118 



skin is somewhat c5'^anotic. There are no ulcerations, wounds, or 

 recent scars. Eigor mortis is absent; the post-mortem lividity 

 is well marked. jSTone of the external lymphatics are palpable. 

 On section of the body a considerable amount of very dark, fluid 

 blood escapes. The serosa of the stomach and intestines is very 

 much congested and the small vessels stand out very prominently. 

 The serous membranes are rather dull. A few hemorrhagic spots 

 are seen in the peritoneal covering of the stomach and of the small 

 intestines. The serous covering of the bladder likewise shows a 

 few petechise. The abdominal fluid is somewhat increased, slightly 

 turbid, and rather dark yellowish. The pleural sacs contain a 

 normal amount of amber-yellow turbid fluid. Firm adhesions are 

 found in the region of the apex of the right lung. The .pericar- 

 dium shows many engorged vessels, but is otherwise normal; so 

 is the pericardial fluid in amount, color, etc. Heart: The left 

 ventricle is well contracted, while the right one is dilated. The 

 external surface shows several dozen irregularly distributed sub- 

 epicardial hemorrhages, varying in size from a small punctiform 

 dot to an area of 0.5 to 0.6 centimeter in diameter. The 

 myocardium is of fair consistency and light pink with a little 

 tinge of yellow. JSTo further dissection of the heart is made, 

 since it is to be photographed. The large vessels are normal. The 

 lungs are expanded and hea\'3' and the external surface is more 

 or less deep bluish-purple. This color is most intense over the 

 lower lobes, on which also a few ecch}Tnotic spots are seen. On 

 section the pulmonary tissue is brown in color and full of blood. 

 In the left lower lobe there is some admixture with grayish-yellow, 

 but there are no areas of distinct consolidation. A good deal of 

 blood and serous fluid can be pressed out of the pulmonary tissue. 

 The mucous membrane of the bronchi, the trachea, and the larynx 

 is swollen and highly injected. The base of the tongue is much 

 swollen and oedematous. The bronchial glands are quite dark, 

 but not materially, if at all, increased, in size, or markedly softened. 

 The spleen is enlarged to about twice its normal size; the capsule 

 is wrinkled and grayish-bluish-purple in color. On section the 

 organ is dark reddish-brown. The pulp is very soft and protrudes 

 over the surface, which is quite granular. The trabeculse and 

 Malpighian bodies are distinct. Kidneys : The capsules are smooth 

 and transparent and grayish-bluish-purple in color; they peel off 

 easily. The external surface shows a few small subcapsular hemor- 



