Case LXXV.
Edward Hammond, æt. 24, servant. Admitted on the 22d day of fever: attack commenced with usual symptoms, accompanied with loss of appetite and sense of nausea; at present no tenderness of abdomen; tongue red, glazed and cracked; bowels purged; no uneasiness in chest; cough with mucous expectoration; pain of head entirely gone; sensation in general diminished; mind composed; little sleep; pulse 110, of good power but easily compressed; much prostration.
23d. No pain acknowledged in any organ; little sensibility; no sleep; much restlessness; delirium; expression of countenance wild; pulse 108, firm.
24th. No pain; less sensible; tongue has become brown and dry; three stools; pulse 124, weak.
25th. More sleep; more tranquil this morning; tongue also is more moist; but the stools have been passed in bed, and the pulse is 124, weak and fluttering.
26th. More sleep; much more tranquil; more sensible; tongue more clean and moist; stools not passed in bed; the pulse notwithstanding is 136, and the pulsations are not distinct, but run into each other.
28th. Mind distinct; more sleep; tongue continues more moist, but no stools and no urine have been passed; the latter has been drawn off by the catheter; pain is now complained of in the right lumbar region; pulse 123. Died next day.
Abdomen. Mucous membrane of ilium ulcerated; pancreas indurated, nearly of the consistence of cartilage, and of paler colour than natural; other viscera healthy. Head. Membranes natural; half an ounce of fluid at the base of the skull; substance of brain much softened. Thorax. Viscera healthy.
Case X.
Sarah Raven, æt. 17. For symptoms see page 140.