FRANCIS' CASES OF MORBID ANATOMY. JoO 



over the surface of the body, all evidently pointing out the deranged 

 condition of the liver, as well as the debilitated state of his whole . 

 system." 



" On the 17th of September I was again called upon to see Mr. 

 Cooke, in consultation with Dr. McLean. Mr. C.'s strength was now 

 so far expended, that we found it impossible to prescribe any thing that 

 was likely to prove useful for the removal of his disease : we, therefore, 

 from this period, directed our attention chiefly to the relief of particular 

 symptoms, as they occasionally appeared during the progress of his 

 complaint. On the evening of the 25th, he was seized with sickness at 

 the stomach, which was soon succeeded by violent vomiting, and the 

 discharge of a large quantity of black grumous blood ; by this evacua- 

 tion his strength was suddenly exhausted ; but the vomiting was at 

 length allayed by a mixture of laudanum and mintwater. Mr. Cooke, 

 however, survived until six in the morning, when, in the full possession 

 of his mental faculties, and the perfect consciousness of his approaching 

 change, he calmly expired." 



ACCOUNT OF MORBID APPEARANCES. 



" A few hours after his death, having obtained permission, I examined 

 the body for the purpose of ascertaining the state of the abdominal 

 viscera, and especially that of the liver. Upon opening the belly, we 

 found it to contain about six quarts of water ; but the liver, to our 

 great surprise, did not exceed the usual dimensions of that viscus ; it 

 was, however, astonishingly hard, and of a much lighter colour than is 

 natural to that organ ; its texture, too, was uncommonly dense, making 

 considerable resistance to the knife ; in its internal structure, it was so 

 hard and unyielding, that very few traces of its vessels could be found, 

 and the circulation through it had evidently long since ceased to be re- 

 gularly performed : it exhibited precisely that peculiar tuberculous 



