San Antonio daily light. [volume] (San Antonio, Tex.) 1886-1907, 1897-12-30
associated with rapidly terminating
heart and brain disease.

associated with rapidly terminating
heart and brain disease.
Asphyxia. n not unfrequent cause.
may be due TO oedema OF the CLOTHS,
membranous deposits in the trachea,
pressure of a neopalsm on the trachea.
spasms of the vocal chords. pulmonary
air embolism, rupture of Il
vessel or OF an aneurism into the air
passages, asthma. whooping cough.
pneumonia and haemo thorax. pleuritic
effusion and epilepsy. The rupture
OF gastric or of an intestinal ulcer
of an aneurism, of varicose vein, of
the surroundings of an etopic gesta-,
ton. the formation of a peri-uterine
haemotocele. may seyerally prove
quickly fatal Nephritis (uraemic and
apOpleXy). diabetes. exophthalmic goi-
tire, and Addison's disease may also
terminate with unexpected rapidity.
Hemorrhages into the panereas occa-
siOnally causes sudden death, appar-
emily from the impression produced
on the contagious nerve centers. 1t
is most common i'm males over 40 years
of age who may up to the occurrence
of the hemorrhage to all appearance
be in perfect health. Obesity. the
hsibitual use of alcohol, and the pres
ence of heart disease appear in many
cases to be predisposing cause. Koets-
chau. however. observed hemorrhage
into the pancreas i'm a woman-an al
coholic-in her 24th year. Occasion.
ally it occurs in spare people who are
free from obvious disease and who are
abstemous as regards alcohol The
sufferer may die within half an hour
after the occurrence of the hemorrhage
or he may survive for twenty-four or
even thirty-six hours. Draper records
five cases between the ages Of PC and
81 years, of which three We're men and
two women. Fitz tabulated sixteen
cases, of which eleven were males be-
tween 81 and 40 years of age, and five
were females between 26 and A years
Sudden death has in instances follow.
ed spontaneous rupture OF an enlarged
spleen. The result OF tropical ma
larial influences, the individual imme
diately before rupture being to all In
tents and purposes quite well, Pelle
| Tt.iuN SiNts tlt hiNtois VI I'm W.
cases of rupture of the enlarged
| spleen; in five the rupture was spon
! taneous. and in the remainder II va.
due to apparently inadequate causes
such as a simple fall in the street. 7
is 10 be borne i'm mind that when til,
| spleen is thus enlarged mere pa
with the palm of the mand may de
termlne rupture and consequently
speedy death, which; in the absenc5
of knowledge Of the experience OF
others, hight readily be assumed to be
the result of criminal violence.
1t is to be remembered that some OF
the above named diseases may exist
| without giving rise to any symptoms
| until the final moment arrives; this
| applies with special force to diseases
which have prolonged course, during
which, as a rule, symptoms indicative
of disease declare themselves. Such (;
| disease is gastric ulcer. / have seer
more than one case in which. until
| the fatal rupture occurred, absolutely
no symptoms were experienced. not
even so much as might have been attri
buted to simply dyspepsia; in one such
instance a second ulcer was present in
the walls of the stomach in addition tt
| the one ruptured and caused death, ant
yet until perforation occurred the pa
tient never felt any abnormal sensation
whatever.-Dr. j. ID. Mann. in London
| Lancet.