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10-13-11



In the Unite 1 States, ami to Canada and Mexico, 15.00 a year in advance. To Foreign Countries embraced in the Universal Postal Union, 81.36 a year additional. Single numbers, 15c. Ten consecutive numbers free by mail on receipt of $ 1.00.Sample copies sent free on application.BATHS.Turkish, Russian, Electric, Sulphur, Salt, Pine, etc Douche and Massage.M. E. ALLEN,42 ST.BoTOLrH STRHODE The North Face Outlet ISLAND HOSPITAL,An examination of applicants for the posttiol of Interne will be held in Providence, at th< Hospital, on Thursday the 29th of March, 18SH at ten o'clock. For further particulars. Address,J. C. PE'.RAM,Esq OR,Secretary R. I. HospitalROBT.F. NOTES,M.DSecretary of Staff.14 Jackson St Providence, R IOriginal 3Urtide£.OBSERVATIONS ON PNEUMONIAEBY WILLIAM H. PBE8COTT, M.D.ACDTE FIBRINOUS PNEUMONIA WITH UNUSUAL EXTENSION OF THE FIBRINOUS EXUDATION.THEREis nothing of especial importance in the clinical history of this case. The patient, a man about thirty-five years old, was brought into the hospital with well-marked evidences of pneumonia. There was complete consolidation of the lower half of the left lung and slight breathing, with less well-marked consolidation in the lower posterior portion of right lung. The temperature was high, and the breathing very much accelerated. The condition of the patient steadily grew worse, and he died forty-eight hourB after entry into the hospital.The autopsy was made November 25th, twenty-four hours after death. The body is that of a slightly built man. The mucous membrane pale, rigor mortis well developed. The superficial veins over chest prominent. The face cyanotic.Scalp slightly adherent. Dura mater of ordinary thickness. Pacchionian granulations well North Face Coat developed. The pia slightly cloud The convolutions of brain well marked. Brain slightly Edematous.Subcutaneous fat slight in amount. Muscles red. Peritoneal cavity moist. The appendix bound down by old adhesions extending across from the ileum. These adhesions involved the proximal two-thirds of the length of North Face Outlet the appendix, leaving the tip free. The peritoneum over appendix thickened. Diaphragm on right side at lower border of fifth rib; on left side, in fifth intercostal space.IDthe left pleural cavity about 500 cc. of cloudy serum containing flakes of fibrin. Oakley Canada Both cavities free from old adhesions. Lungs do not retract on removal of sternum. The precordial space small. On the anterior surface, especially over the upper two-thirds, there is a thick fibrinous deposit on the epi-pericardial tissues. The pericardial cavity is obliterated over the anterior upper portion by Ralph Lauren Outlet fresh, North Face Outlet Store thick fibrinous adhesions. In the lower portion of the cavity there is a small amount of clear fluid. The visceral pericardium in its upper portion, extending especially over the root of the aorta, is covered with a thick fibrinous exudation, Oakley Sunglasses containing here and there small haemorrhages. The myocardium is generally pale. Immediately beneath the pericardium where the exudation is thickest the tissue is somewhat opaque and contains small haemorrhages.The The North Face Outlet Store heart of ordinary size. On the right segment of the mitral valve near its attachment, there is a minute superficial erosion not more than one millimetre in extent, covered with a thin, granular, hemorrhagic fibrinous deposit.Over the entire pleural surface of the left lung there is a thin fibrinous exudation, and in the pleura beneath it there are numerous small hemorrhages. Over other portions of the pleura the exudation is thick and yellowish, and is easily removed as an adherent membrane, leaving the underlying pleura cloud The upper lobe of this lung is hyperaemic, edematous, and more solid than normal. On pressure much1 A contribution to the forthcoming Medical and Surgical Report of the Boston City Hospital, from the Pathological Department of trie Hospital, nnder direction of Dr. W. T. Councilman.blood-stained North Face Clearance serum