Trade card advertising a book titled "The Sexual System and its Derangements" and the medicine Cutavaco featuring a landscape with various hidden images in it. The obvious things the picture presents are a man walking on a path with a dog; a bridge over water with a figure rowing a boat beneath it; a house at the entrance to the bridge with a figure leaning against its side; and a town on a mountain in the distance. The back praises the book being advertised and also lists the ailments Cutavaco can cure.