_Abdomen._ Both small and large intestines vascular throughout; mucous
membrane of ilium contained several ulcers of considerable magnitude;
gall-bladder contained an ounce and half of serous fluid; spleen
indurated; other viscera healthy. _Head._ Substance of brain vascular;
effusion between the membranes; more fluid than natural in the
ventricles and at base. _Thorax._ Bronchi natural; substance of right
lung gorged with blood and infiltrated with serum; that of left healthy.
CASE LXXII.
ELIZABETH GORE, æt. 24, servant. Admitted on 22d day of fever: attack
commenced with ordinary symptoms, accompanied with sense of nausea and
some vomiting. At present abdomen not tender; tongue red, moist; lips
and teeth sordid; bowels bound; pain of head gone; that of loins
remains; deafness; no uneasiness of chest; much cough; skin dusky; pulse
120, weak and intermittent.
23d. Abdomen tender; four stools, dark; some pain of head; delirium;
pulse the same.
26th. Stools in bed; no sleep; delirium; respiration hurried and noisy;
cheek dusky; extremities cold.
27th. Deglutition difficult; pulse 128. Died next morning.
_Abdomen._ Mucous membrane of ilium ulcerated; mesenteric gland
excessively enlarged. _Head._ Membrane and substance of the brain
natural; much effusion into the ventricles, and at the base of the
skull. _Thorax._ Viscera of the thorax in other respects perfectly
healthy.
CASE LXXIII.
ANN KENSIT, æt. 20, servant. Admitted on the 8th day of relapse:
perfectly insensible; cannot be roused; no sensation on firmest pressure
over the abdomen; pupils natural; tongue brown and dry; bowels loose;
pulse 124.
9th. Some uneasiness induced by firm pressure over the abdomen, which
has become swollen, tense, and tympanitic; tongue not to be protruded;
lips and teeth sordid; stools in bed; respiration slow and laborious;
face cadaverous; extremities blue.
11th. No change; has never spoken nor shown any degree of sensibility
since admission.
_Abdomen._ Peritoneal coat of intestines in general vascular, that of
small intestines particularly so; numerous patches of the mucous
membrane of the ilium raised by matter deposited beneath it, and
extensively ulcerated; mesenteric glands much enlarged. _Head._
Membranes of brain vascular. _Thorax._ [Pleuræ of both sides adherent;
that of right side vascular; right cavity contained some serous fluid
mixed with flakes of lymph.]
CASE LXXIV.
SARAH HASSELL, æt. 40. Admitted on 8th day of fever; complaint commenced
with usual symptoms, accompanied with much nausea. Abdomen not tender;
tongue furred at root, red and clean at tip and around edges; bowels
purged from the very commencement of the attack; no uneasiness of chest;
cough; pain of head gone; that of back remains; vertigo; pulse 108,
feeble.
9th. No tenderness of abdomen on firmest pressure; tongue brown and dry;
four stools; pulse 108.
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