2. Eruptive Fevers.-Measles occurred in a case of erysipelas after admission. Another case was complicated with bronchitis, and another with functional disturbance of the brain.

In 3 cases of scarlatina, ulceration of the throat was the most serious complication.

1 attack succeeded continued fever (see Div. 1).

1 was followed by desquamative nephritis.

1 was complicated with acute rheumatism.

1 occurred in a patient who was excessively exhausted after confine

ment.

In the fatal case of erysipelas, hæmoptysis and intestinal hemorrhage were the immediate cause of death. The post-mortem examination revealed cirrhosis of the liver and an enormous spleen.

Six other cases of erysipelas were thus complicated :—

1 with eczema.

1

1

1

1

1

anasarca.

epistaxis.
herpes.

rheumatism, valvular disease of the heart, and amenorrhoea. measles (vide supra).

3. Intermittent Fevers.-In 1 case of tertian ague the spleen was greatly increased in size. In a patient with irregular ague who died, no examination of the body was allowed.

In

One case of ague was accompanied by bronchitis, and 1 by jaundice. 4. Rheumatism.-Under acute rheumatism 4 deaths are noted. 1 the cause of the fatal result was obscure, and it was thought to be a case of poisoning by colchicum, from peculiar idiosyncrasy.

1 was complicated with gall-stones.

pericarditis.
pneumonia.

In 12 cases endocarditis was present. In 13 pericarditis was set up, whilst five were admitted with old standing valvular lesions. Pleurisy, pneumonia, or bronchitis occurred in 7.

In a case of subacute rheumatism the acute form, accompanied by pericarditis, occurred soon after admission.

Amongst the cases of chronic rheumatism, 4 were found to have disease of the valvular apparatus of the heart.

5. Gout.-One case was associated with Bright's disease.

6. Rheumatic Gout.-Three deaths occurred:

1 was a case of jaundice and renal dropsy.

1 was a case of "exhaustion" (no autopsy allowed).
1 was fatal from extensive bed-sores.

2 patients had disease of the heart; 1 had asthma.

7. Poisoning.-One case of poisoning by hydrocyanic acid ought to come under a separate heading, "Sedative."

Of the 8 cases of narcotic poisoning, 4 occurred in one day. One patient attempted self-destruction by taking sulphate of copper.

One case of syphilitic throat was accompanied by laryngitis, for which tracheotomy was necessary. The patient did well.

8. Colica Pictonum.-Cases of lead palsy are found under Div. 24, "Paralysis."

9. Entozoa.

enlarged liver.

10. Dropsy. There were 35 fatal cases of anasarca. 12 had disease of the heart.

1 had encephaloid disease of the liver and spleen.
1 had dilatation of the pulmonary artery.

In 6 cases the cause of the dropsy was not ascertained.
The complicated cases of ascites are thus distributed:
5 had enlargement of the liver.

6

1

2

1

cirrhosis of the liver.

jaundice.

encephaloid disease of the liver.
epithelial cancer of the stomach.

1 colloid cancer of stomach, intestines, and womb.

2 disease of the heart and bronchitis.

1

hæmatemesis.

1 ,, apoplexy.

11. Hæmorrhages.-Epistaxis occurred in 2 patients with Bright's disease, in a case of erysipelas, and in a case of jaundice.

Eight cases of hæmoptysis were connected with phthisis, and of these 2 proved fatal. The other death from hæmoptysis occurred in a patient with cirrhosis of the liver and hæmorrhage from the bowels. Hæmatemesis was an accompaniment of some other disorder in 6

ulceration of the stomach.

malignant disease of the liver.

ascites and enlargement of the liver.

Three cases of hæmaturia were associated with dropsy, and in 2 of these Bright's disease existed. Two others were cases of bronchitis. Intestinal hæmorrhage was complicated in 1 fatal case with

hæmoptysis and erysipelas, in another with extensive ulceration of the

rectum.

Two deaths are recorded under uterine hæmorrhage: 1 from acute peritonitis, the other from laryngitis and Bright's disease.

12. Purpura. Five cases were complicated as under: 1 with dropsy and dilated heart.

3

1

1

some kind of hæmorrhage.
scrofula.

exhaustion after confinement, and after

wards with scarlatina, (see Div. 2. Eruptive Fevers.)

15. Chlorosis.-Four cases were complicated-2 with dyspepsia, 1 with phthisis, 1 with dropsy.

16. Cachamia. (See remarks at the head of this Report.) Three cases proved fatal.

1 was a case of pleuro-pneumonia and peritonitis.

acute rheumatism and gall-stones.
delirium tremens and pyæmia.

17. Tubercular Diseases.-Eight cases of phthisis were complicated with hemoptysis, 17 with some other disorder of the respiratory organs, 6 with some disease of the heart, 1 with tubercular accretions in the peritoneum, 1 with tubercles in the brain, 6 with Bright's disease, 1 with encephaloid disease of the kidneys and liver.

