Reporter and Reference |
Sex and Age. |
Previous History, and Duration of Illness. |
Symptoms. |
Colour of Skin. |
Post-Mortem Examination. | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
State of Supra-Renal Capsules. |
State of other Organs. |
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92. |
Male, 43. |
Previously healthy. Illness, eight months. |
Gradually increasing lassitude, with shooting pains in lower extremities; loss of appetite, sickness, giddiness, pain in epigastrium; later, aching pain in lumbar region, aggravated by straightening the back; last two days of life, semi-comatose state. |
Striking discoloration of face, hands and scrotum, and of a patch on chest where mustard plaster had been applied; rest of body of normal colour; lips and buccal membrane of same colour as face; black stains on sides of tongue, centre of normal colour. |
Left capsule size of a pigeon’s egg, converted into a bag containing thick yellowish fluid, and fragments resembling the white of a hard-boiled egg; right capsule adherent to liver, and presented the appearance of a scrofulous lymphatic gland proceeding to suppuration. |
Other organs healthy; right side of heart contained a fibrinous clot adherent to tricuspid valve. |
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TABLE F.
93.
Male, 35, customs’ tide-waiter.
Much anxiety and exposure in his occupation;
had rheumatism eight years before death, with great nervous depression;
since then, general good health; occasional bilious vomit-
Headache and vomiting;
delirium and unconsciousness lasting twenty-four hours,
and then numbness and want of power in the extremities;
improved and returned to work for a time; last month of life,
pulse ex-
Original sallow complexion deepened into olive-brown;
change of colour gradual from beginning of illness;
face had a dark look like that of miasmatic poisoning;
mucous membrane of lips deeply stained.
Both contained compact fibrinous concretions seated in the structure
of the organ; superficially examined,
they were not unlike some forms of strumous tubercle.
Lining membrane of the stomach finely injected, of a bright-red colour,
with two or three spots of ecchymosis; membrane thickened,
and surface covered with tenacious mucus; in
CASES OF ADDISON’S DISEASE, ALMOST UNCOMPLICATED.
(LESIONS OF OTHER ORGANS UNIMPORTANT)