93 



points. The pyramids are rather pale. The relation of" the cortex 

 to the medulla is normal. The pelves are injected but without 

 hemorrhagic spots. The right ureter is somewhat dilated and 

 about one and one-half times the diameter of the left one, which 

 is normal in size. The bladder contains about two ounces of turbid, 

 3'ellow urine. The mucosa of the bladder and the ureters is 

 hyperemic but not hemorrhagic. The ovaries, the tubes, and the 

 uterus are normal. There are no fresh corpora lutea, but the 

 uterine mucosa is diffusely hemorrhagic. The serosa of the corpus 

 ^nd the tubes shows dilated and congested vessels. The suprarenale 

 are dark brownish-yellow, fairly soft, somewhat swollen, congested, 

 and oedematous. The gastric and duodenal mucosa is enormously 

 congested, the former showing extensive hemorrhages in the form 

 of denselv crowded dots and irregular areas which have evidentlv 

 been formed by petechias and ecchymoses which have become con- 

 fluent. The submucous hemorrhages in the duodenum are moderate 

 in extent. The mucosa of the small as well as of the large intestine 

 shows a marked hyperemia, but the lymph follicles are not swollen 

 or at most very moderately. The mesenteric and retroperitoneal 

 glands show only very moderate swelling and congestion. The 

 liver is of normal size. The capsule is smooth and purplish-blue 

 with grayish-yellow mottling. The consistency is perhaps somewhat 

 increased. On section the surface is even and yellowish-pinkish- 

 broAvn. The distended veins of the liver contain much blood. In 

 the center of the right lobe there was found a focus the size of a 

 pea, composed of a somewhat loose, soft, grayish-white mass. The 

 gall bladder is normal and contains some dark greenish-yellow bile. 

 The ducts are normal. The pancreas is slightly swollen but other- 

 wise normal. When the swollen region of the left side of the face 

 is incised, a yellowish serous fluid escapes from the areolar sub- 

 cutaneous connective tissue. The skin is firmly adherent to this 

 tissue and can be dissected only with some difficulty. The color 

 of the serous fluid is yellowish with a faint tinge of red. On 

 dissecting deeper into the tissue, enlarged lymph glands are encoun- 

 tered, which are swollen, soft, and much congested. Glands are 

 met with deeper down which are intensely so. The hemorrhages, 

 however, do not extend into the oedematous periglandular tissue. 

 The parotid gland is swollen and much congested, but not hemor- 

 rhagic. Brain: The longitudinal sinus contains a large chicken- 

 fat clot. The pial vessels both on the convexity and at the base 



