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.

100.
Dr. FRESNE, Gazette des Hôpitaux, 1857.

Female, 30, married woman.

Always fairly good health. Illness, about one year.

Illness sudden; severe pains in lumbar region, and vomiting; pulse small and quick; heart’s action hurried; progressive emaciation and debility; death rather sudden.

General and marked brown discoloration soon following symptoms of illness; colour extended to buccal mucous membrane.

Both three times the normal size, hard, nodulated, and completely converted into tuberculous matter.

Old peritoneal adhesions; nothing more reported, except no tubercle in lungs.

101.
Mr. SIBLEY, Med. Gazette, vol. xxxiii., p. 188, 1854, Dr. S. THOMPSON.

Male, 20, painter.

Unknown; discoloration, about six weeks. Illness, a few days.

Last days of life languor, inability to move about, cold sweating, great feebleness of pulse, restlessness, soreness of throat; deep-seated pain in region of liver; perfectly conscious, but slow in answering questions.

Skin of a dark, dirty-brown colour, and conjunctivæ the same.

Both much enlarged, firm, and dense; on section, composed of opaque yellow cheesy substance, in some parts broken down; here and there, portions of the natural structure could be detected.

Pericardium firmly and universally adherent; liver tough and congested; solitary glands of small intestine enlarged, forming eminences the size of millet-seeds.

102.
Mr. E. CROSSMAN, Brit. Med. Jour., 1860, p. 359.

Male, 59, gardener.

None given. Illness, eight months.

Progressive prostration, emaciation, anorexia and vomiting, with dull weight and pain at epigastrium, and at one time diarrhæa; death from exhaustion.

No appearance of bronzing; skin of a yellowish-white colour.

Both totally disorganized and converted into empty cavities, the walls of which were coated internally with a thin layer of yellow cheesy matter.

Lungs healthy, except old adhesions; pancreas and mesenteric glands hard, and coloured black externally; parts of liver and kidneys also black externally.

103.
M. VIRCHOW, Canstatt’s Jahr-

Female, 16, servant.

Always weakly; and troubled with palpitation on exertion;

Lassitude and vertigo; pains in lumbar region, back, and head, and later

Early in illness, face brownish; on face and arms, round, sharply-de-

Both slightly enlarged, and studded throughout with hard tuberculous no-

Mesenteric glands all much enlarged, hardened, and glis-

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