The fact that a text-book has reached a fourth edition is unmistakable evidence of its popularity, but when the subject is one undergoing rapid change there is always danger of unevenness of treatment and overlooking important details.
Dr. Starr's book has been justly noted for its clear manner of presentation, the fulness and accuracy of the clinical and anatomical descriptions and the judicious methods of treatment advised. In the present edition the good qualities are retained and in many details the work is brought well up to date. At the same time the reviewer can find some things that a more thorough revision might have changed for the better. The first chapter, for example, on the method of examination, is so sketchy as to be useless to a beginner—say an undergradute working in a clinic — and too conventional to be of value to the practitioner who