lxix
orange in colour, Sp. Gr. 1,014, alkaline, albumen 1/13th, few red blood corpuscles, but no
casts or crystals. Three grains of Arsenic were given during the twenty-four hours.
Temp. 5 P.M. 36.7°C. P. 64. R. 8.
3rd—It is difficult to say whether the animal continues to lose flesh as it is merely skin
and bone, but it is able to walk some fifty yards without any apparent exertion. The visible
mucous membranes retain the yellow tinge and the conjunctivae are deeply petechiated.
The appetite however continues good, but the fæces are light in colour and some of the dung
balls are coated with mucus. Temp. A.M. 36.7°C. P. 64. R. 12. The hæmatozoon is
absent from the blood. Temp. 1 P.M. 36.8°C. Urine, turbid, orange in colour, Sp. Gr.
1,012, alkaline, contains albumen 1/10 th, together with a few red blood corpuscles, but no
casts or crystals. Three grains of Arsenic were given this morning, but the dose has been in
creased to gr. iv this evening. Temp. 5 P.M. 37.4°C. P. 64. R. 12.
The animal fell at 12.30 A.M. and death took place at 9.30 A.M.
A UTOPSY.—At 11 A.M., January 4th, 1893.
The body is extremely emaciated. There is a complete absence of subcutaneous adipose
tissue and œdema from the extremities and under surface of the abdomen.
Thorax.—There
is no fluid in the pleural cavities and no pleuritic adhesions. Lungs, Right.—The anterior
half presents a light pink colour, dotted over with sub-pleural petechiæ, circular in form and
dark-purple in colour, varying in size from 1/12th to 1/6th of an inch in diameter. The apex
is the seat of a localized emphysema. The posterior half of the organ is of a dark-purple
colour, but it is difficult to make out any petechiæ on its surfaces.
On Section, the anterior
portion presents a perfectly healthy condition with the exception of the apex ; the posterior
portion, a dark red colour ; on pressure a large quantity of deeply blood-stained fluid mixed
with air exudes from the cut surfaces. Left. —The anterior lobe is the seat of a localized
emphysema. The inferior border encroaching on the tissues for a variable distance from
2 to 4 inches, presents a dark red colour and is the seat of consolidation. There is also a
small round patch in the centre of the superior surface of the organ which is dark red in
colour, and on manipulation is found to be solid and about the size of a Tangurene orange in
size. On section, the consolidated inferior border is found to be the seat of a lobular
pneumonia, whilst yellow, muco-purulent material exudes from the cut ends of the tubes.
The round consolidated patch contains an irregular shaped cyst which has thickened walls
of a greyish-green colour, but the cavity of which is empty. The posterior portion of the
organ presents a slight amount of œdema.
The cavity of the pericardium contains four ounces of a pale amber-coloured fluid.
Heart weighs 7lbs. 7½ ozs. Both sides are somewhat contracted. The base and the origins
of the great vessels are surrounded by a certain amount of amber-coloured exudation, which
is dotted over with a few sub-pericardial ecchymoses. The muscular structure of the organ
is however free from them. On section, the cavities contain a certain amount of dark
semi-solid blood-clots, but all of them are free from sub-endocardial extravasations. The
muscular wall of the right ventricle varies in thickness from 5/8 th to 7/8 th of an inch, that of the
left ventricle from 2" to 1.75" at its thickest part, to ½ inch at the apex. Abdominal cavity
contains six ounces of an amber-coloured fluid. Liver weighs 11 lbs. 11½ ozs. It is nor
mal in size, but the anterior surface of the right lobe shows signs of old perihepatitis. On
section, the tissues present a dark red appearance but they appear healthy in structure.
Spleen weighs 1 lb. 9½ ozs. It is normal in size and dotted over with bright red sub-capsular
petechiæ. On section, the tissues are firm and apparently healthy.
Kidneys.—Consider
ably enlarged. Right wieghs. 2 lbs 8½ ozs. Left 2 lbs. 9ozs. The capsules strip easily, and
reveal the presence of a large number of petechiæ, violet in colour, dotted over the whole
cortical surfaces of both organs, the intervening substances being of a greyish-brown colour.
On section, the cortical portion is found to present the same colour internally as externally
and the substance invaded by the same coloured petechiæ. The medullary portion presents
a healthy appearance. Stomach is distended with semi-digested food, externally presents
nothing for observation, but on manipulation, a hard lump is felt at the most dependent
portion nearer to the pyloric than to the cardiac end of the organ. On section, the
cuticular portion presents a healthy appearance. The mucous membrane of the villous.
portion also appears healthy, except for the presence at the fundus of a tumor due to the
" Spiroptera Megastoma" measuring 2⅛" × 1 9/16" × l" with one large hole of entrance on its
summit; a second tumour of smaller dimensions is situated laterally on the left wall
midway between the greater and lesser curvatures. On either side of the line of demarca
tion or crest which divides the coat of the stomach, a bright orange material is present.
This is only slightly visible on the cuticular surface, but extends as a continuous band
three inches wide on the villous surface of the mucous membrane. Small
Intestines.
There are several patches of congestion visible involving the sub-mucous layer, but no
ecchymoses. Peyer's patches however, especially those situated in the lower portion of the
Ileum, are œdematous and the tissues are therefore thickened, but there is no sign of inflam
mation or ulceration. Large Intestine.—With the exception of one patch 4" x 3" over which
the vessels present an aborescent appearance, there is nothing to note. Rectum presents a
healthy appearance. Not a single parasite was found in the intestinal tract.
Bladder contains forty-two ounces of a turbid, viscid fluid, orange in colour, Sp.
Gr. 1,013, acid in re-action. A few petechiæ are visible dotted over the under-surface
of the mucous membrane.
B 1086- 18 ap