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in size. The capsule is smooth and in general grayish-blue in 

 color, with numerous and large subcapsular hemorrhagic areas. 

 On section the vessels are engorged, the tubules grayish-yellow, and 

 the surface dull in appearance. The pelves are smooth but highly 

 injected, with several hemorrhagic spots. The ureters likewise 

 show hemorrhages. The bladder is contracted and its wall firm; 

 its serosa is highly injected. The mucosa is swollen, congested, and 

 studded with small hemorrhagic spots. This organ contains 25 

 to 35 cubic centimeters of a coagulated, gelatinous, bloody material. 

 Liver: The capsule is smooth and pinkish-purple, with a good 

 deal of yellow mottling. There are confluent, subcapsular hemor- 

 rhagic spots on both sides of the insertion of the suspensory liga- 

 ment. The consistency is increased, the elasticity decreased. The 

 cut surface is ocher-yellowish-brown in color and very dull, as well 

 as slightly uneven. The vessels contain much dark blood. The wall 

 of the gall bladder is deep green with black hemorrhagic spots. It 

 is thickened, oedematous, and almost gelatinous. The viscus con- 

 tains a moderate amount of thickened, almost black, pitchy bile. 

 Stomach : The serosa is injected and shows a number of hemor- 

 rhagic spots. The walls as a whole are thickened. The contents 

 of this organ consist of a dark cofi'ee-brown, grumous mash. The 

 mucosa is swollen and all the vessels are injected. The whole sur- 

 face is studded with small hemorrhagic dots. On the posterior 

 wall, not far from the pylorus, there is a perfectly smooth cicatrix 

 with radiating lines; however, this is not at all well marked and 

 can be seen only on close and careful inspection. There is a fairly 

 hard nodule, not larger than a pea, in the circumference of the 

 pylorus; it is not well differentiated from the neighboring tissue, 

 and shades off gradually. There is no ulceration in the region 

 of the pylorus and the mucosa above the described nodule shows 

 no changes beyond congestion, etc. The esophageal and duodenal 

 mucosa likewise shows great congestion and hemorrhagic spots. 

 In the large intestine there are found a number of dark, sub- 

 mucous nodules of the size of a pea; they contain dark, partly 

 coagulated blood. The intestinal follicles are swollen. The tissues 

 in the right inguinal region on being cut discharge a considerable 

 amount of blood-tinged serous fluid. The glands are swollen, 

 completely hemorrhagic, and generally indistinguishable as to out- 

 line. The capsules are only exceptionally recognizable, and as a 

 rule the whole tissue forms one undifferentiated, bloodv mass. The 



