‘The ovary in its normal state and position cannot be detected by the touch even with the hand firmly pressed on the hypogastrium. If a movable body be felt through the vaginal roof on one side of the cervix, if this body be exquisitely tender and recede at once from the finger, it is an ovary in a state of prolapse. ‘The fundus of a healthy unimpregnated uterus never rises above the level of the brim of the pelvis, and cannot therefore be felt by pressing the hand on the hypogastrium. ‘The direction of the uterus is subject to changes which cannot be looked upon as abnormal. The fundus may be thrown backwards by a distended bladder, or forwards by a distended rectum. The axis of its cavity is not a straight but a curved line; and uterine sounds should be shaped to suit it.’ NOTES. [1] Some pertinent remarks on this subject have been made by Mr. C. Heath in a pamphlet ‘On Anatomy in relation to Physic.’ [2] In several adult normal skeletons measured in the Hunterian Museum, the average diameters of the upper opening of the chest were--antero-posterior, about 2¼ inches; transverse, about 4½ inches. In the skeleton of O’Brien, the Irish giant, the antero-posterior diameter measures 4 inches, the transverse 6¼. [3] Special experiments upon this subject were made many years ago by the late Professor Quekett in the work-rooms of the College of Surgeons. [4] See a beautiful illustration of this in Sir C. Bell’s ‘Anatomy of Expression,’ p. 160. [5] See some good observations on the position of the enlarged spleen, by Sir W. Jenner, ‘Brit. Med. Journ.,’ Jan. 16, 1869. [6] ‘Lectures on Rest and Pain,’ by John Hilton, F.R.S. London, 1863. p. 280. [7] Nélaton, ‘Pathologie chirurgicale,’ t. iv. p. 441. 1848. [8] Bigelow, ‘Mechanism of Dislocation and Fracture of the Hip.’ Philadelphia, 1869. [9] See Pruge on ‘Ossa Acromialia’ (‘Zeitschrift für rationelle Medizin’), 3. Reihe, Bd. vii. 1859. [10] See on this subject a monograph, ‘Canalis Supra-Condyloideus Humeri.’ By W. Grüber. Petersburg, 1856. [11] ‘Ueber Grund und Bedeutung der verschiedenen Formen der Hand.’ Stuttgart, 1846. [12] For further information on this subject, see a paper by Mr. Walsham, in St. Bartholomew’s Hospital Reports, vol. xii. _Spottiswoode & Co., Printers, New-street Square, London._ Transcriber’s Notes A few obvious errors in punctuation have been fixed. The reference in section 153 to tabatière anatomique in section 140 has been corrected to 144.