Notes on Some Surgical Cases

was a distinct bulging between the sixth and seventh ribs in the posterior axillary line. The liver dulness began at the 4th intercostal space above, its lower border extended one inch below the margin of the ribs. The spleen was much enlarged, its lower border reaching to one inch below the umbilicus. The aspirating needle was inserted into the bulging prominence, and a little thick pus extracted. An incision was then made with a knife, and about six ounces of pus mixed with blood was evacuated. There was free