_Abdomen._ All the coats of the stomach appeared much attenuated; mucous
membrane of cardiac extremity so soft as to lacerate under examination;
that of pyloric end exhibited numerous minute spots of a deep red
colour, as if touched with a paint-brush; peritoneal coat of ilium of
dark red colour; other viscera healthy. _Head._ Arachnoid thickened and
opake; considerable effusion between it and the dura mater; substance of
brain vascular; half an ounce of serum in each ventricle. _Thorax._
[Right pleural cavity contained one ounce and a half of bloody fluid,
left eight ounces; substance of both lungs much condensed, and on their
surface an appearance as if blood had exuded and coagulated. Pericardium
contained two ounces of serum: heart healthy.]
CASE LXIII.
HANNAH SWIFT, æt. 20, servant. Admitted on the 8th day of fever:
abdomen, especially the epigastric region, tender; tongue clean, red,
chapped; lips parched and cracked; some pain of head, back, and limbs;
mind rather confused; pulse 120, soft, and feeble.
9th. The abdomen, which continues tender, has become swollen and tense;
two stools.
15th. Abdomen still very tender, swollen, and hard; tongue dry; two
stools; vomiting of much green coloured fluid; pain of head gone, but
sense of weight in it.
17th. Tenderness of abdomen and vomiting continue; delirium; pulse 100,
small and feeble.
19th. Tenderness of abdomen increased; no vomiting; tongue the same;
pain of head returned; delirium; erysipelas of face; pulse 109, feeble.
21st. Erysipelas extending to arm; tongue brown, dry, and cracked; much
delirium.
22d. Cheeks livid; extremities cold and livid; pulse imperceptible.
Died.
_Abdomen._ Mucous membrane of ilium highly inflamed, and ulcers just
forming; other viscera healthy. _Head._ Dura mater vascular; arachnoid
opake; substance of brain vascular; some fluid in ventricles. _Thorax._
Mucous membrane of bronchi inflamed: tubes filled with mucus mixed with
pus: [pleuræ in part adherent; some serous fluid in both cavities;
substance of lungs natural.]
CASE LXIV.
THOMAS SEXTON, æt. 18, servant. Admitted on 3d day of scarlet fever;
complaint came on with nausea, vomiting, and pain of the limbs; at
present throat sore; deglutition easy; chest free from pain; no cough;
abdomen tender, especially in the region of the epigastrium; tongue
white in middle, red around margin; no stool for several days, because,
as he supposes, he has vomited all his medicine; pain of head; vertigo;
face flushed; frequent attacks of epistaxis during his vomiting, always
relieving the head-ache; pulse 102; skin warm; no eruption.
4th. Pain of head gone; vertigo continues; eyes dull and heavy; face
flushed; no vomiting; pulse 96.
5th. Sense of vertigo lessened; tongue brown and dry; four stools; pulse
84.
7th. Abdomen tender; tongue brown and dry; six stools; pain of head
returned; much pain of back; no sleep; delirium.
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