THORACIC AND ABDOMINAL DISEASE. 
433 
9th. — Pulse 93 — can be distinctly felt at any part of the chest 
— respiration 17 — respiratory murmur louder on the right than the 
left side — a discharge of plastic mucus from both nostrils — pres- 
sure against the intercostal spaces of the right side occasions 
flinching and shrinking, and he offers to bite — he did not lie 
down last night. Give tonics; insert two large rowels on each 
side, and one in the anterior of the chest. 
10^. — Pulse 100, tone feeble — respiration 30 — extremities 
cold — he is very uneasy — he is frequently walking round his box — 
pressure on the right costa painful, in fact he cannot bear it — 
there is considerable serous infiltration into the cellular tissue of 
the scrotum — the frnces softer. Give an opiate draught morning 
and night. 
11 th. — Pulse 90 — respiration 15 — scrotum tense, tender, and 
fast increasing in size. Apply a strong stimulating liniment to 
it, and give tonics. 
12 th. — Pulse 60, and better developed at the jaw — he does not 
seem so much excited as before. Apply the liniment to the scro- 
tum. Give tonics. 
13^. — Pulse 50 — respiration 8 — extremities warm — his gene- 
ral appearance improved — he has eaten a fair quantity of food. 
The scrotum hard at its base, but no fluctuation can be detected. 
Treatment as reported yesterday. 
14 th. — No alteration : continue treatment. 
1 5th. — Pulse 69— respiration 20 — no appetite — head pendu- 
lous — the eyes sunken — a dejected look — faeces fluid — he has not 
lain down since the 7th until this morning — scrotum hard and 
cold. Apply hot fomentation to it. Give opium c. creta. 
1 6th. — Pulse 108 — respiration 30, and stertorous : he suffers 
acute pain — frequently lies down — extremities cold — the visible 
mucous tissues injected — the mouth foetid — the pupils of the 
eyes dilated — quivering of the lips — cold sweats on his neck and 
belly. He died at six o’clock, p. m. 
Autopsy . — The Scrotum. The cellular subdartesian tissue in 
a state of serous infiltration, and several insulated abscesses in its 
most pendulous parts ; the vaginal sac was filled with plastic 
lymph — the whole of it larger than a man’s head. 
On opening the abdomen, the peritoneal coat of the large and 
small intestines, and the mesentery, were thickly hung with firm 
shreds of lymph, and loose portions were floating about the abdo- 
men, which contained four gallons of serum, presenting a turbid 
whey-like appearance. The peritoneum was thickened, and ex- 
hibiting a dark yellow hue— the mucous membrane of the intes- 
tines injected throughout — the peritoneal covering of the liver 
thickened, and could be easily stripped oft’ — the parenchyma soft 
