/ ^ fe ^^^ THE LIBRARY OF THE UNIVERSITY OF U sL\ FORNIA PRESENTED BY PROF. CHARLES A. KOFOID AND MRS. PRUDENCE W. KOFOID ■?_ ^. J <^^/ ■^ ^.^. ir j^ r^^^i^' /^ (<-i> «'-^-z-:v X/C^^^ /'y'7-7 ^-tr-^ (^ ^ a- f -f^ -■ A^- CATALOGUE PREPARATIONS, Sec, MORBID, NATURAL, AND COMPARATIVE ANATOMY, CONTAINED IN THE MUSEUM THE ARMY MEDICAL DEPARTMENT, FORT PITT, CHATHAM. LONDON: PRINTED BY RICHARD TAYLOR, RED LION COURT, FLEET STREET. 1833. 6 PREFACE. With the opportunities which are afforded in the Army for forming a Collection in Morbid Anatomy, it has been a subject of regret with many, that nothing had for so long time been done towards effecting this ; more especially, as the post mortem appearances of diseases comparatively of rare occurrence in civil life, might have been preserved in such a Museum as that of the Army. The earliest attempt at forming a Collection was made at Portsmouth, in the year 1810, under the superintendence of the present Director General, then Inspector of Hospitals. Some Pathological preparations were made at Hilsea Hospital, by the late W. W. Fraser, Esq., and by Dr. James Forbes, who successively were the Principal Medical Officers at Hilsea. During the years 1810 and 1811 perhaps fifty Preparations were put up at that place : after this nothing appears to have been done till 1816, when a commencement was made at the York Hospital Chelsea, to which the Preparations at Portsmouth were removed ; but almost every one of these were found to be in a decayed state. Small additions continued to be made to the Collection at the York Ho- a2 IV PREFACE. spital, until the Establishment was removed to Chatham, where more space and better means of making Prepara- tions were obtained ; and it is but seventeen years ago, that the forming a Collection can be said to have been seriously entered on at the only General Hospital that remained after the conclusion of the war. As soon, how- ever, as the intention was made known to the Medical Officers of the Army, they were not slow in contributing to it, from all the foreign stations where British troops are quartered. But the difficulties were almost insurmount- able at first ; for not only was it found almost impossible to attempt to make and preserve Anatomical Preparations in tropical climates, even after they had the aid of that scientific chemist Dr. John Davy, but great difficulty was experienced in conveying them to Britain, and the ex- pense of the whole fell on the Medical Officers, who gene- rously defrayed everything relating to the Establishment, Government ha^^.ng done nothing towards it for several years. The devoted zeal of the Medical Officers led to per- severance through numberless difficulties, and at length placed the Museum of the Medical Department of the Army on a firm foundation. At its first formation, that able Officer Dr. James Forbes was at the head of the Esta- blishment of the General Hospital at Fort Pitt, and, but for his zeal, ability, and steady perseverance, the Museum must have fallen to the ground. Of the Officers then act- ing under Dr. Forbes was the late lamented Mr. Schetky, Surgeon to the Forces, at the same time an able drafts- man and a minute Anatomist. He projected giving de- PREFACE. V lineations of the contents of the Museum, and a Fasci- culus was printed in 1824, which first made known to their brethren in civil life what had been done by the Me- dical Officers of the Army. This Fasciculus was brought out under very great disadvantages ; no other has fol- lowed, — but the design is by no means abandoned, and it is hoped that in future Fasciculi the state of the Museum will appear in a more favourable view than that conveyed by the first. Dr. Skey and Dr. Clark successively followed Dr. Forbes as heads of the Establishment at Chatham ; and much is due to the zeal and ability with which both these excellent Officers have acted in bringing the Museum to its present state ; as, likewise, to the gentlemen who came successively into charge of the Museum, as Curators of it, A few years ago the Collection of Books to form a Library for the Medical Department of the Army was projected. Their Library, which now amounts to about 2500 volumes, includes many of the most valuable pro- fessional works, and promises to become a most respect- able Establishment, and is entirely supported by gifts of money and books, with bequests from the Medical Offi- cers of the Army. It would be ungrateful if it were here passed unnoticed that some of the most eminent of their brethren in civil life continue to present their Works to the Library of the Medical Department of the Army. Soon after, a commencement was made of a Collection in Natural History, and this is now placed in a separate building, and contains many valuable specimens in the PREFACE. three kingdoms of Nature. As soon as it can be done, it is intended to publish a Catalogue of it. The