With reference to Dr. A. W. Dortch's case on page 209 of the THERAPEUTIST, my diagnosis would be neuritis. There may be a history of a fall with a blow upon, or a strain to the upper dorsal spine, at some previous period. Pains of the character described are not unusual in brachial and intercostal neuritis.

There is also a distinct disturbance of the molecular activities of both the sodium chloride and sodium phosphate elements apparent from his description, although this disturbance may be simply secondary phenomena.

S. B. PRATT, M. D.

Ellingwood's Therapeutist, Vol. 2, 1908, was edited by Finley Ellingwood M.D.