Abdomen. Peritoneal coat of intestines in general vascular, that of small intestines particularly so; numerous patches of the mucous membrane of the ilium raised by matter deposited beneath it, and extensively ulcerated; mesenteric glands much enlarged. Head. Membranes of brain vascular. Thorax. [Pleuræ of both sides adherent; that of right side vascular; right cavity contained some serous fluid mixed with flakes of lymph.]
Case LXXIV.
Sarah Hassell, æt. 40. Admitted on 8th day of fever; complaint commenced with usual symptoms, accompanied with much nausea. Abdomen not tender; tongue furred at root, red and clean at tip and around edges; bowels purged from the very commencement of the attack; no uneasiness of chest; cough; pain of head gone; that of back remains; vertigo; pulse 108, feeble.
9th. No tenderness of abdomen on firmest pressure; tongue brown and dry; four stools; pulse 108.
12th. Still no tenderness of abdomen; six stools; tongue quite dry; pulse 120.
16th. Abdominal symptoms unchanged, excepting that the tongue has been exceeding dry; nearly insensible; delirium; almost constant moaning; pulse 120, very weak.
25th. Abdominal and cerebral symptoms continue with little change; cough more frequent with muco-purulent expectoration; pulse 130, very weak.
29th. Quite helpless; pulse scarcely to be distinguished; copious expectoration of purulent matter.
31st. Died.
Abdomen. Ilium contained several large ulcers, especially at its termination in cæcum; liver enlarged and softened; other viscera healthy: Head. Membranes vascular; arachnoid opake and thickened; substance of brain vascular; effusion between the membranes; more fluid than natural in ventricles. Thorax. Lungs gorged; mucous membrane of bronchi vascular; bronchial tubes full of mucus mixed with pus.