Case LXV.
James Gannicott, æt. 8. Duration and progress of disease unknown; abdomen tender; lips and tongue sordid; bowels purged; comatose; pupils dilated, but sensible to light; expression of eyes dull and vacant; pulse 125.
2d day after admission. Abdomen no longer tender; three stools; insensibility continues; frequent screaming; pulse 116.
3d. Perfectly insensible; all nourishment refused; stools and urine in bed; pulse 120. Died next morning.
Abdomen. Peritoneal coat of ilium vascular; its mucous coat contained numerous ulcers which varied much in size; but all of them were raised above the surface and defined and regular in their margins; mucous glands throughout the entire intestine diseased, and many of them in different stages of disease; some were only enlarged; others enlarged and inflamed; others ulcerated at the apex; others ulcerated throughout; so that the largest ulcers appeared to be diseased glands in the last stage of ulceration; mesenteric glands prodigiously enlarged and hung over the abdominal vessels like a bunch of grapes of the largest size; rest of the intestines healthy excepting that they were much contracted and intussuscepted in several parts. Head. Dura mater adherent with preternatural firmness to the skull; vascular; pia mater highly vascular; substance of brain vascular and firm; slight effusion between the membranes. Thorax. [Pluræ of right side adherent;] substance of both lungs healthy.
Case LXVI.
Henry Todd, æt. 18. Duration and progress of disease unknown; abdomen tender on pressure; tongue coated with dirty yellow crust, red at tip; perfectly insensible; delirium; eyes, glistening; pulse 120, feeble.
2d day after admission. Little change excepting that the coma is more deep; abdomen less tender; two stools; pulse 124.
3d. Coma undiminished; respiration short, hurried, rattling; stools in bed; pulse 132; great prostration.
4th. Died.