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.

127.
Dr. C. COOTE, Path. Trans., vol. x., p. 271.

Male, 23.

None given.

None recorded, but caries of the sacral and lumbar vertebræ, causing lumbar and pelvic abscesses; death from exhaustion.

No discoloration of skin.

Both much enlarged; normal structure almost entirely replaced by firm yellow amorphous deposit; traces of cortical tubes seen only in a few spots.

Kidneys contained deposits of white tubercular matter, softening in parts; several mesenteric glands infiltrated with (probably) scrofulous deposit.

128.
Mr. HULKE, Path. Trans., vol. xiv., p. 254.

Male, 30, mechanic.

None given. Duration uncertain.

Pain and tenderness in lumbar region of spine; psoas abscess; some emaciation, extreme feebleness, very irritable stomach, obstinate constipation; last day of life, faintness.

No discoloration of skin.

Both enlarged, hard, and knobby; on section, homogeneous, mottled with a few yellowish friable specks; under microscope, traces of normal structure.

caries of third and fourth lumbar vertebræ; psoas abscess; scattered tubercles in apices of both lungs.

129.
Dr. GREENHOW, Path. Trans., vol. xvii., Dr. STEWART.

Male, 32, coal-porter.

Had sprained his back severely in pushing a coal-truck, upwards of three years before death, and had felt more or less pain ever since. Illness, about nine months, discoloration five months.

Debility, sweating, headache, loss of appetite, and sickness; breathlessness on exertion; severe pain in right lumbar region; pulse exceedingly feeble; retching and vomiting after food, pain in epigastrium; tenderness and pain over several vertebræ; vertigo, deafness, and dimness of sight; drowsy, semi-comatose

Whole surface olive-brown, especially face, neck, and hands; several almost black specks on face; tongue, lips and buccal membrane stained; abdomen darker than rest of body, except sites of blisters; nipples and areolæ, penis and scrotum, very dark; hair and beard had darkened; conjunctivæ pearly.

Both embedded in thick fibrous tissue, and adherent; right much enlarged, nodulated, and on section shewed no distinction of cortex and medulla, but a mixture of greyish semi-transparent somewhat fibrous tissue, and of roundish yellow cheesy masses, with small calcareous patches; left capsule smaller, and con-

Lungs attached by old adhesions to ribs; in adhesions a cyst filled with putty-like matter, and some calcareous deposits; cicatrices and yellow opaque nodules in apices of lungs; abscesses in front of vertebræ, from seventh dorsal to third lumbar; inter-vertebral

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