to her system.
Three months afterwards, a severe attack of gout in her legs
and arms, removing to her head, she died.
Dr. Stokes had an opportunity of examining the dead body, and
I had the satisfaction to learn from him, that there did not
appear to have been any return of the dropsy.]
On the examination of the body I noticed, among others, the following
appearances.
About 3/4 oz. of bloody water flowed out, on elevating the upper half
of the scull, and a small quantity also was found at the base.
BRAIN. Blood-vessels turgid with blood, and many of those of
considerable size distended with air.
A very slight watery effusion between the _Pia Mater_ and _Tunica
arachnoidea_. About 3/4 oz. of watery fluid in the _lateral
ventricles_.
THORAX. In the left cavity about 4 oz. of bloody serum; in the right
but little. Lungs, the hinder parts loaded with blood. Adhesions of
each lobe to the pleura. _Pericardium_ containing but a very small
quantity of fluid. _Heart_ containing no coagula of blood. _Valves of
the Aorta_ of a cartilaginous texture, as if beginning to ossify.
_Abdominal Viscera_ natural, and a profusion of _Fat_ under the
integuments of the abdomen and thorax, in the former to the thickness
of an inch and upwards, and in very considerable quantity on the
mesentery, omentum, kidneys, &c.
OBS. The intermitting pulse should seem to have been owing to
effusions of water in some of the cavities of the breast, as it
disappeared on the removal of the waters.
CASE II.
Mrs. C---- of K----, AEt. 80. Orthopnoea, with sense of oppression
about the proecordia. Unable to lie down in bed for some nights
past. Anasarca of the lower extremities. Urine very scanty. Complaints
of six weeks standing. Had taken _sal. diuret. c. ol. junip.--Calom.
c. jalap, et gambog.--Et ol. junip. c. ol. Terebinth._ without effect.
_Feb._ 7. _Infus. Digital. e. [Symbol: dram]iii. ad aq. &c.
[Symbol: ounce]viii. cochl. ii. 4tis horis._ Ordered to drink largely
of _infus. baccar. junip._ The third dose produced great nausea which
continued ten hours, during which time the urine made was about a
quart. The next day her apothecary directed her to begin again with
it. The second dose produced vomiting. During the next twenty hours
she made two quarts of water, about four times as much as she drank.
From this time she took no more of the _infus. Digital._ but continued
the _
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