7th. Pain of head gone; mind much more dull and heavy; abdomen very
tender; tongue has become brown and continues extremely dry; four stools
dark and offensive; pulse 104, soft.
8th. Scarcely any sleep; much restlessness; mind confused; insensibility
increasing; pulse 90, weak. Died next morning.
_Head._ Membranes vascular; substance of brain in general much softened,
but the floors of the ventricles especially were in an exceedingly
softened state. _Thorax._ [Left pleuræ adherent at apex; superior lobe
of left lung hepatized and stuffed with small tubercles; two adhesions
in right pleuræ, one at apex; right lung stuffed with tubercles;]
pericardium and heart healthy; condition of bronchi not stated.
_Abdomen._ Mucous membrane of ilium and cæcum exceedingly vascular, but
not ulcerated; patches of peritoneal coat of stomach vascular; [large
lobe of liver scirrhous;] other viscera healthy.
CASE CII.
JONATHAN STUDD, æt. 27. Admitted on the 28th day of fever; symptoms
throughout appear to have been chiefly thoracic; at present frequent
cough with viscid expectoration; great emaciation; pulse 102, extremely
weak; no pain of head or abdomen; tongue foul; bowels regular; face
pallid.
29th. Cough continues; abdomen not tender; tongue brown and dry in
middle, red at tip and edges; three stools; pulse 100; mind dull and
confused; muscular tremor.
30th. Cough the same; tongue unchanged; lips and teeth sordid; three
stools mixed with blood; delirium; muscular tremor increased; pulse 108.
31st. Abdomen has become tympanitic; three stools mixed with blood;
delirium and muscular tremor increased; pulse 112, weaker.
47th. On the evening of the day of last report he slept better and waked
improved in all respects; this improvement appeared to be steady and
progressive; the stools became natural; the pulse diminished in
frequency and increased in strength; on this morning the stools
continued natural; the pulse was 90, and he still seemed to be gradually
though slowly recovering, when, without the return of any unfavourable
symptom, he suddenly expired.
_Head._ Membranes and substance of brain healthy, but more fluid than
natural in the ventricles. _Thorax._ Mucous membrane of bronchi greatly
inflamed and thickened; bronchial tubes full of mucus mixed with pus;
pleuræ of left side of chest extensively adherent; substance of left
lung healthy excepting some slight patches of hepatization. _Abdomen._
Mucous membrane of small intestines extremely vascular, in many places
presenting the appearance of ecchymosis; at the valve of the colon
several small ulcers; other viscera healthy.
CASE CIII.
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