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Show 108» Time of iiy‘lammai'ion flirt/tar illustrated. in the liver, especially in its concave parts, in the spleen, stomach, small intestines, the mesentery, and even the belly. The kidneys were also enlarged from inflammation, and the bladder contracted, and, as it were, crisped (racomie); gall dark-coloured,- all the small intestines sometimes tinged with this. bile; and their intestinal tract dilated and containing clusters of worms; the heart externally shrivelled (fletri); the lungs more or less gangrenous; the blood in the veins generally black and dissolved; also in the sinuses of the brain ; the membranes there in a state of inflammation tend. ing to gangrene ; in some subjects, lymphatico-purulent depo. sitions in the cavity of the thorax and in that of the abdomen." Where the chest had been disposed to inflame by the cold of autumn or winter, we see symptoms of inflammation at the very onset-The account shewshowever that in some cases in" flammation in the chest did not come on till the middle of the fever; as has been observed in other instances of. pneumonia typhodes or malignant catarrhal fever.-Thus Dr. Pinot in his account of one ofthese epidemics at BourbonLancy in Dec. 1754, tells us; that " it began with a violent chill of x or xii hours, fol~ 1owed by burning heat; on the second or third day there supervened pungent pain of the Sich with bloody expectoratiou and dyspnoea" (l'imdwwzom/e, iii. 123.) " I saw several paw ticnts," he subjoins "in whom these symptoms did not come on till the fourth too In other situations, whether external or in- ternal (leaving the head for a moment Out of the question), we see no marks ot'inllammation arising until the height of the disorder or later still. It is then indicated by tension, tenu derness or pain of the belly: by suppression of urine from the inflamed state of the secretory organs. The fact is manifest too in the swelling ofthe parotid glands; in theaphthae, erysipelas and gangrene of the parts, which suffer most pressure. It is visible in this account too how soon inflammation springs up and passes through its course. Nor will any one, I pre» sume, contend that there was a long latent first stage of inflammation (abstractng from the head), coeval with the fever. I do not see why the painful tension in the loins, mentioned in variety lst, should not be held equally in- dicative of local inflammation with that in the head. There are instances enough shewing that in the late origin of local inflammation, the head exactly suffers as other parts : Thus in diseases of 1"(Irisl'r01n 1707 to 174-7 (Roux xviii. 276) it is related, that a most malignant fever prevailed in the autumn oi" 1709, with frequent metastases, so that the patient appearing cured and free from the symptoms, whatever they were, that day." (la had tormented him most, the head or the chest In would be seized, and death take place very quiclrly-m'l‘lms a man, 2'0, having; cough, pain ,1), 133.)- |