NINTH ANNUAL REPORT. 167 
POST-MORTEM SUMMARY. 
Body.—Shows marked emaciation. Heart—Normal. Lungs. 
—Bronchitis. Liver—Congested. Kidneys —Congested. Spleen 
and Lymph Nodes.—Anaemic. Stomach and Intestines—Con- 
tained considerable partially digested food. Mucous membranes, 
anaemic. Osseous Systeim.—All the bones softened, easily frac- 
tured. The long bones consisting of a thin rim of compact tissue, 
containing thin gelatinous blood-stained marrow. 
Blood Examination made immediately before death.—The blood 
presented less gross changes than in the previous case, clotted 
more naturally and was less gelatinous in character. Haemo- 
globin determined by the Dare instrument showed 74 per cent. 
The size of the red cells varies considerably, both macrocytes 
and microcytes being present. Poikilocytosis is marked, but 
the relative amount of haemoglobin staining is about natural. 
Megaloblasts and large mononuclear leucocytes, occasionally 
showing cell division, are to be found in considerable frequency, 
and a few normoblasts are also present. No cells showing cyto- 
plasmic degeneration were found. 
A few pigmented leucocytes, both lymphocytes and polynu- 
clears, were found. The differential leucocyte count shows the 
following: 
PRolyauclear neutropiles. 5)... 0.32: 56:5 pet cet. 
Ie yimnpla@cyteS nite ners ech olensie ees 25:0 
Mionomtucleatss sco 5,2 11. eco one noes Peay Ox 
BAS OpMilese. we iaggens wate mentions fusnces = O15) a 
OStmO piles = fom erie Ase: Gist kc lols ARG. fae 
dtransibional ss. aq ots eo eke es LO 4 feet 
Cervical Cord.—Membranes of cord, negative. Dilatation of 
the lymphatic channels, particularly of the perivascular and peri- 
cellular spaces. Some of the blood vessels show slight hyaline 
degeneration. The ganglion cells of the anterior horns show 
nothing abnormal. 
Scattered degenerated fibers are present throughout the entire 
transverse section of the cords. They are widely separated and 
are apparently no more abundant in one column than in another. 
Collectively they are very few, as compared with the normal 
medullated fibers. 
Dorsal, Lumbar and Sacral Cord—The changes throughout 
these levels are similar to those present in the cervical cord. 
Spleen.—The blood vessels throughout are markedly congested 
