"The first impression was most unfavorable, and to a medical man the appearances were most suspicious. The child was lying on a bed decorated as a bride, having around her head a wreath of flowers, from which was suspended a smart ribbon, the ends of which were joined by a small bunch of flowers, after the present fashion of ladies' bonnet strings. Before her, at proper reading distance, was an open Welsh book, supported by two other books on her body. The blanket covering was clean, tidy, and perfectly smooth. Across the fire-place, which was nearly opposite the foot of her bed, was an arrangement of shelves, well stocked with English and Welsh books, the gifts of various visitors to the house. The child is thirteen years of age, and is undoubtedly very pretty. Her face was plump, and her cheeks and lips of a beautiful rosy color. Her eyes were bright and sparkling, the pupils were very dilated, in a measure explicable by the fact of the child's head and face being shaded from the window-light by the projecting side of the cupboard bedstead. There was that restless movement and frequent looking out at the corners of the eyes so characteristic of simulative disease. Considering the lengthened inactivity of the girl, her muscular development was very good, and the amount of fat layer not inconsiderable. My friend stated that she looked even better than she did about a twelvemonth ago. There was a slight perspiration over the surface of the body. The pulse was perfectly natural, as were also the sounds of the lungs and heart, so far as I was enabled to make a stethoscopic examination. Having received permission to do this, I proceeded to make the necessary derangement of dress, when the girl went off into what the mother called a fainting fit. This consisted of nothing but a little and momentary hysterical crying and sobbing. The color never left the lips or cheeks. The pulse remained of the same power. Consciousness could have been but slightly diminished, inasmuch as on my then opening the eyelids I perceived a distinct upward and other movement of the eyeballs. Each percussion stroke of my examination, and even the pressure of the stethoscope, produced an expression of pain, which elicited a natural sympathy from the mother, and an assertion that a continuance of such examination would bring on further fits. On percussing the region of the stomach, I most distinctly perceived the sound of gurgling, which we know to be caused by the admixture of air and fluid in motion. The most positive assertion of the parents was subsequently made that saving a fortnightly moistening of her lips with cold water, the child had neither ate nor drank anything for the last twenty-three months. The whole region of the belly was tympanitic, and the muscular walls of this cavity were tense and drum-like--a condition not infrequently concomitant of a well-known class of nervous disorders. The child's intellectual faculties and special senses were perfectly healthy.