Note on the Treatment and Diagnosis of Gonorrhœa in Women

hospital Medical Officers and others, they being the result of a careful study of these cases during the nine months that I have been in charge of a Cantonment hospital. As regards the difficulty in diagnosis, I need not discuss here the obvious case with a purulent discharge showing in the vagina ; these, if comparatively rare, are easy of diagnosis; it is the case with a somewhat reddened vulval or vaginal mucous membrane, with perhaps a plug of clear mucus in the os. which makes one think whether it is safe not to take her into hospital. For these cases I have had an instrument made ; it is the shape of a small fan about threequarters of an inch broad, slightly curved on the flat, and set ou a handle. If one remembers that in the majority of cases the vaginal mucous membrane is not infected ; the discharge simply lying on the squamous epithelium which is destitute of glands ; and that the places of infection are the endocervix, the urethra and the ducts and glands of Bartholin ; then this instrument will be found very