APPENDICES.
xv.
32
33
34
Nga
Shwe
Saung.
Fu Chong ...
Nga Pè ...
19th June 1897
11th February
1896.
5th June 1897
Indifferent
Good ...
Do. ...
15th February
1898.
19th Septem-
ber 1898.
27th August
1898.
25
27
29
19th Septem-
ber 1898.
10th October
1898.
12th October
1898.
Tubercle ...
Dysentery ...
Splenitis
with
rupture.
old-standing organised lymph; cavities dilated; no fluid in the ven-
tricles ; a large amount of fluid removed from the base of brain. Alimen-
tary canal : the small intestines were congested in patches.
Large in-
testines : mucous membrane much softened throughout; towards the rectal
end the mucous membrane was in a sloughing state.
Since admission continually under treatment. Was profoundly melancholic
and resisted all attempts to make him take food and exercise. Latterly
there was an evening rise of temperature with cough, &c. He lost ground
gradually and died from exhaustion.
Post mortem.—Brain 2 lbs. 12 oz., superficial vessels dilated ; some deposits
of granular lymph on each side of the longitudinal fissure; no serous
fluid in the ventricles; a large quantity of fluid removed from the base of
brain. Lungs : right 1 lb. 5 oz.; left 14 oz., firmly adherent to the chest walls ;
lower lobes of both lungs destroyed and breaking down. On section, both
lungs contained deposits of tubercle and cavities formed by breaking down
of tubercular deposits, and tubercular bacilli were found on examination ;
purulent fluid in the pleural cavity. Alimentary canal showed atrophy of
the mucous membrane from stomach to anus.
Brought into hospital with sudden and extreme dyspnœa with partial loss
of consciousness, weak heart, feeble pulse, and cold extremities. He re-
covered, but five days later he had an acute attack of dysentery. He lost
ground gradually and refused all food and medicine, which could only be
given by the tube with great difficulty. He died on the 10th October 1898
from exhaustion.
Post mortem.—Brain 2 lbs. 8 oz., pale, soft and adherent to the duramater;
superficial vessels rather gorged with blood ; cavities dilated ; small quan-
tity of serous fluid removed from the base of brain. Alimentary canal:
the small intestines slightly congested and large intestines were much
thickened throughout, with many ulcers in various stages. One perforation
in the cæcum.
He was often in convalescent gang and hospital ; lastly admitted for slight
fever and cough with persistent and ill-defined tenderness about the spleen.
He had no signs or symptoms of intestinal disease, except that he had a
little slime in his motions once or twice a week. He had a tendency to re-
fuse food and medicine; he gradually lost ground and died from exhaus-
tion.
Post mortem.—Brain 2 lbs. 9 oz.; substance pale, soft, and adherent to the
duramater ; superficial vessels and cavities dilated ; no serous fluid in the
ventricles ; a small quantity of fluid removed from the base of brain.
Right lung : slight general congestion ; left lung adherent to chest; some
20 oz. serous fluid in pleural cavity. Spleen 8 oz., large, pale, and so soft
that it could hardly be handled ; it was simply a pultaceous mass; part of it
had become gangrenous. It was impossible to say whether rupture had
actually taken place before death, as the slightest handling broke it down.
There were 10 oz. of dark fluid blood in the abdominal cavity. The mucous
membrane of large intestines much softened throughout and towards the
rectal end had sloughed.