Case from the case-book of the THIRD DIVISION of the ALEXANDRIA HOSPITAL, Surgeon Edwin Bentley, U. S. V., in charge:⃰

CASE 476.—Private Joseph Tibbets, company B, 75th Ohio volunteers; admitted from regimental hospital, Chantilly, Virginia, November 18, 1862. Chronic diarrhœa of six weeks duration. He was very feeble, much emaciated, and rapidly sank into a true typhoid condition, with dry tongue and delirium. Astringents, stimulants and concentrated food were given freely. Distressing nausea and vomiting supervened, utterly precluding for a time the administration of medicines by the mouth. A small blister applied over the epigastrium quieted the stomach somewhat, and the beef-essence and stimulants were resumed. Died, November 30th. Autopsy: The brain was normal. The lower lobes of the lungs slightly congested. The heart normal. The peritoneal coat of the lower portion of the small intestine was of a deep-red color; the mucous membrane of the ileum injected, softened, and in places entirely destroyed by ulceration. The mesenteric glands were greatly enlarged, and the greater omentum was much injected. The liver and spleen were slightly enlarged. The kidneys were normal.

⃰ It is to be regretted that, in most instances, the records of this hospital do not show by whom the autopsies were made. It is known that many of them were made by Surgeon Bentley himself, or under his immediate supervision, but it is only possible to distinguish these from the others in a few cases.