590 The Limbs as a Whole. 



OUS SepaPation. — Lower portion of a left leg and foot — in 

 spirit, illustrating the above. 



The patient was a very stout old woman, aged 78. She had shown 

 premonitory symptoms iu both legs, i.e. cramps, pain and coldness, which 

 were thought, at first, to be due to gout. 



The gangrene began in the great toe, and gradually spread up the 

 leg until it came just below the head of the fibula, where a line of 

 demarcation was found. Amputation was not performed owing to the 

 patient having advanced heart and kidney disease. The dead soft tissues 

 were therefore cut through just below the line of demarcation, and aia 

 ineffectual attempt was made to destroy the bone by nitric and hydro-chloric 

 acids. However, a month afterwards, the leg separated spontaneously. 

 The stump healed over after a small fragment of dead bone had separated, 

 and she went about on crutches and died 18 months afterwards of 

 apoplexy. 



The soft parts are shrivelled and discoloured. The upper 



ends of the bones are irregular and rough, owing to the natural 



mode of separation by granulations. G. C. 3167. 



Presented by Dickinson Leigh, M.D., 1890. 



11. 65. Dry Senile Gangrene of Leg" and Foot.— Lower 



portion of a left leg and foot — dried, illustrating the above. 



The soft parts separated spontaneously, but the bones were sawn 

 through. The patient recovered. 



The specimen has the characteristic black and shrivelled 



appearance. The bones have been sawn across. 



Presented by Professor J. Y\. Turner. 



11. 66. Dry Senile Gang-rene of Foot.— Greater part of a 



right foot — dried, illusi.rating the above. 



The separation has evidently taken place through the 

 tarsus. The specimen has the characteristic black and 

 shrivelled appearance. F. P. C. 1207. 



Presented by Professor John Thomson. 



11. 67. Dry Senile Gang-rene of Fing-ers.— Right hand — in 

 spirit, illustrating the above. 



