_Abdomen._ Mucous membrane of ilium inflamed throughout; lower part of
it ulcerated; other viscera healthy. _Head._ Membranes and substance of
brain vascular. _Thorax._ Mucous membrane of bronchi inflamed; bronchial
tubes filled with mucus mixed with pus.
CASE LXVII.
FREDERICK KILHAM, æt. 12. Admitted on the 15th day of fever; abdomen
tender; tongue not to be seen on account of its being covered with
grumous blood from a large ulcer on the right side of the lower jaw;
bowels bound; some pain of head; no uneasiness of chest; pulse 114; much
emaciation.
16th. Lips and teeth sordid; mind confused; prostration.
20th. Violent delirium; pulse 92.
21st. The ulcer along the lower jaw in the inside of the mouth sloughing
and extending; delirium; pulse 96, weak. Died next day.
_Abdomen._ Mucous membrane of ilium vascular, and contained some ulcers;
other viscera healthy. _Head._ More fluid than natural between the
membranes. _Thorax._ Viscera healthy.
Two ulcers in the substance of the cheeks; that on left cheek extended
from the angle of the mouth to the last molares, and contained a large
black slough a quarter of an inch thick; this ulcer had extended to both
gums, denuding the alveolar processes and loosening the teeth; that on
the right cheek precisely similar, but less extensive.
CASE LXVIII.
ANN MOUNT, æt. 28, servant. Admitted on 15th day of disease; epigastrium
tender; tongue brown and dry; bowels purged; slight pain of head; much
vertigo; some cough; pulse 111, very intermittent in the right wrist;
less so in the left.
16th. Early this morning attacked with severe pain of the chest and
dyspnœa, attended with much headache, for which she has been bled with
the removal of the symptoms; pain now quite gone; tongue white; four
stools; pulse 120, soft; blood buffy and cupped.
17th. Seized last evening with violent delirium which required
restraint; occasional sleep with paroxysms of delirium; face flushed;
abdomen not tender; pulse 120, firm. V. S. ad ℥xvi.
18th. No pain of head; no delirium; slept better; tongue brown and dry;
five stools; pulse 132, firm; blood sizy and deeply cupped. V. S. ad
℥xij.
19th. Complains of “stupid pain of head;” no vertigo; delirium, but less
violent; scarcely any sleep; countenance still heavy, but rather more
animated than yesterday; abdomen not tender; three stools in bed; pulse
132, firm but soft. C. C. ad ℥xij. nuchæ.
20th. Pain gone; more insensible; countenance more dull and heavy;
scarcely any sleep; almost constant moaning; tenderness of abdomen quite
gone; tongue brown and dry; lips and teeth sordid; four stools in bed;
pulse 144, weak. Vini Albi, ℥ii. Mist. Camph. Fort. 6ta. q. h.
Slept rather better; less moaning; countenance scarcely as collapsed as
yesterday; pulse 132, firmer; stools in bed. Augeat. Vinum ad ℥vi.
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