locality of Chatham for the Museum and Library- has some advantages, as, being the General Hospital of the Invalid Depot, it is fed with sick from among the most confirmed cases of organic disease occurring in the various chmates over which the Empire extends ; but it is fondly hoped, that the time may come, when the Me- dical Department of the Army shall have an Estabhshment of their own in the Metropolis, which will not only con- tain the Museums of Anatomy, of Natural History, and their Library, but afford means for Officers, from all parts of the world, again meeting, who had served to- gether in years far gone by and in distant climates, and associating with others who have more recently entered the service, and thus afford the opportunity, in recount- ing their services, to exchange opinions on professional questions. In the course of a few years the Anatomical Collection became more considerable than could have been antici- pated, and gave early promise of increasing to an extent which would be at once a source of honourable pride to its projectors, and of gratification to those by whom their views were carried into effect. Its magnitude still rapidly increases, and its value is now such, that a Catalogue of its contents may with propriety be submitted to the De- partment, in the hope that it will prove to some a source of amusement and instruction, to others an example worthy of imitation. PREFACE. VII The Catalogue is confined to the professional parts of the Museum, and especially relates to its most extensive branch, — Pathology ; the classes of Natural and Com- parative Anatomy being added to complete the whole of the subjects connected with these sciences. Manuscript Catalogues have existed from the time of its formation, from which that now published has been compiled. The alterations which have been made are for the most part verbal, or condensations of the accompanying histories and notices of cases. The descriptions of the Prepa- rations have not been, and indeed could not be, mate- rially changed, without altogether setting aside the ori- ginal account of them, which, as it had been formed by able Pathologists, it was not deemed expedient to do. Some points, however, have been omitted ; as, for in- stance, the names of those who were engaged in the ma- nipulation and display of the Preparations, although they are accurately preserved in the original ; the treatment, which is not immediately connected with the subject, and would have given an undue bulk to the volume ; and the references to the detailed cases and dissections, which are to be met with in the Medical, Surgical, and Necro- logical Registers of the General Hospital. Such refe- rences add greatly to the value of the morbid specimen, as the history of each case connected with it can thus be traced through all its details ; but as they can only be made on the spot where the Manuscript Catalogues, with the history of every case, even from the earliest attack of disease in every foreign country, as well as at its ter- Vlll PREFACE. mination at Chatham, in nearly 200 folio volumes of Clinical cases, can be consulted, the multiplication of them in the printed copies becomes superfluous. Although it is matter of regret that an account of the cases connected with the earlier Preparations has not always been preserved, as well as of some of those trans- mitted from foreign stations, yet the vast advantage which this Collection derives from this very essential point cannot but be apparent to, and appreciated by, every member of the profession. It is probable that some errors may have occurred in the insertion of the names and rank of Donors ; they have, however, in no instance been omitted where they are recorded ; and any Contri- butor whose name does not appear, may feel assured that such omission is the result of deficient information, rather than of want of courtesy or attention. In the Pathological Collection, the classification, which was introduced by Dr. Davy^ has for its basis a Physio- logical arrangement; one probably as little liable to ob- jection as any other which could have been formed. The Preparations are necessarily numbered according to the dates of their admission into the Museum, rather than by the immediate proximity of their subjects, the latter being evidently impracticable in an aggregate which is con- stantly increasing. The same division is pursued in the Natural Anatomy. The arrangement of the Comparative Anatomy is founded on the best authorities, among which the illustrious Cuvier stands preeminent. It is scarcely necessary to remark that the inversion of the order of PREFACE. ^ IX the three Parts is the natural consequence of the superior value and importance of the morbid branch, the others being only addenda to this, the description of which is the primary object intended here. The comparative richness and poverty of the various