368 Mr. E. M. Corner and Dr. J. E. EL Sawyer. [Apr. 4, 



Surgical Cases. 



Fall of 6°. — Intestinal obstruction, cyst of ovary, erysipelas. 



5°. — Sarcoma of pelvis, carcinoma of rectum and obstruction, 

 compound depressed fracture of vault, scald, septi- 

 cemia, pyaemia, abscess. 



4°. — General peritonitis (two cases), pyaemia (two cases), 

 tubercular laryngitis and phthisis, epithelioma of 

 tongue, sarcoma of tibia. 



3°. — Injury to chest and bronchitis, fractured ribs, sarcoma 

 of face and scalp, suppurative nephritis, erysipelas, 

 pyaemia, sarcoma of neck, cellulitis, imperforate anus r 

 burn, cut throat, ruptured gut. 



The general absence of injury and the great preponderance of sepsis 

 are striking features in the above list. Some of the falls of temperature 

 are dependent upon the shock following a surgical operation. 



The distribution as regards the age of the patients with variations of 

 temperature is shown in the following two charts. 



CHART 5. 



Ages of Patients wit 



o o o c? c 



S3 -p cj <f l 



i Death Falls. 



o o o o o 

 -> <o r^- oo <r> 



? £ 3 £ £ 

















































































































































il 





















% 







— 

































% 









l> C 



r 



r"' 



\ 















** — t 



i J 



The deductions, which may be made from Charts 5 and 6, are : — 



1. That the variations in the temperature as death approaches are 

 more frequent in children under the age of 5 years than at any other 

 period of life. 



2. That between the ages of 5 and 10 years there is a marked 

 decrease in the frequency of the variations of temperature. 



3. That between the ages of 20 and 50, that is, during the most 

 active period of life, variations of temperature more commonly occur 

 than at any other period, except in children under 5 years of age. 



