214 The Case of a Man who died 



of the arm, elbow, and forearm, near six inches in length. 

 Around this, the skin was in a state of mortification, more 

 than half way up the outside of the arm, and as far down- 

 wards, on the outside of the forearm. The skin still ad- 

 hered to the biceps flexor muscle in the arm, and flexor 

 muscles in the forearm, by a dark-coloured cellular mem- 

 brane. Every where else in the arm and forearm, from the 

 axilla downwards, the skin was separated from the muscles, 

 and between these parts there was a dark-coloured fluid, 

 with an offensive smell, and sloughs of cellular membrane 

 resembling wet tow, floating in it. The muscles had their' 

 natural appearance every where, except on the surface,, 

 which was next the abscess. Beyond the limits of the 

 abscess, blood was extiava«ated in the cellular membrane, 

 and this appearance was observable on the right side of the 

 hack as far as the loins, and on the right side of the chest 

 over the serratus major amicus muscle. 



In the thorax the lungs had their natural appearance. 

 The exterior part of the loose fold of the pericardium, where 

 it is exposed, on elevating the sternum was dry, resembling 

 a dried bladder. The cavity of the pericardium contained 

 half an ounce of serous fluid, which had a frothy appear- 

 ance, from an admixture of bubbles of air. On cutting 

 into the aorta, a small quantity of blood escaped, which 

 had a similar appearance. The cavities of the heart con^ 

 tained coagulated blood. 



Jn the abdomen, the cardiac portion of the stomach was 

 moderately distended with fluid : the pyloric portion was 

 much contracted; the internal membrane had its vessels 

 very turgid with blood. The intestines and liver had a 

 healthy appearance. The gall bladder was moderately full 

 of healthy bde. The lacteal? and the thoracic duct were 

 empty; they had a natural appearance. 



In the cranium the vessels of the- pia mater and brain 

 were tunrid with blood ; the ventricles contained rather 

 more water than is usual, and water was effused into the 

 cells connecting the pia mater and tunica araehnoides. It 

 is to be observed, that these appearances in the brain and 

 its membranes are very frequently found in cases of "acute 

 diseases, which terminate fataliy. 



The following cases were sent from India, to my late 

 friend Dr. Patrick Russell: thev arrived after his deaths 

 and Mr. Claude Russell very kindly gave them to me, 

 knowing the subject of them to be one in which I had 

 taken an interest. As they correspond in many of the 

 circumstances with that which has been detailed, I have 



inserted 



