_Thorax._ Mucous membrane of bronchi, in all their ramifications, highly
vascular; bronchial tubes full of mucus, mixed with pus. _Head._ Dura
mater adherent with preternatural firmness to cranium; substance of
brain unusually firm; posterior lobes crisp, and cut almost like
cartilage; anterior lobes, when cut into, abound with bloody points;
cerebellum exceedingly firm. _Abdomen._ Peritoneal coat of small
intestines in general vascular; eight or ten portions of the jejunum and
ilium, to the extent of three or four inches each, intussuscepted;
mucous membrane of these parts extensively ulcerated, some of the ulcers
circular, the greater number oblong, and at least two inches in length;
mucous membrane in general highly vascular, but that surrounding the
ulcers less so than the other parts; mesenteric glands corresponding to
ulcerated portions of intestine enlarged and vascular; crimson spots on
convex surface of liver; gall-bladder distended with a yellowish watery
fluid; spleen enlarged, and so soft as to be easily broken down under
the finger.
CASE LII.
THOMAS LEWIS, æt. 51, taylor, admitted on the 8th day of fever.
Complaint commenced with general pains, nausea and vomiting, together
with cough and dyspnœa. At present there is no pain of chest except on
coughing, which produces some uneasiness; cough frequent, with copious
sputa; pain of epigastrium; tongue exceedingly parched and dry; much
thirst; bowels purged; some pain of head, chiefly in forehead; mind
distinct; scarcely any sleep; face pallid; pulse 126, weak. Early next
morning died.
_Thorax._ Mucous membrane of bronchi inflamed; [pleuræ of right lung
covered with coagulable lymph; substance of right lung universally
consolidated, and infiltrated with tubercular matter;] left lung gorged.
_Abdomen._ [Liver indurated; crisping under the knife; kidneys
indurated.] _Head._ Membranes and substance of brain vascular.
CASE LIII.
MARY SULLIVAN, æt. 40, married, admitted on the 15th day of fever. Some
pain of chest; severe cough; much pain of head, with sense of noise;
mind dull; scarcely any sleep; face flushed; skin warm; tongue foul and
dry; pulse 98.
16th. Frequent short cough, without expectoration; mind confused, yet
sensible when spoken to; pulse 90.
17th. Thoracic and cerebral symptoms unchanged; pulse 111, indistinct.
26th. Cough diminished; sensibility increased; she appeared in all
respects better until this day, when the cough became more frequent and
the expectoration purulent; pulse 60.
27th. Cough frequent; expectoration the same; respiration short and
hurried; pulse 60, intermittent.
30th. Respiration became more and more hurried, and the strength rapidly
sunk. Died.
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