finger was now passed beneath the posterior plane and it entered the thigh, but by making a little eflfort, and here was where one was likely to be led astray, provided this layer was suflSciently lax, the finger apparently entered the upper part of the scrotum. This in a case of unde- veloped scrotum quite possibly might lead the oper- ator to think he was in the right plane, and that by forcing his finger down a little further it would be viagra sans prescription canada in the right place, but of course this was impossible ana- tomically. Now if the finger was withdrawn and in- serted between the two fascial planes viagra sans prescription canada it passed directly to the bottom of the scrotum. Frequently in operating on these patients the gubernaculum was found passing beneath the posterior layer of the fascia, and, if in following it down with the finger it apparently led into the upper part of the scrotum, one was again mis- led into thinking he had selected the right path. If the testicle itself lay beneath this plane it usually was considered an ectopic testicle of the perineal type, and, personally, he believed that nearly all, if not all, cases of perineal ectopic were of this variety for the follow- ing reasons: (1) It was impossible for a testicle fol- lowing this route to get into the viagra sans prescription canada perineum, as both the above layers and Colles' fascia were attached to the inner margin of the ramus. (2) A testicle which had descended to the bottom of this pouch, thus lying close to the inner margin of the ramus, would easily give the appearance of being in the perineum. (3) The only opening of Colles' fascia was close to the sym- physis, at the root of the penis, and he had not been able to find any reported cases in which viagra ohne rezept erfahrungen the testicle had reached the perineum by this route. Dr. Burdick exhibited figures illustrating his text. One figure showed a case upon which he had recently operated in which the vas and its vessels passed viagra sans prescription canada between the two fascial planes into the scrotum while the guber- naculum and cremaster still remained, passing be- neath the posterior fascial layer and entering the thigh. The speaker said it had been his misfortune in two or three cases of congenital viagra sans prescription canada hernia, in which, while oper- ating, the testicle had been brought out of the scrotum and apparently replaced, to find later that the testicle lay outside the scrotum. He had not had the oppor- tunity to reopen any of these cases, but w-as quite cer- tain that they had been caught under this same layer of fascia and hoped soon to have the opportunity of proving the correctness of this assumption. Blue Tattooing of Skin from Hypodermic Injections of Alorphine.— F. Parkes Weber reports a case of this con- dition in a woman aged 67 years, viagra sans prescription canada a morphinist, who from the age of 27 to the age of 59 had been accus- tomed to take morphine, almost entirely by the mouth, up to 8% grains a day. She then entircly'discontinued taking the drug until after an operation for gall-stones, about four years ago, when she got into the habit of giving herself hypodermic injections of morphine and atropine. Since then .she had usually, in the course of every day (twenty-four hours), injected from 1 2/.3 to 3 1 '3 grains of morphine sulphate, together with from 1/24 to 1/10 grains of atropine sulphate under the skin of her upper extremities or the upper part of the front of her chest. At the time of the report the skin of these regions had a stippled viagra ohne rezept erfahrungen appearance from innumerable minute bluish spots, each bluish spot marking the site of a former hypodermic injection. — Proceedinqn of the Royal Society of Medicine. 632 MEDICAL RECORD. [Oct. 9, 1915 STATE BOARD EXAMINATION QUESTIONS Mississippi State Board of Medical Examiners. Jackson, May 11, 1915. ANATOMY. 1. Describe external iliac artery. Give relations. Name branches. . 2. Trace the blood from the big toe to the retina of