78 ANDREWS. 



Spleen. — This organ is usually very hypersemic and the normal 

 markings are partially obliterated. 



Kidneys. — The kidneys are reddish-gray; foetal lobulations 

 are prominent. A cut section is very moist and a considerable 

 amount of blood oozes from it. Striations of the cortex are 

 plainly seen. Except for congestion, the kidneys, in the greater 

 number of cases, present a normal appearance. Occasionally 

 a slight degree of albuminous degeneration or a few subcapsular 

 haemorrhages occur. The adrenals show congestion. 



Liver. — The liver is dark reddish-brown and firm. Section 

 shows congestion and rarely a slight "nutmeg" appearance. The 

 liver is frequently slightly enlarged due to the intense congestion. 

 Here, also, we may find some albuminous degeneration. 



Stomach and duodenum. — The stomach nearly always contains 

 some curdled milk and mucus. The mucosa is smooth and 

 ansemic. No rice or other artificial food ivas found in the stom-_ 

 achs of any of the cases; sometimes there is a trace of fsecal 

 material present. Not infrequently the duodenum is congested 

 and even a few minute haemorrhages may be seen in the mucosa. 



Intestines. — They are normal in appearance. The intestinal 

 contents are yellow, semi-liquid, and apparently digested. The 

 mesenteric glands may be slightly enlarged and soft. Occasion- 

 ally a few petechial haemorrhages show in the mucosa. 



Urinary bladder. — It may or may not contain urine. In a 

 number of cases the urine was examined for albumen by the 

 nitric acid and heat tests and found negative. 



Throat organs. — Except for some froth and mucus present 

 in the larynx and trachea, these organs are normal. 



Thymus. — The thymus is usually of normal consistency and 

 full. Some milky fluid can frequently be expressed from the 

 cut surface. 



Meninges and hrain. — In those axamined the meninges were 

 congested and oedematous and there was usually an increase of 

 the cerebrospinal fluid. The brain substance was of normal 

 consistency or soft and very moist. 



In two cases evidence of rickets was present, indicated by the 

 slight formation of a rickety rosary. This was not marked and 

 there was no other evidence of the disease. 



There was no evidence of scurvy in any case. The periosteum 

 of the femurs was not examined for haemorrhages, since it was 

 desired to mutilate the body as little as possible. 



The anatomic findings just described correspond very closely 

 with those of moist beriberi in adults. Indeed, throughout the 



