He has not so followed up these cases as to know if in them the fat fell away with speed when once the patient was assured that no child existed within her." Hirst, in an article on the difficulties in the diagnosis of pregnancy, gives several excellent photographs showing the close resemblance between several pathologic conditions and the normal distention of the abdomen in pregnancy.

A woman who had several children fell sick with a chest-affection, followed by an edema.

For fifteen months she was confined to her bed, and had never had connection with her husband during that time.

Her menses ceased; her mammae became engorged and discharged a serous lactescent fluid; her belly enlarged, and both she and her physician felt fetal movements in her abdomen.

As in her previous pregnancies, she suffered nausea.