to sun burning; last illness followed a severe purge. Duration, fourteen days.

ing; retching on the slightest exertion; later, cough, with scanty expectoration of mucus, tinged with blood, and faintness, with vomiting, on being moved; conscious to the last; death rather sudden.

more evident, and the nipples, axillæ, abdomen, and knees shewed a slightly dusky hue; a single small dark stain on buccal mucous membrane.

nodulated and consisting chiefly of opaque-yellow masses, cheesy or friable, with here and there some gritty matter, bound together by greyish semi-transparent tissue; in upper part, some puriform fluid; no trace of normal structure; left capsule smaller, and disease appeared less advanced.

ly grey semi-transparent tubercular deposit; in right lung, tubercle beginning to soften; a little grey tubercle in lower portions of both lungs; Peyer’s patches prominent, mesenteric and solitary glands enlarged, and a few of the latter opaque and yellowish.

157.
Dr. WILKS, Path. Trans., vol. xiv., p. 253. Dr. TRUMAN.

Male, 26, grocer.

None given. Illness about four months.

Excessive weakness and want of energy; dull, aching pain in region of kidneys; towards the last, vomiting.

At first, slight yellowish tinge on face, which gradually darkened; after death, skin universally of a yellowish-brown hue, more markedly so on abdomen.

Tight capsule much enlarged, and infiltrated with masses of yellow tubercle; left capsule smaller, but similarly diseased; under microscope, deposit found to consist of granules, oil-globules, free nuclei, and a few imperfect cells.

Puckered cicatrix at apex of right lung; old pleuritic adhesions; a few masses of tubercle between jejunum and pancreas, which were adherent to each other.

158.
Dr. MURCHISON Path. Trans., vol. xv., p. 224. Dr. W. T. GAIRDNER.

Male, 15, paper-stainer.

None given. Illness above a year.

Chilly fits, pains in back, diarrhœa and sickness; typhoid erysipelas of face, and tubercular peritonitis.

General darkening of skin; almost Negro blackness on points of fingers, penis, and scrotum; slight staining of mucous surface of lips.

Both enlarged and indurated; the normal structure, except a little in left capsule, replaced by a yellow cheesy substance, partly infiltrated with cretaceous matter.

A little tubercle in both lungs; peritoneum universally tuberculous.