Mary Sullivan, æt. 26, married. Admitted on the 14th day of disease; pain of head severe from the beginning; continues unabated and even violent; no sleep; face pallid; expression depressed; pulse 81; abdomen tender; tongue foul and dry. V. S. ad ℥xij.
18th. Pain of head gone; delirium; pulse 70, soft; tongue more dry.
24th. Pain of head, which had returned slightly on some of the preceding days, was, from this period, finally lost in insensibility; no longer conscious; prostration; great restlessness; almost constant moaning; occasional retching; pulse 72.
26th. Continues perfectly insensible; all the stools passed in bed; pulse suddenly rose to 120, on the following day fell to 102; eyes half open and injected: no material change till 29th, died.
Head. Membranes and substance of brain appeared pretty healthy; all the ventricles enlarged, and contained about three ounces of limpid serum; a considerable quantity, also, at base; some coagulable lymph effused on that part of the arachnoid which covers the tuber annulare. Thorax. [Pleuræ adherent; substance of lungs full of tubercles, in different stages of disease.] Abdomen. [Liver hard;] other viscera healthy.
Case XXXVII.
Ann Boon, æt. 14, admitted on 10th day of fever. Attacked in the beginning with severe head-ache, which still continues; abdomen tender; lips and teeth sordid; tongue brown and dry; pulse 120.
11th. Pain of head undiminished; eyes heavy and suffused; delirium; tongue red, dry, and glazed; pulse 108.
13th. Pain of head quite gone; delirium; pulse 118.
19th. Much noise through the night; peevishness during the day; pulse 108.