ness; the voice is puny and puerile, the patient speaking with a kind of indescribable whine, and his whole demeanour is childish. He complains of a sense of soreness in the chest about the scrobiculus cordis. The chest is well-formed and perfectly resonant; the sounds of the heart are also healthy; there is some slight fullness in the region of the stomach. The urine is of a proper colour, and he has passed in twelve hours one and a half pint, which has a specific gravity 1008, an acid reaction, and contains neither albumen nor sugar; there is also some pain on pressure in the left lumbar region.
Feb 8.- Dr. Bird wished a likeness to be taken, so as to be able to watch any alterations in his colour; and considering the case one of anæmia, ordered Syr. Ferri Iodidi 3j ter die; and middle diet. These he took the whole of the time that he was in the hospital, and was discharged in April, rather stronger, but the colour remained precisely the same.
Shortly after his discharge from the hospital, he was seized with acute pericarditis and pulmonic inflammation, under which he speedily sank and died.
The following is a report of the post-mortem examination:-
Lungs universally adherent, the adhesions being very old. The upper lobe of the right lung contained some small defined patches of recent pneumonia, about the size of a crown-piece, surrounded by tolerably healthy structure. The lower lobe was extremely fleshy and without air. The left lung was bound down by old pleuritic adhesions, which were very tough and difficult to be torn through. The substance of this lung was fleshy, and contained but little air. There was no tubercle or cavity. The mucous membrane of the bronchial tubes was considerably injected, and, I believe, rather thickened. The pericardium was distended with fluid of a deep brown colour, amounting to about half-a-pint; recent lymph was effused over the whole serrous surface. The liver and spleen were