51 



extends beyond the glands into the periglandular and general 

 subcutaneous connective tissue. The capsules of the glands are 

 indistinguishable. 



After opening the abdomen, the left iliac glands are found in 

 the same condition as those in Scarpas' triangle. They form a 

 bubo of the size of a small walnut. However, those higher up 

 are much less affected; they are moderately increased in size and 

 dark purple in color, but there is no marked hemorrhagic infiltra- 

 tion beyond the gland substance. The peritoneum, the pleura, 

 and the pericardium show deeply injected, dilated vessels. The 

 intestinal serosa appears dull and exhibits slight greenish dis- 

 coloration; shining through it are found hemorrhagic spots in 

 moderate numbers both in the small and in the large intestine. 

 The pericardium contains a normal amount of clear straw-colored 

 fluid. The epicardium shows greatly congested vessels and a 

 number of fiat, slightly elevated, yellowish-gray, old, fibrous cica- 

 tricial bands. These are found on the right side, over the auricle 

 and the ventricle. The auriculo-ventricular zone exhibits quite 

 a number of small petechise from the size of a pin head to that 

 of a millet seed. The riglrt ventricle is much distended and 

 contains a large amount of dark red, fluid blood ; the left ventricle 

 is firmly contracted and contains a small, dark red, firm clot. 

 The heart as a whole is moderately hypertrophied, the walls of 

 the left ventricle are thickened, and those of the right rather thin 

 and flabby. The myocardium in general is firm, and on section 

 of a dull, brownish-pink color. The arch of the aorta shows a 

 number of atheromatous patches. Both lungs are quite hea,Ty, 

 their upper lobes being of a slate-grayish-pink color and the lower 

 ones dark bluish-purple. On the cut surface the upper lobes are 

 moist and their vessels discharge a moderate amount of dark blood ; 

 the lower ones are brownish-red and their tissues are very rich in 

 dark, fluid blood and very poor in air. The small bronchi of the 

 lower lobes contain a bloody, foamy, fluid; slightly blood-tinged, 

 foamy, viscous fluid is also found in the trachea. The mucosa of 

 the bronchial tree, of the trachea, and of the larynx is slightly 

 swollen and much injected. The bronchial glands are not enlarged ; 

 however, they are very dark in color and much congested. The 

 spleen is much enlarged, its diameters being 34 by 12 by 5 centi- 

 meters. All the hilus vessels are much enlarged. The capsule is 

 smooth and transparent everywhere, except in one place at the 



