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CASE 55.—Post-mortem examination twenty hours after
death: Right arm flexed and rigid; left arm flaccid. There
was a quantity of serum in the ventricles of the brain; the
brain-substance was of a darker ash color than usual, and
sections presented many points of black engorged vessels.
The right lung was healthy; the lower lobe of the left lung
much congested, nearly hepatized. The pericardium contained
three ounces and a third of light-pink serum; the apex of
the heart adhered to the pericardium by a lymph-patch the
size of a shelled almond; the right ventricle of the heart
was unusually flaccid, the mitral valve thickened and of a
dull yellow color. The omentum was thin and dark lead color.
The liver weighed eighty-five ounces; it was of a dull slate
color. The spleen was pulpy, weighed twenty ounces and a
half. Some patches of congestion were observed in the ileum.
The kidneys were large but healthy.—