210 
REPORTS OF CASES. 
and strength was very rapid and the dyspnea severe. The appe¬ 
tite was ravenous during the entire period of failing health. 
Symptoms —Temperature, ioo°; pulse, no, irregular, weak; 
great anaemia of oral m.m. and conjunctiva, also of external and 
internal sides of ears; marked dyspnea, pendulant abdomen, 
slight constipation. Percussion of chest wall; dull sound all 
over. Percussion of abdomen; dull over right and left hypochon- 
TUBERCULAR GRANULOMATA OF CARDIUM. 
A. Cardiac Lymph Gland. C. Pericardium. 
B. Aorta. D. Lung. 
driac regions. Palpation of abdominal cavity showed enlarged 
organ, which was finally diagnosed as the liver, although the pos¬ 
sibility of an enlarged spleen was thought of. A diagnosis of 
beginning ascites was made also. 
Auscultation of thoracic cavity gave slight friction sounds. 
The heart sounds were loud and irregular, and the pounding of 
