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Post-niorton  examination. — Body  fairly  well  nourished.  Skin 
sallow.  No  signs  of  decomposition.  Rigor  mortis  well  marked.  No 
e.vcess  of  fluid  m  the  pericardial  cavity  ;  heart  muscle  healthy ;  valves 
of  heart  normal ;  no  atheroma  of  aorta.  Pleura  free  from  adhesions, 
no  effusion  in  pleural  cavities.  Lungs  markedly  congested  and 
oederaatous,  no  tubercle  present.  No  fluid  in  the  peritoneal  cavity, 
Liver  healthy  in  aspect.  Spleen  slightly  enlarged.  'Fhe  kidneys 
Fig.  81.  Blackivater  Fever,  Case  16.  Teicperature  Chart. 
were  slightly  enlarged ;  capsules  stripped  readily ;  cortex  not 
markedly  altered  in  naked  eye  aspect ;  pyramids  dark,  presenting  a 
striated  appearance  on  section,  the  collecting  tubules  being  easily 
seen  with  the  naked  eye  ;  pelvis  of  kidney  normal.  Suprarenals  and 
pancreas  normal.  Stomach  and  intestines  normal.  Bladder,  which 
contained  a  little  amber  coloured  urine,  was  normal  in  appearance. 
The  brain  and  its  membranes  presented  no  macroscopic  change. 
Microscopic  examination.  The  kidneys  exhibited  in  many  of  the 
uriniferous  and  collecting  tubules  plugs  of  brownish  material  made  up 
of  granules,  5//  to  2ix  or  less  in  diameter,  and  granular  masses, 
