When we have patients consult us and describe a train of symptoms like nausea, vomiting, nervousness, frontal and occipital headache, we should have eye strain in mind and inquire for lachrymation, photophobia, itching and burning lids and congestion of the eye. Any of these things should make us think of testing for ametropia in its various refractive errors, as well as a careful spinal and a nose and throat examination. General physical and laboratory diagnosis should not be neglected. References Fuchs’s Text Book of Ophthalmology, Duane. Headaches and Eye Disorders of Nasal Origin, Sluder. External Diseases of the Eye, Greeff. Vol. III Practical Medicine Series: The Eye, Ear, Nose and Throat by Casey A. Wood, Albert H. Andrews, Geo. E. Shambaugh. Diseases of the Eye, Weeks. Diseases of the Eye, Ear, Nose and Throat, Posy and Wright. Diseases of the Eye, De Schweinitz. Diseases of the Eye, May. Text Book of Ophthalmology, Roemer and Foster. Diseases of the Eye, Jackson. Ophthalmic Surgery, Meller. DISEASES OF THE EAR, NOSE AND THROAT By J. DEASON Diseases of the Ear =Methods and Technic of Examination.=—The external ear may be examined by direct inspection with or without the aid of artificial light. The external auditory meatus may be examined by means of a simple conical ear speculum and reflected light from a head mirror. This method requires considerable practice but efficiency can and should be attained because it can be used under all conditions and therefore is a reliable method. The Holmes electric auroscope which we use and recommend for examining the meatus and ear drum, is very efficient but like other electrical equipment is not always dependable. There are many electrical equipments for examining the ear, but so far I have found none other than the one above mentioned that is worth space in an instrument cabinet. To examine the meatus, grasp the pinna and draw it firmly upward and backward. This tends to straighten the canal so that the aural speculum may be inserted well into the external canal. It must be remembered that the auditory canal is always sensitive and while there is really little danger of doing any harm by exercising ordinary care, the patient is always afraid of being hurt and one can accomplish better results by practicing careful technic. If the electric auroscope is used, the eye should be placed very close to the lens and every part of the canal, walls and drum membrane carefully examined. The Holmes auroscope has a small tube and bulb, pressure upon which will vary the air pressure in the meatus and cause the drum to move. This must be done very carefully because in very thin, atrophic membranes there is some danger of rupturing the drum. Diseases of the Auditory Meatus =Inspissated Cerumen=, or hardened ear wax is one of the most common affections of the meatus. The cause in some cases can be traced to lesions of the mandible, but in many cases the cause is unknown.