55 
body on May 20; in case 7 there was cervical tenderness on first day 
of illness; case 11 had cervical tenderness for several days. 
In cases 3 and 10 the cervical glands were somewhat enlarged. 
Abdomen. 
There was considerable gurgling and tenderness in the right iliac fossa in case 120 
(Anderson, 1903c, p. 31); tympanites is never excessive (1903c, p. 23). Anderson 
(1903c, p. 120) reports the mesenteric and retroperitoneal glands as pale and not 
enlarged. Abdominal tympanites usually appears 1 or 2 hours before death. 
(Wilson and Chowning, 1904a, p. 40.) Gates (1905, p. Ill) reports tympanites as 
moderate in his nonfatal case 11 on the 10th day. 
In 1901, the abdomen was not distended or painful in case 3 (May 
10, 1904); it was generally tender, especially on right side in case 8 
(May 26, 1904), and was painful and tender in case 10. 
Autops}^ of case 11 (1904) showed the abdominal organs in normal 
relation and position. 
PERITONEUM. 
In case 11 (1904), the peritoneum was normal; there was a consider- 
able amount of straw-colored material present in peritoneal cavity. 
Comparisons. — In hemoglobinuria the peritoneum near the duodenum is always 
yellowish and jellydike, swollen and ecchymotic. 
OMENTUM. 
In case 97 the omentum was somewhat discolored, showing postmortem degenera- 
tion; in case 94 it was slightly hemorrhagic. (Wilson and Chowning, 1903a, pp. 
56-58. ) . _ ’ 
See also page 68. 
EXTREMITIES. 
Idaho . — Bowers (1896, p. 63) speaks of swollen joints, the joint lesions developing 
with the spots; the swelling disappears during the period of absorption and conva- 
lescence. 
in 1904 the knee jerks were normal in case 10; patellar reflex 
was exaggerated and ankle clonus pronounced in case 13. 
In case 2 the finger nails turned purple about half an hour before 
death. 
GENITALIA. 
See also page 50. 
Bowers (1896, p. 63), reports that the scrotum and testicles are swollen in severe 
cases. Fairchild (1896) and others say that sloughing occasionally takes place over 
limited areas, such as of scrotum, etc. 
Digestive System. 
See pages 53-54. 
MOUTH, TONGUE, TEETH. 
APPETITE. 
Idaho . — The loss of appetite is early and the relish for food is not regained until 
the ])atient is quite convalescent (Bowers, 1896, p. 63). Dubois (1896, p. 64) reports 
persistent anorexia. In many cases the appetite is lost (Fairchild, 1896). There is 
