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particularly the lowermost ones, show considerable swelling. The 

 latter are enlarged to the size of a walnut. The skin is unbroken. 

 The region is quite firm and hard, somewhat oedematous, but not 

 fluctuating. The boundaries of the individual glands can not be 

 well differentiated and the swelling shades off gradually into the 

 surrounding tissues. A chain of swollen indurated glands can be 

 felt along the spermatic canal. On opening the body, the abdominal 

 cavity shows a moderate amount of slightly turbid fluid. The serosa 

 is dull. The intestinal serosa is deeply injected, and here and there 

 small hemorrhagic spots are seen. The general color of the intes- 

 tinal serosa is varied by some greenish discoloration due to 

 putrefactive changes. On the right side all the iliac glands are 

 swollen, much congested, and more or less hemorrhagic on section. 

 In fact, the whole chain of glands from those in Scarpas' triangle 

 up to the retroperitoneal ones, and as far as the kidneys, is in 

 this condition. The hemorrhagic infiltration is most marked in the 

 inguinal glands. There it extends into the periglandular connective 

 tissue, -the individual glands have become confluent, and their 

 capsules and their finer structure have become indistinct. The 

 heart shows a larger number of irregular subepicardial hemorrhages, 

 measuring from 1 to 5 millimeters in diameter. They are situated 

 over the left ventricle. The myocardium is fairly firm, pinkish, 

 with a slightly yellowish tint. Otherwise normal. The lungs are 

 very slightly adherent by some few thin adhesions. The upper 

 lobes contain a fair amount of air and are pinkish-purple in color. 

 The lower lobes are heavy, congested, oedematous, and purplish- 

 blue in color. A few subpleural hemorrhagic spots are seen on 

 the lower lobes. Bronchi, trachea, larynx show an injected mucosa. 

 The papilse circumvallatas of the tongue are much swollen. The 

 spleen is 15 by 12.5 by 6 centimeters. It weighs 645 grams. 

 Capsules smooth, transparent, steel-grayish-blue; consistency fairly 

 firm. Cut surface brownish red. Malpighian bodies not very 

 distinct, trabeculge distinct; cut surface slightly granular, amount 

 of juice which can be scraped off, moderate. Kidneys normal in 

 size, soft; capsules smooth, peel off easily. Pinlcish purple show- 

 ing a few small subcapsular hemorrhages. Cut surface, vessels 

 injected, tubules yellowish gray, dull. Pelves smooth. The lower 

 third of the left ureter is dilated to three times its normal diameter. 

 The bladder contains several ounces of turbid urine. On the right 

 side posteriorly below the apex, there is seen a flat elevation about 



