Missouri Botanical Garden 
George Engelmann Papers 
__ In $2 of the c**—, ^oci-spois occuu.u on me „.- -o~ > 
in 31, on the heart; in 22, on the inner Face of the scalp; m._lfl^onJ;.he -—- “ '**'—P" 
pericranium; in 14, on the thymus gland; in 9, on the interior of the -I 
pericardium; in 8, on the root of the aorta; in 5, on the liver; in 2, on 
the skin; and in 4, singly, on the spleen, diaphragm, pulmonary artery, 
and pleura costalis. * 
In most of the instances, the minute rounded spots were in greatest 
numbers on the thymus gland, the lungs and the heart; their numbers, 
though still considerable, being, as a rule, fewer on the pericardium and 
scalp, while they were only met with in threes and fours on the liver, 
spleen, diaphragm, pulmonary and aortic arteries, and costal pleura. In 
one of the skin-cases, the ecchymoses appeared in a cluster over the 
cartilages of the fourth and fifth right ribs ; in the other, they were 
massed in large numbers on the fronts of the neck and chest. 
The ecchymoses on the scalp and pericranium differed from the blood- 
clots not unfrequently met with on turning down the scalp in infants 
perishing from determination of blood to the head in difficult labors; 
these last being of irregular forms, and of different sizes, up to half an 
inch and more in breadth. 
The marked preponderance of the instances of these ecchymoses in 
early life will be seen from the table. 
The post mortem inspections pointed more or less clearly to-the proxi¬ 
mate cause of death in each of the first 26 cases. Thus, in cases 1 to 26 
