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CASE IV.- Reported by the Ward Clerk.

John Iveson, æt. 22, admitted into Guy’s Hospital, March 20, 1854, and died the following day. A stonemason, residing as Lambeth. Last winter he had pain in the stomach and vomiting. He slightly improved, but the day after Christmas was confined to his bed with great pain and vomiting; the vomited matter consisting of a watery fluid. At the time he had “tic douloureux.” On admission his extremities were cold, he was almost pulseless, his hands were blue; he had not had any diarrhœa; he had slight pain, or rather soreness in the hypogastric region; he was quite sensible; the pupils were much dilated. He rallied a little after his admission; had no purging, but vomited bilious matter; had no diabetes or albumenuria. He appeared to die from syncope.

SECTIO CADAVERIS

Seventeen hours after death, weather cold, limbs rigid, body tolerably nourished, face of a dingy colour, also the axillæ and hands. Abdomen not distended.

Head.- The dura mater and sinuses were found to be healthy, the membranes injected and the veins full. There was slight subarachnoid effusion. The grey matter of the cerebrum was rather deep in colour. The brain was in other respects normal.

Chest.- Trachea granular and congested. The right pleura adherent at the posterior and lower parts; on the left side there were firm adhesions at the apex. The bronchi granular; the left apex was a little puckered, and presented several lobules, with iron-grey consolidation and calcareous deposit. The right lung was healthy, with the exception of a single iron-

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