4;5 



wounds or ulcerations or abrasions are found anywhere on the 

 surface. The left inguinal region presents a swollen area about 

 6 to 8 centimeters long and 5 to 6 centimeters wide, which is quite 

 hard, somewhat elastic, and nonfluctuating. Xo individual glands 

 or groups of glands can be mapped out in the swollen area. The 

 skin is here adherent to the underlying tissues. The hard infiltrated 

 area extends upwards into the inguinal canal. Dark fluid blood 

 escapes from the veins upon section of the body. The serous 

 membranes are injected and dull, and all serous cavities contain a 

 somewhat increased amount of slightly turbid fluid. The increase 

 is most marked in the abdominal cavity. The pericardium is 

 smooth and otherwise normal, except as to the presence of a number 

 of small punctiform subepicardial hemorrhages, which are dotted 

 all over the external surface of the heart. All diameters of the 

 heart are about one and one-third of the normal measurements. 

 The wall of the left ventricle shows considerable hypertrophy. 

 The left auriculo-ventricular opening is normal in diameter, the 

 right one easily admitting four fingers. The myocardium is quite 

 soft and flabb}', and pale pinkish-yellow in color. Otherwise the 

 heart is normal. The coronary vessels and their branches are 

 much congested. The lungs are normal in shape and moderately 

 inflated. The upper lobes are pinkish-gra}', the lower purplish- 

 blue in color. The latter much congested and quite oedematous. 

 The mucosa of the bronchi, the trachea, and the lar}Tix is swollen 

 and reddened and the veins injected. The epiglottis is much 

 injected, and the papilla circumvallatfe of the tongue swollen. 

 The spleen is enlarged to two to three times its average size; it is 

 somewhat softer than usual. The capsule is smooth and grayish- 

 blue in color. On section it is brownish-red. The pulp does not 

 protrude, the cut surface is smooth, and the trabeculge and follicles 

 are distinct. The kidneys are normal in size, the capsules smooth 

 and grayish-yellow with some purplish-gray. The capsule peels 

 off easil}'. On section the blood vessels are found to be injected, 

 the tubules light yellow, and the surface as a whole dull. The 

 Malpighian bodies are not distinguishable. The mucosa of the 

 bladder shows a very few small, submucous, punctiform hemor- 

 rhages. The prostate, etc., are normal. The adrenals are soft, 

 swollen and brownish-yellow. The serosa of the stomach is much 

 injected, the mucosa in an intensely hemorrhagic condition. Small 

 hemorrhagic spots are found all over the mucosa on the anterior 