divisions will be apparent, on inspection of the Catalogue. It may not, however, be impertinent to the subject to notice in this place some of its most valuable sections. These are — the specimens of Diseases of the Larynx, Lungs, and, more particularly, the Heart and Arteries : the various morbid appearances of the parts connected with Digestion also abound ; and the series of the lesions of the Liver is such as is scarcely to be met with else- where. To these may be added an extensive collection of examples of Diseases and Injuries of the Bones and Joints, showing the effects of Wounds on them, many of which are rare, and some unique ; also a con- siderable number of Paintings and Drawings on profes- sional subjects. It is no less a duty than a satisfaction to record the names of those gentlemen under whose care, and by whose industry, the Museum has attained its actual im- portance. To the indefatigable exertions and fostering care of the Director- General and Principal Inspector- General, it owes its existence, and, in a great measure, its increase and present flourishing condition. Under the auspices of the Director-General it w^as commenced, and it has been zealously kept up by the able principal X PREFACE. medical officers at Chatham, Drs. Forbes, Skey, and Clark. The following gentlemen (some of whom live to enjoy the credit of their labours, while others have been pre- maturely snatched away by death,) were chiefly employed in the immediate construction of the Preparations ; and to them is solely due the state in which the Preparations are now presented : viz. Staff Surgeons Schetky and Millar, Staff Assistant Surgeons Ford, Bushe, Gulliver, and Fagg ; the last of whom has been succeeded by Dr. Farquhar M'Crae, the present able Curator. Nearly the whole of the Paintings, and many of the Drawings, are from the masterly hand of the lamented Mr. Schetky, whose excellence as an Artist was only equalled by his knowledge and acquirements in profes- sional sciences, and as an Anatomist, The names of the numerous gentlemen who have con- tributed to the various branches of the Collection are not recorded individually in this notice, because they appear in the detailed descriptions, and their names are, also, affixed to the Preparations themselves, on the shelves of the Museum. The thanks of the Department are eminently due to those gentlemen who have contributed by pecuniary do- nations to the printing of the Catalogue ; without their assistance it would have been impracticable. The Cata- logue of the earlier Preparations was arranged by Mr. Schetky ; it was afterwards continued, and subsequently brought to its present state, chiefly by the labours of the gentlemen who came successively in charge of the Mu- seum. To Dr. Clark and Staff Surgeon Burton is due the merit of the arrangement for printing it*. They claim, however, no further credit than that of diligently trans- cribing and revising its pages ; making such alterations in the diction as seemed necessary to explain, elucidate, or improve its contents ; and, in a word, performing the part of Editor on this occasion : and the labour has not been of a trifling nature. Had this Collection been commenced at an earlier pe- riod, — had it begun at the commencement of the last war, it would have been, with the advantages then possessed, unrivalled in the particular department of science which it embraces. In the Museum of Pathology, there are not unfre- quently dupHcates of interesting specimens ; these it is desired to give in exchange with preparations in other Collections : and such interchange will be mutually pro- fitable ; and this public communication is made with the view of soliciting additions to the Museum. The Preparations most wanted in the Collection of the Medical Officers of the Army are, In Healthy Anatomy. 1. Crania of the various Races of mankind. * This is not the sole merit of those two able Officers in regard to the Museum ; both have for a long time been efficient members of the Com- mittees, for conducting both the Museum and Library, and Dr. Clark has been the Chairman of both Committees. Xll PREFACE. 2. Preparations of the impregnated Uterus at various periods of Gestation. 3. The Bodies of FcEtuses at different ages. 4. Preparations of the Lymphatics, Arteries, and Veins. 5. Coloured Casts of wax, to show the surgical re- lations of the great blood-vessels and nerves, or of any other important object. In Pathological Anatomy. 1. Diseases of the Urinary or Generative organs, male and female. 2. Injuries of the Bones, and of the Joints. 3. Hernise of both Sexes. 4. Monstrosities. 5. Diseases of the Eyes and Ears. 6. Tumours and all kinds of adventitious formations. 7. Drawings and Wax Casts, particularly of the dif- ferent pathological conditions of the Brain, Eye, and other parts, of which colour is one of the principal cha- racteristics. In the Natural-History Branch of the Museum. 