120 



whole lip: slight depth wiiii granular 

 ground. Nose also with losses in cartila- 

 ginous septum. Left nostril with vege- 

 tative formations the size of an almond. 

 Plight nostril with an ulceration covering 

 it entirely. Both fossae very much nar- 

 rowed. Cornea transparent pupils equally 

 dilated. Section shows a somewhat re- 

 duced fatty stratum, 2 mm. on the ab- 

 dominal wall, muscular layer 7 mm. 

 Muscles brown rather dry. In the 

 deeper parts of the abdomen no 

 liquid. Liver reaching beyond xyphoid 

 process 6 cm, covered by costal border 

 at the height of the papilla. Location of 

 diaphragm 6th rib on either side. Peri- 

 cardiimi on view in an extension of 9 

 cm. In the pericardial sac 30 cc. of a 

 serous yellow liquid. Mucous tissue at 

 the base of the tongue reddened with 

 the glandules in evidence. Pharynx with 

 an ulceration covering it completely. 

 Epiglottis wiih border partly destroyed. 

 Aryteno-epiglottic fold narrowed with 

 granular thickened mucous membrane. 

 Complete destruction of vocal chords: in 

 their place an ulceration of granular 

 ground. Tonsils also ulcerated with al- 

 mos! complete loss of tissue-substance. 

 Oesophagus with the mucous layer of 

 its upper part completely destroyed. 

 Upper third of trachœa with turgid 

 vessels, the upper part swollen and the 

 mucous membrane destroyed Left lung 

 adhering to the costal pleura in its whole 

 surface by weak fibrous strands. Right 

 lung free, the cavity almost empty. Left 

 lung enlarged, with increased consisten- 

 cy. On section shows a diminute 

 volume of air: distributed all over 

 the tissue whitish nodules, bigger than 

 pin-heads: interstitial part of the nodules 

 of a reddish hue and jelly-like consis- 

 tency. Pleura covered by a fibrous thick- 

 ening of jelly-like aspect. Peri-bronchial 

 Ij^mphatic glands enlarged, of dark-co- 

 loured tissue. Lower margins of lungs 

 containing a little air and giving a di- 

 minished crepitation. Right lung: pleu- 



ra smooth; under it on iuiig-tissue seve- 

 ral whitened, unequally-sized nodules. 

 The three lobuies connected by fibrous 

 strands. At section all the lung-tissue 

 shows nodules similar to the ones of 

 left lung, but sparser; relatively more 

 air is kept in parenchyma. Interstitial 

 tissue also with jelly-like appearance and 

 consistency. Heart not enlarged in re- 

 lation to stature. Pleural leaf of epicar- 

 dium smooth. Sub-epicardial fat rather 

 reduced. Right ventricle: endocardium 

 smooth; thickness of ventricle 3 mm: 

 muscle brownish. Right auricle: endo- 

 cardium smooth: mitral valves not thi- 

 ckened. Spleen adhering strongly to 

 diaphragm and to neighbouring organs 

 by fibrous strands: dimensions at con- 

 ve.Kily 14-f-i0-(-4. On section splenic 

 pulp of a dark colour; follicular appa- 

 ratus not perceptible. Supporting appa- 

 ratus fairly evident: dispersed on pulp, 

 whitish nodules larger than a pin-head 

 and clearly limited In the tissue are to. 

 be seen. Liver with strong fibrous con- 

 nections with diaphragm several verti- 

 cal indentations. On section lobular outli- 

 nes faint; a volume of blood kept in 

 the organ; in isolated points, several no- 

 dules more or less of the size of & 

 pin-head, clearly limited in tissue. Gall 

 bladder with thin walls containing a 

 few cc. of greenish and fluid bile. 



Medulla of both adrenals darkish 

 showing ill-defined whitish spots. Both 

 kidneys somewhat reduced in volume; 

 fibrous capsules easily detachable. Oa 

 section cortex not much reduced limits 

 between the two layers indistinct. Outli- 

 ne of pyramids slightly injected. Pelvis 

 of kidney narrow; ureter permeable. 

 Bladder contracted containing a few cen- 

 timeters of cloudy urine. Prostate small 

 whitish. Vesícula seminalis with thin 

 walls freeing, when pressed, a cloudy 

 mucous fluid. Both testes not enlarged; 

 tissue brownish. Tubules not easily iso- 

 lated. Abdominal aorta with a smooth 

 and shining toner coaL Mesenteric and 



