11th. Tongue not to be protruded; perfectly insensible; pulse 125. _Abdomen._ Peritoneal coat of small intestines vascular; mucous membrane of ileum and cæcum contained several large ulcers; in other places the membrane was entire, but irregularly raised by submucous deposit so as to present the appearance of large ulcers. _Head._ Arachnoid highly vascular; effusion beneath all the membranes; more fluid than natural in the lateral ventricles. _Thorax._ Viscera healthy. CASE LXXXII. ELEANOR NORRIS, æt. 12. Was seized eight days ago with sudden loss of strength, great confusion of mind, and severe pain in the head and limbs; the pain of the head continues, shooting down along the spinal cord to the loins; no tenderness of abdomen; tongue white; bowels purged; pulse 129, of good power. 9th. Tongue has become brown and dry; five stools; scarcely any pain of head; delirium; pulse 120. 14th. Abdomen now tender on pressure; tongue continues brown and dry; four stools; pain of back and loins returned; delirium; pulse 130. 15th. Pain of abdomen continues; tongue still browner and more dry; four stools; delirium; pulse 128. 16th. Deglutition difficult; pulse 120; great prostration. 17th. Stools in bed; delirium and prostration increasing; pulse scarcely to be counted. 18th. Great restlessness; much delirium; countenance wild and anxious; pulse exceedingly quick and weak. 20th. Respiration hurried and laborious; pulse not to be counted; insensible; stools in bed. Died in the night. _Abdomen._ Mucous membrane of jejunum and ilium extremely ulcerated; omentum a mere web; all the other viscera healthy. _Head._ Membranes and substance of brain apparently natural. _Thorax._ [Costal pleura of left side inflamed and thickened; pulmonary pleura covered with pus; pleural sac contained two ounces and a half of serum mixed with pus; substance of left lung nearly healthy; right side healthy; two ounces of serum in pericardium.] CASE LXXXIII. MARIA MOORE, æt. 22, servant. Admitted on the 22nd day of scarlet fever: throat well; deglutition easy; no pain of chest; none of abdomen; tongue of dark red colour; bowels purged; some pain of head, especially at occiput; pulse 98. 23d. Pain of head continues; noisy delirium; pulse 108; abdominal symptoms the same. 30th. Amended the day following last report, and continued to improve until this morning, when she was again attacked with soreness of throat and difficult deglutition; tongue loaded; three stools; pulse 98. 31st. Throat equally painful; deglutition equally difficult; pulse 110. 32nd. After the application of leeches to the throat the pain became easier and the deglutition less difficult; internal fauces very red; uvula much swollen. 33d. Throat again better; deglutition easy; pulse 120. 35th. Throat well, but the voice is hoarse; four stools, mixed with blood; pulse 110.