510 Howrah Hospital Report for 1846. 



"J. G., aged 47, admitted into hospital at 9 a. m., is said to have 

 been suffering from fever three weeks, he was ordered a simple saline 

 febrifuge ; 5% p. m. body and head became very hot, with delirium, 

 followed shortly by stupor and stertor, which lasted until death at 

 11 p. m. ; pupils were dilated ; pulse rapid, weak ; livid tongue and 

 features from the first appearance of stupor. Post mortem ex- 

 amination after 14 hours : — an excessively loaded and congested state 

 of all the blood vessels of the brain, both superficial and deep seated ; 

 effusion of serum to the extent of an ounce altogether at the base 

 and within the lateral ventricles. Portal vessels loaded with blood ; 

 a purple congested state throughout the mucous membrane of the 

 stomach and alimentary canal ; spleen very soft, easily breaking down 

 under slight pressure." 



In the treatment of the fevers of this year, it has not been 

 necessary nor advisable to use the lancet in any one instance. 

 In several of the protracted cases with typhoid symptoms, 

 wine has been found most serviceable. 



Dysentery. — The number of cases treated has been 37. 

 The mortality has been very large, viz. 12 ; — 8 of which were 

 admitted with the symptoms of far advanced ulceration of 

 the bowels. There occurred a combination of hepatic ab- 

 scess with the dysentery in two instances. In several of the 

 fatal cases the disease has passed through the several stages 

 or kinds of the disease usually enumerated, viz. of diarrhoea 

 more or less protracted, of acute inflammatory dysentery, and 

 of the last closing stage, which is very commonly hemorrhagic, 

 where the dejections consist of a sanious liquid with flakes 

 of membrane, or of a dark reddish coffee-like fluid, or of 

 little else than blood, and that passed in large quantities. In 

 these fearful cases of dysentery, I have found, upon post 

 mortem examination, extensive surfaces of corroding ulcera- 

 tion, smeared with small fragments of red coagula, and ex- 

 tensive surfaces of large sloughs of membrane, the contents 

 of the large bowels being precisely similar to the dejec- 



