6
on 22nd December 1892 in a weak and emaciated condition, and remained in a
nervous and debilitated state until finally transferred to the sick list on 14th
December 1896 for dysentery. She never rallied from the attack and died on
9th February 1897. No post-mortem examination was made, as her relations
claimed the body. The fatal case of paralysis was sent to the asylum by the
First Class Magistrate, Sholápur, on 6th September 1896. On admission he was
suffering from general paralysis and unable to walk. On 1st January 1897 he
was suddenly seized with a severe attack of involuntary muscular movements
which rendered him completely unable to assist himself. From this date incon-
tinence of urine became established, and continued until his death on 3rd Feb-
ruary 1897. At the request of his relations no post-mortem examination was
performed. The patient suffering from chronic splenitis was admitted into the
asylum, by order of the First Class Magistrate of Sholápur on 16th April 1884,
for chronic mania. He was then suffering from an enlarged spleen and liable to
recurrent attacks of malarial fever. During residence in the asylum he had
periodic attacks of great excitement which were for the most part accompanied
by fever. On 17th January 1897 he was finally transferred to the sick list, and
continued under treatment until his death, which took place on 17th November
1897. The post-mortem examination showed that the brain was anæmic and
soft. There was no fluid in the ventricles. No abnormal growth of any sort
could be seen. The membranes rather pale. The spleen was enlarged and
weighed 15 ounces. Liver dark and soft.
Heart rather pale and fatty. The
case of diarrhœa was admitted into the asylum in a weak and emaciated condition
on 7th February 1897. She was subject to recurrent attacks of diarrhœa and
inability to assimilate the ordinary asylum food, which rendered it necessary to
place her on special diet from first arrival. No improvement took place in her
general condition and she died on 4th April 1897. The post-mortem examination
showed that there were about 2 ounces of thin serous fluid in the cavity of the
arachnoid. The longitudinal sinus contained a large clot of blood. The mem-
branes of the brain were thinned and anæmic. Some of the vessels in the brain
contained dark coagula of blood, others were empty. The brain substance had
a general anæmic appearance. No sign of hœmorrhage of any part of the brain
could be discovered. The ventricles of the brain did not contain any fluid.
The choroid plexes was anæmic. The lungs and heart were rather pale, other-
wise normal. The liver was pale and fatty. The spleen weighed 4 ounces. The
stomach and intestines were pale and anæmic with no ulceration or inflamed
spots. The uterus was empty. The case who died of albuminuria was admitted
into the asylum on 22nd February 1896 for dementia. Though not of a robust
constitution, he never suffered from any complaint until 1st May 1897, when
symptoms of albuminuria appeared, necessitating his permanent transfer to the
sick list. From this date the albumen increased, and he died in a very weak and
exhausted condition on 4th August 1897. The post-mortem examination showed
that the brain was congested, the veins containing an abnormally large quantity
of dark blood. There was a large quantity of thin serous fluid in the cavity of
the arachnoid and in the ventricles of the brain. The brain substance was some-
what abnormally soft; no morbid growth of any sort detected. The brain weigh-
ed 3 lbs. Left kidney pale and fatty, weighing 5 ounces, right kidney 4 ounces.
Both the lungs somewhat consolidated at the apices. Heart undergoing fatty
degeneration and weighing about 5 ounces. The second fatal case of albuminuria
was sent into the asylum by order of Government on 20th January 1897 in a
weak and debilitated condition and suffering from general paralysis of the insane.
On 15th May he was brought on the sick list for albuminuria, and continued
under treatment for this disease until death on 5th October 1897. No post-
mortem examination was made, as the body was claimed by his son. The second
case of paralysis was admitted into the asylum on 18th February 1897 from
Ahmednagar in a weak and debilitated state. He was suffering from incontinence
of urine, involuntary muscular movements and inability to walk. The symptoms
gradually increased, and he was permanently transferred to the sick list on 1st June
1897, where he continued until death on 2nd July 1897. The post-mortem ex-
amination showed that the brain weighed 49 ounces. The membranes and the
surface of the brain were highly congested. There was some effusion of sanguineous
fluid on the lower surface of the brain. There was no effusion of any sort in the