DACCA LUNATIC ASYLUM. 81
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ation confirmed its correctness. Pneumonia at the bases of both lungs was found. Just above the ileo-cœcal valve, two large irregular ulcers were present, with their edges raised, tumid, and inverted. Their long diameter was parallel to the bowel. The corresponding mesenteric glands were enlarged, and of a dark red colour. Throughout the last two feet of the iliums were numerous small, depressed ulcers, with patches of congestion, all situated on the "valves," and not in the "subci." No signs of tubercular cachexia were found in any of the organs of the body.
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2
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15
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Ramjiban Sepoy ... ...
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Gowhatty ...
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Dementia, chronic
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Not recorded ...
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Good ...
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24
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1
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23
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Pneumonia ...
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0
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0
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8
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This man, a Hindustani by birth, was formerly a sepoy in the Assam Light Infantry, and had served in the Burmese war. On the 20th May, he was attacked with acute double pneumonia. On the 25th, he fell into a collapsed state, which terminated in death. Being a favourite with every one in the asylum, no post-mortem examination was made.
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92
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16
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Ramkanye Mundle ......
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Dacca ...
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Dementia, chronic
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15 Tears
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Good ...
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3
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7
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7
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Dysentery, chronic
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0
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6
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0
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Throughout the large intestines the mucous membrane was covered with numerous shallow, sloughing ul- cers. Small intestines were pale and attenuated. Patches of congestion in duodenum. Liver much enlarged, and of a pale yellow color.
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196
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17
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Monoo Chetri ......
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8ylhet
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Melancholia
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Unknown
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Miserably emaciated
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0
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0
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6
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Diarrhoea, chronic
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0
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0
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6
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Was in a dying state on admission. Four days after admission he had a sharp attack of diarrhœa, which left him collapsed and moribund. No fever accom- panied it. Slight congestion in the duodenum, black patches in ilium, and here and there clearly defined congested papilla?, and a few enlarged mesenteric glands were found. The rectum was ulcerated at its lower end. Both lungs much congested; but no tubercles were met with.
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173
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18
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Ram Kumar Bhuimali ... ...
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Dacca ...
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Dementia, chronic
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1 Year ...
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In a hopeless state, ill with chronic dy- sentery.
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0
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3
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16
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Pneumonia ...
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0
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3
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16
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This man was picked up in the streets of Dacca on the 29th December 1871, in the last stage of dementia and disease. He was admitted into the Mitford Hospital, and detained there till the 8th March, in the hopes that his relatives would be induced to keep him. As they were too poor, he was sent to the asylum. His case was a hopeless one from the first. He was under treatment for diarrhœa, when an attack of pneumonia came on and killed him. In right lung a few tubercles were present Pneumonia of both lungs, deep congestion of small intestines, and redness of the mucous membrane of colon and rectum were found.
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176
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19
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Kamaruddin ... ...
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Noakhally ...
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Mania, chronic ...
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2 Years ...
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Good ...
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0
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2
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29
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Cholera ...
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0
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0
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21
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Was attacked with cholera at 5 a.m. on the 20th June, and he died in the collapse stage at 3.30 a.m. on the 21st. An enormous fatty liver weighing 3lbs. 8½ ounces, and kidneys deeply congested, were the chief pathological changes met with.
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192
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20
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Nobokishore Coondoo ... ...
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Dacca ...
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Mania, chronic ...
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Unknown ...
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Is thin, but appa- rently healthy.
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0
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0
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24
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Pneumouia ...
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0
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0
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8
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Was attacked with acute pneumonia of both lungs on the 14th June. One afternoon the temperature rose to 105°8', and it never fell below 103°. On the 21st extreme dyspnœa came on, and he fell into a semi-comatose state, which terminated in death The right lung, from base to apex, was in the acute stage of pneumonia. The left, towards its base, was hepa- tized. Large decolorized clots were found in the heart.
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U