242 HEREDITARY PHTHISIS IN AND TUBERCLES ON THE 
him with gruel, and, if griping comes on, give him some cordial 
medicine. His pulse is rather quicker than it was. Respiration 
natural. 
28 th . — But little difference in him, except becoming more debi- 
litated. There is now a considerable quantity of matter about his 
eyes. He cannot eat. Do nothing to him but support him with 
gruel, and keep his bowels open with boiled linseed. 
February *ld . — Last night he died, and it is supposed that he 
had been struggling very much prior to his death. 
Examination . — I removed a portion of the skull and cervical 
vertebrae, in order to examine the brain. The dura mater had a 
very vascular appearance. After removing the dura mater, and 
separating the nervous connexions of the brain, I cut the medulla 
oblongata across, when an ounce or two of serum escaped. I found 
that the pia mater contained a great number of softish granular 
tubercles on it. I took the brain home with me, and examined it 
more carefully. On raising and separating the pia mater from the 
brain, I found that the tubercles existed in a great measure on 
that membrane, on the sides and base of the cerebrum and cere- 
bellum and medulla oblongata, and also deep within the convo- 
lutions of the cerebrum and cerebellum. A few were found on the 
other parts of the membrane. The tubercles appeared to be 
growing from the external surface of the pia mater, or tunica 
arachnoidis, and projected against and indented the surface of the 
brain. They were in size from a pin’s point to a pin’s head, 
and almost in close contact with each other on the membrane, 
and of a yellowish colour. The pia mater was very vascular 
where the tubercles were situated, and bloodvessels could be 
traced to them. There were no tubercles within the lateral ven- 
tricles, and but little serum. The tubercles were very numerous 
about the superior part of the base of the cerebrum and the cere- 
bellum. The membranes covering the medulla oblongata were 
considerably thickened with lymph and tubercles. The spinal 
marrow w'as not examined. 
On separating one of the shoulders from the body a large 
gland was completely brought to view, containing, in a firm sac, 
a quantity of yellow hard cheesy matter. Other smaller similar 
ones were seen on dividing the symphysis pubis. On laying 
open the abdomen, the peritoneum was found to have on its sur- 
face a great many tubercles from the size of a pin’s head to larger 
than a pea. The liver was firmly united on the off side to the 
peritoneum, between which great numbers of tubercles were found, 
and the liver was not by any means in a healthy state. 
From some cause or other the small intestines were highly in- 
flamed, especially on their mucous surfaces, and they contained 
