x.                                                                                                                                    APPENDICES.

                                                                                                                Deaths during the year 1899—continued.

No.

Name.

Date of

admission into

the asylum.

State
of health.

Date of last

admission into

hospital.

Age

at

death.

Date of death.

Cause of death.

Remarks.

374

Unknown. Mad-
rassi.

1st November
1898.

Fair ...

7th December
1898.

Years.
27

24th April
1899.

79, Debility ...

Admitted into hospital for debility. She was dirty, troublesome, restless, and
destructive. Refused food and medicine, which were given with great diffi-
culty. She gradually lost ground and died.

Post mortem.— Brain 2 lbs. 3 oz. About 1½ oz. of fluid removed from the
cranial cavity. Rather more fluid than usual in both the lateral ventricles.
All the organs much atrophied. Mucous membrane of large intestines
thickened and congested. Small intestines, the coats thin and atrophied.

365

Chan ...

4th August
1898.

Indifferent

25th April
1899.

50

26th April
1899.

89 b, Meningi-
tis.

Admitted into the Asylum in an indifferent state of health. He was dirty,
restless, and destructive. On the morning of 25th April 1899 he had
epileptic fits with partial loss of consciousness from which he gradually
sank and died.

Post mortem.—Brain 2 lbs. 8 oz. On opening the duramater a thick layer
of dark fibrinous lymph was found covering nearly the whole left hemis-
phere. In some places presenting an almost membranous appearance,
apparently being of old standing. In other places the lymph was soft and
easily friable and there was serous fluid enclosed between the layers of
lymph presenting a cystic appearance. Some deposit of firm fibrinous
lymph in the right middle fossa of the skull. The quantity of serous fluid
in the cranial cavity was more than usual and the superficial vessels of the
brain were congested.

409

Gungama

26th April
1899.

Bad ...

27th April
1899.

50

30th May 1899

798, Inflamma-
tion of con-
nective tissues.

Admitted into the Asylum in bad state of health with several ulcers on his
lower extremities. He was troublesome, dirty, noisy, restless, destructive,
and refused food and medicine, which had to be given with great difficulty.
He had œdema of leg and scrotum which got well under treatment. He
had a large abscess on his right shoulder, which was opened. He gradually
sank and died.

Right lung 1 lb. 12 oz Lower lobe much congested and very œdematous.
Left lung 10 oz. Considerable quantity of serous fluid (about 20 oz.) in the
left pleural cavity and slight pleuritic adhesions at the apex. Over the
right shoulder, a sloughing patch of skin about 3 inches in diameter, under
which the tissues were infiltrated with pus.

411

Ah Kay ...

29th April
1899.

Bad ...

8th May 1899

40

2nd July 1899

89 b, Meningi-
tis.

Ever since his admission was under treatment in hospital. He was dirty in
habits, restless, refused food and medicine. Tube had to be resorted to on
one occasion for feeding. The patient gradually lost ground and died.

Post mortem.— Brain 2 lbs. 12 oz. Under the duramater, especially on the
left side, the superficial veins were gorged with blood. There was a thin
layer of fibrinous lymph on the inner surface of the duramater with a
little dark-coloured serous fluid in its interstices. Considerable quantity of
serous fluid in the cavity of the arachnoid. In the left temporal region a