216 



SICI'TIO.EMIA. 



Death from a septicemia advancing from local infection occurred in 

 4 cases. The post-parturn uterus served as the point of entrance in 1 

 instance, in 2 the foci resulted from compound fractures, and in the 

 fourth, a small pustule on the lower lip was the beginning of the infec- 

 tion. It is of interest to note that in none of these cases was a strep- 

 tococcus demonstrated. Staphylococcus aureus and albus and Bacillus 

 pyocyaneus were obtained from the body in which infection had taken 

 place from the lip and also from the puerperal case. Judging from the 

 difficulty experienced in endeavoring to obtain a culture of the Strep- 

 tococcus pyogenes for class work in the Medical School, this organism 

 does not play as important a role in the Philippines as it does in other 

 parts of the world. 



LESIONS OF THE ALIMENTARY CANAL. 



The condition of the teeth in this series was bad. Black, discolored 

 cavites and decayed areas were frequent. The gums were irregular and 

 receding and pyorrhoea alveolaris was common. 



Disease of the hard palate, a perforation probably of a syphilitic nature, 

 occurred in one case. 



Chronic ulceration of the stomach occurred once, the punched-out ulcer 

 with irregular edges lying on the greater curvature, 5 centimeters from 

 the cardiac orifice. An acute hemorrhagic inflammation of the mucosa 

 of the stomach occurred in two cases, dead of beriberi. 



One instance of malignant disease of the stomach was encountered. 

 The tumor, an adeno-carcinoma, infiltrated the lesser curvature of the 

 organ from the cardiac orifice to within 3 centimeters of the pylorus. 

 The surface of the tumor within the stomach was ulcerated and sur- 

 rounded by a rolled, irregular edge. The stomach was adherent to the 

 pancreas and the under surface of the liver, the latter being infiltrated 

 with scattered metastatic growths. 



Two of the cases of pneumonia and one of chronic Bright's disease 

 showed an acute colitis with a thin layer of exudate on a markedly 

 congested base. In one case of acute nephritis, the solitary follicles of 

 the ileum were enlarged and many were topped with areas of necrosis. 

 Ulceration in the ileum was present in all of the cases of typhoid fever. 



One hundred appendices were examined; 19 were over 12 centimeters 

 in length, 6 showed a chronic obliterative process, 7 contained fecal 

 masses and adhesions were present four times. The appendix in 24 

 eases was found to extend dorsally around the end of the caecum and up 

 between the cecum and the parietal peritoneum. 



Death from acute bacillary dysentery occurred in three cases. Two 

 of these were in Japanese brothers, aged 2 and 4 years, dying the 

 same day. 



