fifty-six, was sent to Dr.J.K.Mitchell by Professor Osler for treatment.

She had all the usual intestinal derangements and discomforts attendant upon a floating kidney: constipation alternated with diarrhoea, or rather with a sort of intestinal incontinence; vague pains in the back, flanks, and stomach were frequent; attacks of acute pain began in the right hypogastrium and ran down to the symphysis or into the groin; she had constant flatulence, weight, and oppression after food; was pale, flabby, and emaciated, but had no emotional or nervous symptoms except an annoying amount of insomnia.

The lower border of the stomach was fully two inches below the navel in the middle-line, even when only a glass of water had been taken.

It was a little lower after a small meal.

The colon was distended and very variable in position, probably changing its relations with the landmarks as it happened to be more or less filled with food or gases.