francis' cases of morbid anatomy. 513 



March 3d. The marasmus was extreme, and yet he was willing, and 

 indeed able, to exert considerable muscular motion, inasmuch as he at 

 times walked about his room. He suffered an increased difficulty in 

 respiration, and it was irksome to him to eject the purulent matter. 

 The hiccup continued distressing to an uncommon degree. 



On the 6th of March, he articulated more indistinctly, and with 

 increased difficulty ; but the soreness of the throat was not so distress- 

 ing. Beside greater restlessness, he was often disturbed at night with 

 a sense of suffocation. The purulent secretion was diminished in 

 quantity, though not altered in quality : at this period he also laboured 

 under great thirst : his debility was so great, that it was scarcely prac- 

 ticable, and no longer deemed expedient, to have recourse to enemata 

 for his support. 



During the two following days, he scarcely retained the power to 

 articulate ; and he did not expectorate so large a quantity of matter : 

 he complained of excessive thirst, and desired cold water, of which, to 

 the astonishment of his friends, he was able, by repeated efforts, to 

 swallow several ounces. 



On the morning of the 9th of March, his symptoms were still more 

 unfavourable, and though he was apparently exhausted, yet the 

 faculties of his mind retained a large share of their accustomed vigour, 

 and continued undisturbed : at 12 o'clock the hiccup became incessant, 

 and at 5 o'clock, p. m. he calmly expired, worn out from the irritation 

 of disease and from inability to take nourishment. 



Leave being obtained to open the body, I carefully examined it, 

 fourteen hours after death, in the presence of Dr. Hosack and Mr. J. 

 B. Stevenson. The following appearances were observed. 



67 



