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Show 9‘: Ilflammation, how progressive. Irflammaz‘ion, how progressirc. remember any complaint of the breath. De Haen now made experiments (which it was un~ fortunate he did not make before) with the cautery on fresh and dry sculls: all concurred to shew that it was the operation that had been fatal; and he refers those who may doubt, to the case of a girl, who was cauterized the very day after the boy, and at first felt as he had done-but scarce slept at night, and had pain in the neck-was better the second day-the third slight feverishness only--the fourth worse, bled-blood highly inflamed-voice began to sink; some stupor-fifth day died with a little convulsion of the face-Cranium thick and slightly cauterized-dura mater suppurated-much pus on the right hemisphere-both mem« branes violentlyand extensively inflamed-the left lateral ventricle containing an ounce and half of lymph-~Brain under the burnt spot yellow and almost liquid--it shewed some other, perhaps prior, changes~lungs as adherent as in the boy l--Upper orifice of the stomach also di: latedmpylorus contracted so as not to admit a quill~-next day, it was again free-(vi. 259- 954) The secondary symptoms in these cases took a different course, as we see from the fever in the girl, its absence in the boy, and spasm only of the pylorus with relaxation of the 93 versal and close adhesion in the chest, the boy's stomach must, I think, have run its course to gangrene between his supper-time and two o'clock A. M., probably in a much shorter period. From the mere appearances after death, would it not have puzzled the most expert morbid anatomist, that ever wielded scalpel, to say, which was the organ originally diseased? Professor Roux (Corvisart. 3241]) gives a most interestingcase, where two great foci of inflammation were discovered, and where if we may suppose it not to have been lighted up in both at once, there is a difficulty in saying whether it ascended or descended. Sergier, 48, sanguine and robust (who had had the ophthalmia in Egypt, coughed habitually and called himself asthmatic) dropped down suddenly without sense or motion in winter 1805. He lay thus for an hour, and did not quite recover till far on in the night. He felt no more of this attack till spring when it returned for an hour. On coming to himself he had violent head-ache and rigors. In four days he came into the hospital with severe headache, restlessness, mind clear, foul tongue, bitter taste, fre- quent cough. respiration short and very painful, expectoration viscid, sometimes bloody, generally tawny-fixed pain of right side aggravated cardia in the girl, instead of rapid inflammation. by coughing and by pressure between the ribs; \l'hatever we mayjudge of the date of the universal could lie on either side; sleep without frightful ' ' dreams mm M0997 '- |