270 HASMORRHAGIC SEPTIC AMIA. 
expression of eyes and head. She was grating the teeth 
slightly; salivation was increased and skin sensation good, 
at least during forenoon; patient slightly dull. 
June 11, 1:00 p.m. down. When made to get up she 
stretched and seemed to feel first-rate. The nose was moist. 
6:00 p. m., temperature 101.6; neck at right side, hair rough; 
feet raised several times in a crampy way, nose moist. 9:00 
p.m., temperature 102.6, wild expression in the eyes, and 
nose dry. She died during the night. 
Examination Postmortem.—Only this one autopsy rec- 
ord will be given here. The findings in all cases were very 
similar and Trudie Lee may be taken as a type. 
Trudie Lee a Jersey cow in good condition. She died 
early in the morning of June 12. The carcass was in fairly 
good condition. 
There were hemorrhages in several places on superficial 
parts, under scapulz, etc. There were very marked hemorr- 
hages involving meninges of the medulla, but scarcely show- 
ing at all on the brain surface or in its substance. Multiple 
hemorrhages were thickly scattered over omentum and 
mesentery, and there were several on the surface of the liver. 
The heart showed many small haemorrhages on the surface; 
the right auricle being very markedly hemorrhagic. On the - 
costal pleura there were numerous hemorrhages of varying 
sizes. The lungs were deeply congested in places especially 
in the region of the internal faces. 
Lesions were all of marked hemorrhagic character. 
There were two marked hemorrhages between peritoneal 
and muscular coats of the uterus, which contained a nor- 
mal five or six months foetus. 
COMMENTS ON CASE NOTES. 
A survey of the foregoing case notes brings to light sev- | 
eral interesting points. In the first place it will be noted 
that the temperatures were normal or subnormal rather 
than high, until a very short time before death when the 
temperature rose very rapidly, notably in the case of Euro- 
ma. The evidence on this pointis not altogether satisfactory 
for in so many of the cases circumstances were such that 
temperatures could not well be taken during the last hour or 
so. In the Caffrey cases, where it was possible to follow the 
