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Show offever. Morbid anatomy In interpreting appearances, doubts occur on both sides. Original conformation, 01d com- plaints, habits, age, delay in dissection, hot weather may produce thechanges attributed to recent disease. Again, an action, followed by a certain effect in a few days, may be fatal, whereas if that action be extended through months, it may but moderately affect the health. This will go some way towards solving the difliculty, with which Morgagni introduces the cases in his 49th epistle, risque adea id saepe latet per quod febres irzreryicizmt .'--An epidemic of very varied character ravaged the department of Finisterre in 1804». Dr. Perusel describes the bilious or gastric state as universally predominant. This, he supposes, was indicated by headache, bitter taste, nausea, anxiety in the epigastric regions; 435W mm" r .‘ and lassitude. Such symptoms sometimes were almost without fever (quick pulse, hot skin); at other times they were attended with fever. more or less intense. In the feverish cases, there occurred phrenzy, with subsultus tendinum, stupor, convulsions of the muscles of the face before death. Hemplegia, deafness, (external) gangrene, parotids where among the occasional consequences, when the form of the disease was that ofgastric fever, and, in two cases, schirrus In the general result of his dissections, there scarce appears disorganization enough to ac:count for death-Some yellowness of the skin and eye with emaciation-abdomen rarely swoln-no lesion of the brain or lungs-gallbladder full, but little bile in the stomach. In those, who died of the fever in its malignant form, there was a white effusion (de matiéres blanches) in the cellular tissue under the mucous membrane of all the intestines. In some places the membrane was excoriated over the place of effusion and it had the appearance of aphthae (Corvisart ix. 971-8.) Though scarce directly bearing on the subject of fever, I will venture to mention that Dr. Lordat of Montpellier, in his remarks on the cardiac passion of the ancients, relates the eu- rious case of a patient troubled with intense pain of head and constant drowsiness without sleep, prostration ofstrength; heat natural with moist skin; pulse small, weak, a little quick; aversion. from every thing but cold water, tongue moist, dull pain in the epigastric region; obstinate constipation; no convulsive movementor alienation of mind; no very decided fe» ver-The disease lasted three weeks. The contents of the three cavities perfectly natural-only the vessels on all the viscera completely empty-and no organic defect to ac- count, in the author's opinion, for death. He 1 of the pylorus succeeded. an 1" «em-- -\v-¢v4*' uniformity of connection have various altered conditions of the brain with given symptoms. It is the same with the membranes. (i «m v2,- --_-k 3'0 « wam mom |