1. Marsupial animals from Australia, preserved in Spirits. 2. Snakes and Lizards from the Colonies, preserved in Spirits. 3. Fish, dried, or preserved in Spirits. 4. Shells and Crustacea. 5. Crania of different Animals. 6. Small Skeletons, Natural, or Articulated- PREFACE. XUl It is particularly desirable that all those who mean kindly to become Contributors to the Museum, will have the goodness to attend to the following circum- stances. When a pathological specimen is obtained, it ought to be considered whether the colour is the most essential character to be preserved. If so, the object should im- mediately be put into a jar of pure alcohol, and being hung in a suitable position, the evaporation of the spirit is to be prevented by tying two layers of bladder over the rim of the glass. Afterwards the whole is to be en- veloped in brown paper, so as to exclude the light. But in cases in which it is chiefly desirable to preserve the forms and relations of objects, the specimen should be macerated in water, till free of blood, and then put up in a glass jar containing equal parts of water and strong alcohol. It will materially add to the value of any pa- thological preparation if it is accompanied by a document, containing a minute detail of all the symptoms to which the diseased condition gave origin, before the death of the patient. A much lamented deceased Member has bequeathed his Books to the Library of his Brother Officers, but hitherto no Bequest has been made to the Museum ; there is no doubt, however, that benevolent individuals will leave money for the maintenance of the Museum, and towards the great object of obtaining a building for the Museum and Library in the Metropolis, where the Medi- cal Officers of the Army could meet for social intercourse, XIV TREFACE. and in commemoration of the Benefactors of their Insti- tutions. In an Appendix will be found a tabular statement of the present contents of the Museum as presented to the body of Medical Officers on their Annual Meeting in May, with the statements of their Library, Insurance Society, and the Charitable Institution for the Orphans of Medical Officers. London, May 1833. INDEX. PART I. Class I.— VITAL FUNCTIONS. RESPIRATION. Division. Page. I, Diseased Structure of Larjrnx 1 II. of Trachea 9 III. of Lung 11 CIRCULATION. I. Diseased Structure of Heart 32 II. of Arteries 49 III. of Veins 66 IV. of Absorbents 68 Class II.— NATURAL FUNCTIONS. DIGESTION. I. Diseased Structure of Pharynx and CEsophagus 69 II. of Stomach 71 III. of Small Intestines 76 IV. of Large Intestines 92 SECRETION. I. Diseased Structure of Conglomerate Glands 106 II. of Liver 106 III. of Spleen 119 IV. of Kidney 122 V. of Skin 128 EXCRETION. I. Diseased Structure of Bladder and Prostate Gland . . 130 II. of Urethra .., 134 CONTENTS. Class III.— ANIMAL FUNCTIONS. SENSATION. Division. Page. I. Diseased Structure of Brain 137 jj . . of Spinal Chord and Nerves .... 146 III! of Eye 146 LOCOMOTION. L Diseased Structure of Bone 147 II - of Joints and Bursse 166 III^ of Spinal Column 174 IV. Injuries of Bones and Joints 177 V. Diseased Structure of Muscle 186 Class IV.— GENERATIVE FUNCTIONS. I. Diseased Structure of Male Organs of Generation .. 187 II of Female Organs of Generation. . 192 Class V.-MALFORMATIONS ... 194 afl55 VI.— MISCELLANEOUS. ... 196 Paintings 201 Drawings 205 Prints 215 Casts 216 PART II. Natural Anatomy 218 PART III. Con)parative Anatomy 2 '5 7 CATALOGUE OF PREPARATIONS, &c. Part I.— MORBID ANATOMY. Class I— VITAL FUNCTIONS. RESPIRATION. Division I.— DISEASED STRUCTURE OF LARYNX, &c. ajARYNX and Trachea, — exhibiting ulceration of their mucous membrane; the Epiglottis nearly destroyed. — Presented by Dr. Sie-nvart, Surgeon, Jlst Regimeiit. From Peter Meade, 71st Regiment, a patient with confirmed Phthisis, who also complained of pain in the Larynx, and inability to swallow solids. He had pre- viously suffered from scrofulous ulcers in various parts. Having died after a month's treatment, laryngeal dis- ease was discovered, as described above, and the Lungs were much tuberculated and ulcerated. Larynx, — exhibiting extensive ulceration in the site of the Chordae vocales of the right side, with deep excavation. — Fort Pitt. From John Ashworth, aet. 38, 1 2th Regiment, ad- milted on his arrival from India, where he had served many years. He stated that he had undergone, at dif- B 2 RESPIRATION. ferent times, twelve courses of mercury ; but that he had not been affected with any syphihtic complaint for nine years past, about which time he had a Chancre and Bubo. After two months' treatment, he died in a state of ex- haustion ; and the only disease apparent, on dissection, was that of the Larynx constituting the preparation. 