16th. Early this morning attacked with severe pain of the chest and dyspnœa, attended with much headache, for which she has been bled with the removal of the symptoms; pain now quite gone; tongue white; four stools; pulse 120, soft; blood buffy and cupped.
17th. Seized last evening with violent delirium which required restraint; occasional sleep with paroxysms of delirium; face flushed; abdomen not tender; pulse 120, firm. V. S. ad ℥xvi.
18th. No pain of head; no delirium; slept better; tongue brown and dry; five stools; pulse 132, firm; blood sizy and deeply cupped. V. S. ad ℥xij.
19th. Complains of “stupid pain of head;” no vertigo; delirium, but less violent; scarcely any sleep; countenance still heavy, but rather more animated than yesterday; abdomen not tender; three stools in bed; pulse 132, firm but soft. C. C. ad ℥xij. nuchæ.
20th. Pain gone; more insensible; countenance more dull and heavy; scarcely any sleep; almost constant moaning; tenderness of abdomen quite gone; tongue brown and dry; lips and teeth sordid; four stools in bed; pulse 144, weak. Vini Albi, ℥ii. Mist. Camph. Fort. 6ta. q. h.
Slept rather better; less moaning; countenance scarcely as collapsed as yesterday; pulse 132, firmer; stools in bed. Augeat. Vinum ad ℥vi.
22d. Scarcely any sleep; almost constant moaning; face flushed; skin covered with cold perspiration; tongue scarcely to be protruded; deglutition difficult; subsultus tendinum; pulse 132.
24th. No change except that the prostration continued to increase. Died.
Abdomen. Mucous membrane of jejunum, ilium and cæcum highly vascular; that of ilium contained three or four large oval ulcers; other viscera healthy. Head. Membranes and substance of brain vascular; more serum than natural in the ventricles. Thorax. Viscera healthy.
Case LXIX.