12th. Still no tenderness of abdomen; six stools; tongue quite dry; pulse 120. 16th. Abdominal symptoms unchanged, excepting that the tongue has been exceeding dry; nearly insensible; delirium; almost constant moaning; pulse 120, very weak. 25th. Abdominal and cerebral symptoms continue with little change; cough more frequent with muco-purulent expectoration; pulse 130, very weak. 29th. Quite helpless; pulse scarcely to be distinguished; copious expectoration of purulent matter. 31st. Died. _Abdomen._ Ilium contained several large ulcers, especially at its termination in cæcum; liver enlarged and softened; other viscera healthy: _Head._ Membranes vascular; arachnoid opake and thickened; substance of brain vascular; effusion between the membranes; more fluid than natural in ventricles. _Thorax._ Lungs gorged; mucous membrane of bronchi vascular; bronchial tubes full of mucus mixed with pus. CASE LXXV. EDWARD HAMMOND, æt. 24, servant. Admitted on the 22d day of fever: attack commenced with usual symptoms, accompanied with loss of appetite and sense of nausea; at present no tenderness of abdomen; tongue red, glazed and cracked; bowels purged; no uneasiness in chest; cough with mucous expectoration; pain of head entirely gone; sensation in general diminished; mind composed; little sleep; pulse 110, of good power but easily compressed; much prostration. 23d. No pain acknowledged in any organ; little sensibility; no sleep; much restlessness; delirium; expression of countenance wild; pulse 108, firm. 24th. No pain; less sensible; tongue has become brown and dry; three stools; pulse 124, weak. 25th. More sleep; more tranquil this morning; tongue also is more moist; but the stools have been passed in bed, and the pulse is 124, weak and fluttering. 26th. More sleep; much more tranquil; more sensible; tongue more clean and moist; stools not passed in bed; the pulse notwithstanding is 136, and the pulsations are not distinct, but run into each other. 28th. Mind distinct; more sleep; tongue continues more moist, but no stools and no urine have been passed; the latter has been drawn off by the catheter; pain is now complained of in the right lumbar region; pulse 123. Died next day. _Abdomen._ Mucous membrane of ilium ulcerated; pancreas indurated, nearly of the consistence of cartilage, and of paler colour than natural; other viscera healthy. _Head._ Membranes natural; half an ounce of fluid at the base of the skull; substance of brain much softened. _Thorax._ Viscera healthy. CASE X. SARAH RAVEN, æt. 17. For symptoms see page 140. _Abdomen._ Mucous membrane of small intestines in general inflamed; lower part of ilium extremely ulcerated. _Head._ Both dura and pia mater vascular; arachnoid opake; much serum effused between the membranes. _Thorax._ [Pluræ of both sides adherent; left lung inflamed;] right lung healthy; other viscera healthy.