x.
APPENDICES.
Deaths during the year 1898—continued.
No.
6
7
8
9
10
11
Name.
Nagore Meera
Saib.
Fatma Bee ...
Ariyah ...
Darsoo ...
Nga Po Sin ...
Ma Nu
Date of
admission into
the asylum.
30th Novem-
ber 1897.
22nd May 1890
21st September
1897.
2nd June 1897
5th December
1897.
17th Septem-
ber 1896.
State of
health.
Good ...
Bad ...
Fair ...
Good ...
Bad
...
Indifferent
Date of last
admission into
hospital.
26th January
1898.
20th December
1897.
31st January
1898.
10th February
1898.
2nd February
1898.
15th February
1898.
Age at death.
Years.
22
32
45
30
35
51
Date of death.
27th January
1898.
30th January
1898.
4th February
1898.
11th February
1898.
25th February
1898.
4th March
1898.
Cause of death.
Mania ...
Diarrhœa ...
Ditto ...
Cholera ...
Perforation
of
the stomach.
Intussusception
Remarks.
This man suffered from acute mania of a busy, talkative, noisy type; slept
badly, &c. He was seen one morning lying down very quietly, and it was
found that he was partly unconscious; there were symptoms and signs
which pointed to meningeal irritation, marked rigidity, &c. He became
collapsed and died.
Post mortem.—Brain 40 oz.; ventricles contained a small amount of serous
fluid; grey matter of convolutions looked translucent and almost gelatinous;
base of brain and membranes very hyperæmic.
This woman was always under treatment for recurring attacks of obstinate
diarrhœa. She had as a rule to be fed by tube. She gradually became
weaker and weaker and died.
Post mortem.—All abdominal organs atrophied. Mucous membrane of large
and small guts almost non-existent; no ulceration.
He was violent and maniacal. He had some diarrhœa, which from his re-
sisting administration of food and medicine, was very difficult to control.
He did fairly well, but on 3rd February he had a prolonged fit of an
epileptic nature from which he did not completely recover, passing into
a state of semi-coma. This with the diarrhœa caused his death.
Post mortem.—Brain firm, but pale; 3 drachms of fluid in ventricles;
nothing else noted. Lungs slightly congested; all other organs normal
except large intestines, there being two ulcers close to the ileo-cæcal valve.
This was a rapidly fatal case of cholera.
Post mortem showed brain large and congested, 2 lbs. 12 oz.; all internal
organs congested.
Continually under treatment ever since his admission with different diseases,
namely, abscess due to suicidal throat-cut wound, fracture of the left leg,
and lastly for persistent pain in the epigastrium, of aching or gnawing char-
acter, vomiting after food. He was of dirty habits, destructive and restless.
All food and medicine could only be given with the greatest difficulty.
Post mortem.—Alimentary canal: stomach.—There is a large opening about
the size of an 8-anna piece at the greater curvature about an inch from the
œsophagus, edges thickened, hard and undermined.
There are a few
ulcers near the pylorus. Mucous membrane thickened and eroded, covered
with slough. Small intestines slightly inflamed on the surface. Large
intestines : patches of congestion here and there, but no actual ulceration.
This old woman had mucous diarrhœa. She did fairly well, but died
rather suddenly, having become collapsed with signs of some abdominal
complication ; perforation was suspected.