Philadelphia: Lea & Blanchard, 1845. 1st US edition (American Imprints 45-6361; Coradasco 40-1253). From the 2nd London edition. viii,  - 353,  pp (including Index). Last page blank. 40 page publisher catalogue at rear. 12mo, in 6s. 7-7/8" x 4-7/8". Original publisher's brown cloth with gilt stamped spine lettering & boards stamped in blind. Some general shelfwear. Rear board shows minor evidence of prior damping. Expected bit of foxing & browning to paper. A VG copy. Item #30157
From the US editor's preface, "... that the intention of this work is not to enable any one to undertake the treatment of disease, but to give such plain directions as will instruct nurses and friends in their duties ..."