HIBERNATION, ETC., IN ANBIALS. 61 



AUTOPSY. 

 Inspectio Cadavf.ri. 



Nutrition poor ; body much emaciated ; apparent age 65 to TO ; weight about 50 ; 

 rigor mortis complete. A. M. staining on hands and feet ; P. M. staining on back of 

 trunk; bedsores on sacrum, tip and ball of great toe; feet and ankles œdematous ; legs 

 flexed on thighs by contracted tendons ; no teeth, and jaws much absorbed. 



Sectio Cadaveri. 



Head. — Scalp thin and easily dissected ; calvarium of average thickness ; tables thin 

 however, diploe being in excess ; Dura Mater not adherent to the skull, slightly opaque 

 at vertex ; one slight adhesion to brain at margin of longitudinal fissure ; ante-mortem 

 clots in longitudinal and lateral sinuses, the clots in the lateral sinuses being particularly 

 well organized. 



Brain. — The brain weighed about 85 oz.; macroscopically, it was healthy in appear- 

 ance ; in fact in Asylum experience I have never seen as healthy a brain in the post- 

 mortem room. 



Convolutions well marked and sulci deep ; gray matter abundant ; brain substance 

 firm ; ventricles free from evidence of disease ; brain not examined microscopically. 



Thorax.— Sub-sternal adhesions. Emphysema of cellular tissue beneath sternum ; 

 cartilages not ossified. 



Heart. — Small ; weight 3| oz. Pericardial fluid in average quantity ; blood in great 

 veins, and right auricle fluid ; walls of right auricle and ventricle unusually thin ; valves 

 normal ; small post-mortem clot in left ventricle ; walls of left ventricle hypertrophied ; 

 left auricle normal ; valves of left side normal. 



Aorta. — Ascending aorta dilated into a fusiform aneurism ; capacity about twice 

 that of normal ; arterial coats not thinner than normal; no evidence of atheroma ; no 

 pressure eff'ects noticed ; varicose veins on posterior walls of the heart ; abdominal aorta 

 atheromatous ; ante-mortem clots in abundance. 



Lungs. — Eight : Very adherent at apex ; small adhesions all over surface of lung ; 

 apex, a mass of tubercle ; in fact, tubercles were found scattered throughoiit the whole 

 lungs, and in the apex a small cavity existed ; hypostatic congestion marked. 



Left : lu this lung a certain amount of hypostatic congestion was apparent, and an 

 occasional tubercle was found ; otherwise the lung was normal ; cord-like adhesions of 

 pleura on surface. 



Abdomen. — Liver adherent to chest walls and diaphragm ; whole capsule tore ofl' in 

 taking out and remained attached to diaphragm, and abdominal wall; weight, 20 oz.; 

 three vertical furrows present on anterior surface of right lobe ; these furrows were about 

 two inches in length ; centre one distinctly marked ; nutmeg condition present. 



Stomach. — Large ; about two inches from pyloric orifice was a constricted portion. 

 This condition was undoubtedly not the result of any inflammatory action, but the 



