CASE V.

The following, taken from Dr. Bright’s Reports of medical cases, presents, according to my belief, a very good illustration of the disease under consideration, and is headed:
“Serous effusion under the arachnoid and into the ventricles in a case of emaciation, with bilious vomiting and diseased renal capsules.”

“Ann Roots was admitted in July 1829, under one of the surgeons, into Guy’s Hospital, on account of a tumour in the left breast and a swelling of the right parotid; but as it was perceived that she was greatly emaciated and apparently sinking, and therefore quite unfit to undergo any operation, she was transferred to the care of the physician.

“Her complexion was very dark, her whole person emaciated; she had no cough, and neither tension nor tenderness of abdomen; she had great difficulty opening her jaw, owing to the glandular swelling, and could not protrude her tongue. There was no indication but to support the strength. Her stomach soon became irritable; she had bilious vomiting, which reduced her strength, and for a day or two before her death, which took place on the 18th of August, she became drowsy, yet capable of being roused; complaining of some pain over the forehead, and occasionally wandering a little in her intellects.