APPENDICES.
xi.
12
13
14
15
16
17
18
Nga Shwe Hmin
Hla Tha Tun ...
Unknown; Ma-
drassi.
Ditto ...
Nga Chit Bu ...
Nga Po Te ...
Balla Kappa ...
3rd February
1898.
15th Novem-
ber 1889.
26th Decem-
ber 1894.
6th
April
1898.
26th April
1895.
1st
October
1894.
20th April 1898
Indifferent
Fair ...
Indifferent
Bad
...
Good ...
Do. ...
Emaciated
4th February
1898.
4th April 1898
21st
March
1898.
21st April 1898
31st January
1898.
7th February
1898.
20th April 1898
49
49
31
25
26
49
46
13th March
1898.
4th April 1898
21st April 1898
23rd April
1898.
4th May 1898
11th May 1898
22nd May 1898
Cirrhosis of liver
Fracture of the
base of skull.
30, Tubercle ...
Mania ...
30, Tubercle ...
Abscess ...
Debility ...
Post mortem.—Large
intestines congested in patches, but no ulceration.
Small intestine : there was a piece about 3 inches long invaginated about 2
or 3 feet away from the cæcum. The affected portion of the gut was greatly
congested and inflamed, but pervious, i.e., ordinary fluid fæces could pass.
This man was carried into the asylum in a state of great emaciation and all
the signs of neglect. He was a very troublesome patient. He had no
special disease, but his heart was very weak. One night he died quietly
in bed from syncope.
Post mortem.—General œdema of body. Heart enlarged, dilated and fatty,
13 oz.; liver 3 lbs. 12 oz., small, contracted and hobnailed.
This man, while at work in the garden, scrambled up a tree before he could
be prevented and refused to come down. While climbing about in the
tree a branch broke and he fell to the ground on his head. He died the
same evening.
Post mortem.—Brain
2 lbs. 12 oz., congested; 3 or 4 oz. of fluid blood in
cavity of membranes; a jagged irregular fracture runs from a little in front
of the right external meatus upwards and backwards through squamous
portion of temporal bone and extending for one inch into parietal bone;
another line of fracture runs through orbital plate downwards and backwards
into foramen ovale.
Was always in poor health ; admitted to hospital with influenza, which soon
became complicated with pneumonic condition of both lungs.
Post mortem.— Heart 6½ oz., pale, flabby. Lungs both extensively congested
and studded with numerous miliary tubercles.
Admitted into the asylum in an extreme state of emaciation; had to be fed
by tube. Very dirty, noisy, sleepless and intractable.
He died 17 days
after arrival, having showed no signs of improvement.
Post mortem.—Brain 2 lbs. 10 oz.; substance pale, pulpy, and adherent to
the duramater; superficial vessels gorged with blood; ventricles dilated
and contained 4 oz. fluid.
He had been losing weight from some months back and had been on special
diet, but signs and symptoms of pulmonary tuberculosis gradually developed.
Post mortem.—Lungs both congested and studded with miliary tubercles.
There is a ragged cavity in the left upper lobe.
Admitted on many occasions for different complaints ; lastly admitted for a
huge deep-seated abscess in lumbar region, which extended across the
spinal column in front.
Post mortem.— Body greatly emaciated. All the organs are atrophied. The
abscess sac extended right across the body; there was some slight necrosis
of the ilium, but none of the spinal column.
Received in an extreme state of emaciation from the General Hospital, where
he had been under treatment for diarrhœa and debility.
He was a very
troublesome, dirty patient and had to be fed by the tube, &c. No treatment
was of any avail.
Post mortem.—Brain 2 lbs. 12 oz., pale, but superficial vessels rather gorged ;
3 oz. of fluid inside membranes. Liver very fatty. Intestines small : very
thin; mucous coat much atrophied. Intestines large : patches of congestion.