131
Day of Month.
Particulars of Case and Prescriptions.
Diet.
Extras.
1881.




Ordered an enema to open bowels as he
could not be got to take medicine ; to have
nutritious enemata with brandy every
4 hours and 2 ozs, of brandy by mouth in
24 hours.


April 30th..
The patient seems a little worse ; his 
pulse however though weak and of low
volume possesses a certain amount of
resisting power ; a blister which had been
applied to the occiput the previous day
is removed ; he is ordered 4 ozs. of
brandy and 3 pints of beef tea.
Spoon ...
Ice 4 lbs.
Brandy 4 ozs.
Beef Tea 3 pts.
April 30th,
3 P.M.
The patient is weak but no immediate
signs of death present ; he takes his milk
and beef tea, but continues in the
delirious state he has been for past two
days.


April 30th,
11 P.M.
Patient has just died in a fit of con-
vulsions of an epileptiform character.



(Sd.) J. PERCIVAL HUNT, M.D., Surgeon,



Army Medical Department.



Post-mortem Appearances 8 hours



after death.



Body well nourished.



Brain.-Weight 2 lbs.and 13 ozs., healthy,
surface not congested, no subarachhoid
effusion, no abnormal fluid in ventricles,
no congestion of choroid plexus, sub-
stance normal.



Thorax-Heart.-Weight 91/2 ozs. perfectly
healthy, no white clots in cavities, no
disease of valves surface in appearance,
muscular fibers normal.



Lungs.
  Right.-Weight 
     1lb. 2ozs.   
   Left-Weight   
   1lb. 1/2oz.   
healthy,



float in water, are both congested and
filled with dark coloured blood.



Abdomen-Liver.-Weight 4lbs 7ozs.,
healthy, no congestion beyond what
would be found as a post-mortem ap-
pearance ; no reaction with iodine.



Abdomen-Spleen.-Weight 1lb. 141/2ozs.,
very much enlarged, congested, soft,
and friable and of a dark appearance ; no
reaction with iodine, no rupture.















Kidneys
  Right.-Weight 
          61/2 ozs.
   Left.-Weight   
        53/4 ozs.  
Both kid-
neys



perfectly healthy ; reactionwith iodine.