INDIA. 



257 



the surface. The surface of the section is granular. 

 Such livers are, as a rule, slightly enlarged, uniformly 

 tender, associated with slight jaundice, some evidence 

 of bronchitis at the base of the right lung, and there- 

 fore they are often difficult to distinguish from cases 

 of hepatic abscess. 



Hepatic Abscess. — This shows the upper surface of 

 the liver, where an abscess had burst through the dia- 

 phragm. There were three large abscesses in the right 



Fig. 50. — Madura foot. Amputation by Professor Quicke. 



lobe. One had intricate connection with the diaphragm, 

 wdiich formed the upper wall of the abscess cavity. In 

 this were two minute perforations, which communicate 

 through the thickened pleura, with a pneumonic patch 

 in the base of the right lung. The patient was a Mus- 

 sulman, aged 28. The illness commenced with an 

 attack of dysentery, three months prior to admission. 

 !STo signs of dysenteric ulcerations were found in the 

 bowel at the posmortem examination. 



Enormous Calculus of the Bladder. — This stone (uric 



