Civil War Washington

CASE 21.—Private Richard Clark, Co. M, 2d Mass. Cav.; age 21; was admitted July 19, 1863, having been sick for an unknown period; tongue dark brown but red along the edges; pulse 130, small; delirium; epistaxis; diarrhœa; abdomen tympanitic and covered with petechiæ. His condition improved under the influence of camphor, valerian, quinine, acetate of ammonia and sponging with alcohol and water, but on the 24th pain was developed in the right lung with dulness​ and crepitant râles over its lower lobe. Cupping was followed by relief; but his skin continued hot and dry. On August 2 he passed a quart of blood from his bowels and a small quantity on the following day. He died, exhausted, on the 5th. Post-mortem examination seven hours after death: Right lung congested throughout; left lung healthy. Stomach bloodless, its coats somewhat thickened and its pyloric orifice contracted; Peyer's patches ulcerated; ileo-cæcal valve extensively ulcerated and disorganized; ascending colon containing a considerable quantity of blood.—Act. Ass't Surg. T. Turner, Third Division Hospital, Alexandria, Va.