564 THE BRITISH MEDICAL 7OURNAL. I [OCt. 20, 1877. August gth. Evening temperature I01.4; pulse 132; respirations 50 per minute. She was ordered carbonate of ammonia and the brandy mixture. The patient lingered in the same condition for nearly a week, when she died exhausted. Autopsy, twenty-six hours after death.-The body was not extremely emaciated. On opening the chest, firm adhesiolis existed between the pleurae on the right side, and easily separable adhesions on the left. The surface sof

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... oth lungs had a greyish mottled appearance, and the lung-tissue was imperfectly crepitant, especially in the upper threefourths. Upon section, the lungs were found closely studded with miliary tubercles, whch became fewer in number (although very numerous) towards the bases of the lungs, and were somewhat soft and friable at theapices. There were no cavities in the lungs. The heart was filled with a post mortem clot; the interstices between the columnae carneae were occupied by greyish-white curdy masses of-various sizes, which could be easily pressed out of their beds. The pulmonary and tricuspid valves were healthy. The aortic valves had a narrow fringe of vegetations along the free edge of their cardiac surfaces; and vegetations were also seen on both surfaces of the mitral valves, but were more nunmerous on their auricular surface. There was no tubercular depositupon the pericardium. On opening the abdomen, the great omentum was found partly adherent to the peritoneum, and partly to the small intestines. There was a large deposit of tubercle in the mesentery, and a few scattered granules existed on the exterior of the ileum, but no deposit or ulceration on its internal surface. The liver was healthy. The vagina contained a trace of purulent ipatter, and the finger could be passed into the uterus, which was somewhat subinvoluted, with its internal surface rough and congested; the opening into the Fallopian tubes could not be discovered, and these tubes, when cut into, were filled with semifluid pus. REMARKS.-Two years before the death of this woman, she was in