_Thorax._ Mucous membrane of bronchi inflamed; bronchial tubes full of
mucus, mixed with pus; [pleuræ adherent; patches of left lung
hepatized.] _Abdomen._ Liver and spleen extremely softened, breaking
down under the fingers into a mass like coagulated blood. _Head._
Membranes and substance of brain pretty healthy.
CASE LIV.
SARAH PEACH, æt. 23, married, admitted on the 17th day of fever.
Thoracic symptoms came on with the very commencement of the disease: at
present there is no pain of the chest, but much cough; respiration short
and hurried; colour of the face quite dusky; some pain of head; mind
confused; pulse 100; abdomen not tender; tongue of beefsteak character;
bowels regular.
18th. Cough and hurried respiration continue; dusky colour of face has
become livid; delirium; low muttering talkativeness; pulse 116; teeth
sordid; stools in bed.
19th. Severity of bronchial symptoms much increased; respiration
panting; colour of skin in general, but especially of face, livid;
deglutition difficult; pulse 124, weak. Died following morning.
_Thorax._ Mucous membrane of bronchi inflamed; bronchial tubes filled
with mucus, mixed with pus; mucous membrane of trachea vascular; [both
lungs studded with miliary tubercles.] _Head._ Dura mater and arachnoid
highly vascular; theca of spinal cord highly vascular; substance of
brain vascular. _Abdomen._ [Spleen contained a small mass of cheesy
tubercles near its surface;] patches of mucous membrane of small
intestines inflamed, but without ulceration.
CASE LV.
ISABELLA LORA, æt. 12. Admitted on the 3rd day of scarlet fever; throat
sore; deglutition painful; slight cough; skin covered with
copper-coloured eruption; tongue loaded in middle with white fur; red
around edges and at tip; some pain of head; pulse 120.
4th. Much improved; less pain of throat and head; pulse 96.
14th. Convalescent and gradually gaining strength up to this day; early
this morning seized suddenly with rigors attended with vomiting: abdomen
tender; three stools; pulse scarcely to be felt; mind distinct.
15th. Left parotid painful, hard and swollen; throat again inflamed;
pulse 124.
16th. Early this morning seized with symptoms of severe laryngitis, for
which leeches have been applied with partial relief; tonsils and uvula
much swollen; respiration exceedingly laborious; pulse 140, sharp. Died
same day.
_Thorax._ Tonsils much enlarged; mucous follicles full of purulent fluid
mixed with blood; some of them exceedingly enlarged, and communicating
so as to form cavities; membrane covering the upper part of larynx
highly vascular and much thickened, especially that about the epiglottis
and the arytænoid cartilages; mucous membrane below the rima glottidis
healthy; both the parotids, the sublingual, and the maxillary glands
enlarged. _Abdomen._ Peritoneal coat of the intestines inflamed and
thickened. _Head._ Membranes and substance of brain tolerably healthy.
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