of sternum

softer part towards middle, from which milky fluid escaped on pressure.

abdominal organs extensively adherent.

166.
Dr. WOODHOUSE, Brit. Med. Jour., 1863, vol. ii., p. 605.

Male, 63, gentleman.

Always of sallow complexion and gouty constitution. Illness several months.

Progressive debility and emaciation; œdema and purpura of legs; no nausea or vomiting; enlargement of liver and ascites; death from asthenia.

Tawny patches on forehead and left temple.

Both enlarged, and infiltrated with tubercular matter.

Liver enlarged and granular; spleen large and friable, with tubercular concretion size of walnut; lungs healthy.

167.
Mons. MALHERBE, Gazette des Hôpitaux, 1856, p. 247.

Female, 48.

Severe mental emotion eighteen months before death, from which time health failed.

Wandering pains in limbs and abdomen; pulse extremely slow and feeble; progressive debility, slight emaciation, constant vomiting, diarrhœa; death from sinking.

Skin, naturally very white, acquired a gradually deepening shade of brown; after death, colour deepest in groins and axillæ, but perceptible everywhere.

Left capsule greatly enlarged, and contained two masses of tubercle; right capsule or lardaceous consistence, resembling crude tubercle, with a number of encysted tubercular deposits in a cheesy state.

Cervical glands enlarged; lymphatic glands generally almost transformed into masses of tubercle; left kidney full of encysted tuberculous deposits, some cheesy, some suppurated, others hard.

168.
Mr. LEEMING, Med. Gazette., 1860, vol. i., p. 87.

Female, 47.

None given. Illness said to have lasted four years.

General debility, loss of appetite, pain in lumbar region extending to right groin; pulse soft and weak; twice improved in general health but relapsed.

Bronzed all over body twenty-two months before death; face and hands darkest. On abdomen and chest many dark spots gradually shaded off.

Both broken up into purulent-like fluid with masses of softened tubercles in centres.

Pleuræ adherent; lungs infiltrated with tubercle; spleen tubercular; pancreas full of tubercular deposit and pus.