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Show P, '64 Morbid anatomy Wm The case I have in View is that of Dr. I. F. The body was next day opened by Dr. G. Goldhagen, as related by the present pro» Meckel. The exterior exhibited strong marks ofputrefaction. On opening the abdomen the t'essor Bell, in a small tract published at Halle in Saxony, in 1788. During the prevalence in that town of a fever, styled nervous, Dr. Goldhagen was seized, in consequence, as is believed, of contagion, received from some patient. Las. ' situde, rigor,= biting heat, anxiety about the an - "35:117.. przecordia, prostration of strength, severe shooting pains in the head, stupor, delirium, tension without pain of the epigastric region, quickness of pulse, petechiae, were the chief among the symptoms that succeeded each other in 13 days. The patient treated himself with purgatives (so as to produce an American effect) and with emetics at first. He afterwards had vitriolic acid, valerian, scrpentaria, camphor, musk, blisters, sinapisms, stimulant liniments, fomentations. The earliest lassitude and ge» vv ll 4.130"! mm , 65 neral state of uncomfortable feeling occurred after a night of unrefreshing sleep, on the morn» ing of December 29th, 1787. It succeeded to an evening of unusually high spirits. During the night ensuing, hefelt the febrile chill. In the- morning, he procured many stools. In the evening occurred several irregular feverish ac" cessions, beginning with chills, which were succeeded by more lassitude than heat. The small intestines burst out with force. The}r were so distended with wind as to have pushed the large intestines (also distended) back into the posterior parts of theabdomen and up to the diaphragm. The coats were transparent; thinner perhaps than in the most reduced consumptive subjects. In two or three places were found such contractions as lessened the area at least one half. In the descending colon, above its curvature in the left side, was a place that would scarcely admit the little finger. Hardly any vessels visible on the intestines, yet here and there on the small intestines and left curvature of the colon were large bluish Spots. In cut- ting them up, the whole cavity contained two or three consistent though soft pieces of faeces, of the size of a wallnut. About of brown offensive liquid flowed out. a pint The large intestines were very wide and tender, on the inner surface appeared little reddish spots to which faeces adhered so firmly that they could scarce be abraded by the scalpel. It was only when the bowels were removed pulse soft, full, and of the natural frequency. that the stomach and liver came into sight. The liver was grey, tender and small; the galls 0n the 10th ofJanuary, 1788, he died. bladder not distended by bile: 1 Tie the stomach e in p r y, .\. «r... , _ wbm I. M092? |