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Any attempt to correlate the clinical and pathologic aspects of the thyroid gland encounters many difficulties. At present it is almost impossible to visualize just what may be considered the normal thyroid at various ages and under various conditions of environment, because the gland is quickly and markedly affected by external stimuli. McCarrison1 has shown that certain variations in food, especially if the food supply is improper or defective, cause a marked change in the histology of the gland. It has also been shown that the structure of the gland varies during different physiologic states, such as puberty, menstruation and pregnancy. Isenschmid2 and Damberg3 have shown that the histologic appearance of the thyroid varies according to the geographical habitat of the individual. A gland that would be considered normal in a native of the mountainous regions of Bern would not be regarded as normal if found in

Reports emanating from various gynecologic clinics have proved that vaginal hysterectomy is an operation with a very low morbidity and mortality. In many large series ranging from 600 to 2,000 cases, the percentage of mortalities has varied from 0.0 per cent to 3.2 per cent; but the majority have been a fraction of 1 per cent. The other striking features in the reports of this operation are the rarity of shock or hemorrhage, the absence of trauma to the pelvic viscera, the minimum danger of infection, the applicability of the operation to the obese and the aged, the relatively smooth postoperative course, and the absence of hernia. The incidence of thrombophlebitis and pulmonary embolus is very low, and pulmonary complications are also much less common.

1.Two cases of Salmonella infection of the tubes and/or ovaries are reported. Three additional cases were found in the literature.2.In one of the two cases presented, a positive stool culture of Salmonella is reported for the first time.3.The route of infection has not been definitely ascertained, although blood stream infection (possibly to previously infected tubes) is not unlikely.4.The positive agglutination tests indicate that the Salmonella bacilli are of etiologic significance in the causation of pelvic infection and are not accidental contaminants.5.The manifestations of such infections are not clinically distinctive. Certain identification can be made only by bacteriologic and immunologic methods.6.The treatment would not seem to differ from that of salpingitis caused by other bacterial organisms such as the gonococci.