NINTH ANNUAL REPORT. 157 



POST-MORTEM SUMMARY. 



Body. — Shows marked emaciation. Heart. — Normal. Limgs. 

 — Bronchitis. Liver. — Congested. Kidneys. — Congested. Spleen 

 and Lymph Xodes. — Anaemic. Stomach and Intestines. — Con- 

 tained considerable partially digested food. Mucous membranes, 

 anaemic. Osseous System. — 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. Xo cells showing cyto- 

 plasmic degeneration were found. 



A few pigmented leucocytes, both l}mphocytes and polynu- 

 clears, were found. The dififerential leucocyte count shows the 

 following : 



Polynuclear neutrophiles 56.5 per cent. 



Lymphocytes 350 



Mononuclears 2.5 



Basophiles 0.5 



Eosinophiles 4.5 



Transitionals i-O 



Cervical Cord. — Membranes of cord, negative. Dilatation of 

 the lymphatic channels, particularly of the perivascular and peri- 

 cellular spaces. Some of the l)lood 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 se])arated and 

 are apparently no more abundant in one colunui than in another. 

 Collectivelv thev are very few, as compared with the norma! 

 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 



