28th. Neither vomiting nor purging; respiration more easy; cough diminished; tongue more moist; pulse 116.
29th. Respiration much more natural; cough greatly diminished; tongue clean and moist; pulse 112.
36th. From the period of last report she steadily and progressively improved and became convalescent; on the morning of this day while speaking to the nurse in her usual manner she suddenly fell back and expired.
Abdomen. Mucous membrane of intestines in general inflamed, especially that of ilium and cæcum, which contained some ulcers; peritoneal covering of posterior surface of spleen cartilaginous; other viscera healthy. Thorax. Mucous membrane of bronchi highly inflamed; bronchial tubes full of purulent fluid; substance of lungs healthy. Head. Unfortunately, from some accident, the head was not examined.
Case LXX.
Stephen Winter, æt. 78. Duration and previous symptoms of disease unknown; at present abdomen tender; tongue brown and dry; stools natural; respiration wheezing with some cough; slight pain of head; mind composed; muscular tremor; pulse 100, irregular.
2nd day after admission. Abdominal and thoracic symptoms the same; mind more confused; more muscular tremor; pulse 108.
5th. Respiration laborious; mind quite unconscious; constant incoherent talking; pulse 108.
6th. Respiration hurried and laborious; pulse not to be counted; perfectly insensible. Died next morning.
Abdomen. All the coats of the stomach appeared much attenuated; colon contracted into the form of a white cord; its coats in several places thickened, and its mucous membrane ulcerated; liver soft; [gall bladder much thickened, and its cavity so diminished, that it would scarcely admit the end of the finger, filled with two small gall-stones. About five inches of the recti muscles black and infiltrated with blood.] Head. Arachnoid thickened and opake; considerable effusion between it and the dura mater; substance of brain firm; ventricles distended with serum. Thorax. All the viscera healthy, [excepting that the coronary arteries were ossified.]