18. Morbid Growths.—One case of hydatids in the liver came under notice.

In a fatal case of Bright's disease, epithelial cancer of the stomach was discovered,

There were 3 cases of encephaloid disease of the liver.

kidneys.

In 1 of these, cephalitis occurred, in another crural phlebitis; the rest of the complicated cases were associated with dropsy or phthisis. Thirteen cases of scirrhus were limited to the uterus and vagina; in 2 cases the stomach, and in 1 the liver, were the seat of the 'disorder.

Colloid cancer occurred in a patient admitted with ascites. 19. Hysteria.-One patient died phthisical.

20. Chorea. The number of cases admitted last year was above the average. Continued fever attacked 1 patient.

21. Delirium Tremens.-Six deaths are recorded:

continued fever.

inflammation of the brain and general tuberculosis.

Whilst 1 was an uncomplicated case.

23. Diseases of Brain and Cord.-Three cases of cephalitis were dependent upon tubercles in the brain; 1 was associated with delirium tremens; 1 with encephaloid disease; 1 with apoplexy and Bright's disease; 1 with pneumonia; 1 with fever. In 2 the brain was filled with small abscesses.

Chronic disease of the brain was associated in 1 case with hemiplegia, in another with epilepsy.

Two cases were fatal:

1 from peritonitis and ulceration of the stomach.

continued fever.

Epilepsy was fatal in 2 cases:

In 1 of bronchitis.

pneumonia and desquamative nephritis.

Two other cases of epilepsy occurred in phthisical patients, another case was that of disease of the brain just alluded to, and a fourth was that of a patient admitted for some local paralysis. Under functional disturbance 1 death is recorded. The patient had dropsy, ulceration of the intestines, and atrophy of the liver. Three cases of coma were associated with disease of the kidney, 1 with pleurisy, and 1 with acute rheumatism.

Both cases of inflammation of the cord were accompanied by paraplegia. One had also cystitis.

24. Paralysis.-Of 8 complicated hemiplegic cases, 4 had disease of the kidney.

Two cases of paraplegia were accompanied by inflammation of the cord (see Div. 23.) The third was dependent upon caries of the spine.

A patient with general paralysis had also bronchitis and pneumonia. 25. Neuralgia.-One case of excruciating pain along the course of the ulnar nerve is not recorded in the above table.

26. Diseases of the Heart.-The connexion of heart disease with the rheumatic cases has been noticed in Div. 4.

In all the fatal cases of pericarditis, pleurisy was also found; in 1 an enormous mass of encephaloid matter existed in the chest. Out of 9 fatal cases of dilatation of the heart,

Valvular disease was accompanied by dropsy in 10 cases, 5 of

which proved fatal; by disease of the lungs in 8 cases, 4 of which proved fatal; and by disease of the kidney in 4 cases, of which 3 died. 27. Diseases of Bloodvessels. Death followed the rupture of an aneurism of a branch of the superior mesenteric artery.

In a fatal case of dropsy and pneumonia, great dilatation of the pulmonary artery was found

A patient who died of Bright's disease had a large aneurismal pouch in the wall of the left ventricle of the heart.

28. Diseases of Respiratory Organs.-In 4 cases laryngitis was an accompaniment of phthisis. Three of the fatal cases had also disease of the kidney.

A child five years old, who had been suffering four days from croup, died soon after tracheotomy was performed.

A child eight years old, who had been three days ill, was operated upon two hours after admission, and recovered.

Another successful case of tracheotomy occurred in a child 4 years of age, who had been ill two days. The operation was performed nineteen hours after admission.

Dropsy accompanied 30 cases of bronchitis:

In 12 some affection of the heart was present.

kidneys was present.

In 18
Out of 23 cases of emphysema, 20 had bronchitis.
Asthma was associated

in 1 case with diseased heart and bronchitis.

dropsy and albuminuria.
rheumatic gout.

Pleurisy and pneumonia co-existed in 6 cases.

Eight cases of pneumonia occurred in patients with continued fever. Hooping-cough, with bronchitis and pneumonia, was fatal to a child seven years of age.

The fatal case of pneumo-thorax was associated with pleurisy and phthisis.

29. Diseases of Mouth and Pharynx.-Glossitis occurred in a female suffering from lepra.

Three cases of ulcerated throat belong to scarlatina (see Div. 2).

30. Diseases of Stomach and Esophagus.-Three cases of ulceration of the stomach are marked as doubtful.

A patient with stricture of the œsophagus left abruptly.

31. Diseases of the Intestinal Canal.-Obstruction occurred in a man admitted with purpura.

A patient with diarrhoea died of pleurisy; the 2 other fatal cases of diarrhoea were associated with fever.

A patient with dysentery died from malignant ovarian disease.