APPENDICES.
xi.
431
430
121
Nairoo ...
Unknown. A na-
tive man.
Nga MinWun
17th July 1899
10th July 1899
25th Septem-
ber 1897.
Very poor
Bad
...
Indifferent
17th July 1899
10th July 1899
1st July 1899
30
50
39
22nd July 1899
7th August
1899.
9th
August
1899.
23, Beri-beri ...
21, Dysentery...
30, Tubercle ...
marked nodular thickening of the duramater, almost fibrous in consistence,
was found, and at this point the membranes were adherent to the brain
substance.
Admitted from the General Hospital where he had been under treatment for
beri-beri since 1st July. The patient was in a very bad state of health,
body greatly emaciated, paleness of lips and conjunctivae with œdematous
feet. He was restless and passed his stools in bed, possibly from weak-
ness. Though at first showing slight improvement, he gradually lost
ground and died.
Post mortem.—Brain
2 lbs. 13 oz. On opening the skull the duramater
appeared bulged with fluid, and on opening it both the hemispheres of the
brain were found covered over with a layer of dark clotted blood, about
quarter of an inch thick. On separating the hemispheres the longitudinal
fissure was found filled with clotted blood; clotted blood underneath the
frontal lobes on the left side; a large quantity of clotted blood beneath
the temporo-sphenoidal lobe. Exact point of haemorrhage could not be
ascertained.
Alimentary canal.—Numerous
old and recent dysenteric ulceration in the
large intestines. Small intestines, except in the lower part, the mucous
membrane was slightly thickened and congested throughout.
A weak, old, and much emaciated man, suffering from ottorrhœa of right ear.
Admitted into hospital immediately after admission into the Asylum. He
was restless, dirty in habits, refused food and medicine, which were given
with great difficulty. He suffered from cough, fever, and disentery. Gra-
dually sank and died.
Small intestines; patches of congestion seen here and there. Large intes-
tines 5 some of the ulcers evidently old and of marked dysenteric charac-
ter.
Admitted into the Asylum in indifferent health. Was subject to epileptic fits.
Admitted into hospital for pleurisy. He had been on two previous occasions
in the hospital for the same disease. He was placed in the convalescent
gang for a long time, but gradually became emaciated, lost ground and
died.
Post mortem.—Right
lung 15 oz. Pleura very strongly adherent to the
chest walls and considerably thickened. About 3 or 4 oz. of fluid in the
pleural cavity. Lung much congested, partially consolidated and with a
large deposit of miliary tubercle throughout. Bronchial glands much
enlarged and partially caseous. Left lung 9 oz. Pleura very strongly
adherent to the chest walls, great thickening throughout, in some parts
being about an inch thick. About 10 oz. of fluid in the pleural cavity.
Lung much compressed, partially crepitant and with discrete miliary
tubercles scantily scattered throughout its substance.
Alimentary
canal.—Intestines
matted over with tubercular lymph.
The
whole of the peritoneum studded with tubercles and in some parts found
large quantities of thick tubercular lymph. The abdominal glands much
enlarged. Extensive ulceration in large and small intestines. The pe
ritoneal coat covered with a large quantity of discrete tubercle.