CASE 139.—Private Nathan Upton,
Co. B, 1st D. C.
Cav.; age 32; was admitted Sept. 6, 1863, with typhoid
fever, and died on the 19th. Post-mortem
examination eight hours after death: Rigor mortis well
marked. The brain substance was healthy; the pia mater
slightly congested; half a drachm of fluid was found in the
ventricles. The right lung weighed twenty-four ounces, the
left fifteen ounces; the lower lobes of both were much
congested. The right auricle of the heart contained a venous
clot which extended into the ventricle; the left auricle
contained a small fibrinous clot; the pericardium was
everywhere firmly attached to the heart, so that its
separation was almost impossible without tearing the
muscular tissue. The liver was healthy; the gall-bladder
contained three ounces of a thin straw-colored liquid; the
spleen was firm and dark purple on section, weight thirteen
ounces and a half. The mucous membrane of the stomach was
congested. The small intestine was healthy in its upper
portion, but in its lower part the solitary glands were
enlarged and Peyer's patches ulcerated. The large intestine
was healthy. The kidneys were congested; weight of right six
ounces and a half, of left seven ounces.—Ass't
Surg. Harrison Allen, U. S. A.,
Lincoln
Hospital, Washington, D. C.