3. Larynx, — exhibiting ulceration immediately above the Chordse vocales, particularly on the left side. — Fort Pitt. From Jeremiah Barley, aet. 32, 36th Regiment, who was admitted into hospital, on his arrival from Malta, moribund, with Phthisis of eleven months' duration. On dissection, the Larynx was found as shown in the pre- paration ; the Lungs contained tubercles and vomica2. 4. Larynx, — exhibiting ulceration of the mucous membrane lining the epiglottidean and thyroid Cartilages. — Ibid. From John Dalton, aet. 26, 83rd Regiment, who was admitted with Consumption, on his arrival from Ceylon. He had been an invaHd for three years, and sunk in a month. On dissection, besides the state of parts shown in the preparation, the Lungs were found to be tubercu- lated, and the Litestines in a state of ulceration. 5. Larynx, — exhibiting oedema of the Glottis, and abrasion of the Epiglottis. — Ibid. From William Barnes, aet. 18, 2nd Regiment, ad- mitted with confirmed Phthisis : he died in three months and a half. On dissection, the mucous membrane lining the Larynx, Trachea, and Bronchiae, was found abraded throughout its entire surface; the Lungs contained many vomicae, and the Intestines were extensively ulcerated. 6. Larynx, — exhibiting ulceration, which had extended into the Trachea. — Ibid. From Alexander Duff, aet. 32, 71st Regiment, who was admitted with Consumption, and died after four months' treatment. On dissection, the Larynx was seen as above described, and the Lungs tuberculated. 7. Larynx, — exhibiting nearly total destruction of the Epi- glottis, with ulceration of the mucous membrane, ex- tending down the Trachea. — Ibid. From Martin Browne, aet. 40, 84-tii Regiment, who was admitted with an eruption covering the surface of his body, particularly his head and back (vide Painting, No. 13), and difficult deglutition. Me had been in India for the preceding ten years, and had taken largely of DIVJSION I. 3 mercury, but not tor any venereal affection. Having died at the end of three months, the Larynx and Trachea were found, on dissection, as shown in the preparation ; and serous effusion had taken place into the tissue of the Lungs. 8. Larynx, — ^exhibiting ulceration of its mucous membrane, extending down the Trachea. — Fori Pitt. From Corporal William Adams, jet. 30, 10th Regi- ment, who was admitted labouring under Phthisis pul- monalis of six months' duration. After death, which took place in five weeks, the Larynx and Trachea were found in a state of ulceration ; the Lungs extensively diseased ; and the Ilium, Caecum, and Colon, studded with ulcers on their inner surface. 9. Larynx, — exhibiting two excavated ulcers, and exposure of the thyroid Cartilages, in the site of the Chordae vo- cales. — Ibid. From Cornelius Conway, set. 28, 8th Light Dra- goons, who had served eleven years in India, where he had been a frequent sufferer from attacks of dysentery and remittent fever, for which he had taken much mer- cury. On his voyage homewards, about a month pre- vious to its termination, he had a relapse of dysen- tery, which, on admission into hospital, continued, at- tended with singultus and distressing cough, and latterly vomiting. He died in sixteen days. On dissection, the Larynx was found ossified, and in a state of ulceration internally, with a small piece of bone separated, and lying in the ulcer on the right side. The lining mem- brane of the Oesophagus was also abraded, and con- tracted in its centre ; and the mucous tunic of the In- testines ulcerated. 10. Ulceration of the mucous membrane lining the Larynx. — Ibid. From Serjeant G. M'Kenzie, set. 32, 72nd Regiment, who, having long been afflicted with Consumption, died five months after admission into the General Hospital. On examination, besides the disease described in the preparation, the Lungs were found to be extensively ul- cerated, as was also the whole intestinal canal: Hydatids ■were also discovered in one of the Kidneys. 11. The Os hyoides separated from the thyroid Cartilage by a suicide. — Ibid. 4) RESPIRATION. From an Officer, aet. 31, a maniac, with well-marked suicidal propensity. Having eluded the vigilance of his attendants, he obtained possession of a razor, with which he divided all the parts from the integuments of tlie neck to the vertebras. Neither of the carotids, however, were wounded; but the thyroid arteries were cut through, and the wound proved fatal in a short time. 12. Larynx, — exhibiting thickening and ulceration of the Epiglottis. — Ibid. From Simon Woodstock, a^t. 40, 69th Regiment, a worn-out subject from India, where he had resided a long time, and had suffered from hepatic disease (for the cure of which he had taken much mercury), and lat- terly from dyspnoea and cough. On arrival at home he laboured under symptoms of chronic Laryngitis and pulmonai'y Consumption, from the pressure of which he gradually sunk. On examination post mortem, the mucous lining of the Larynx was found ulcerated and thickened ; the Epiglottis half consumed ; the papills; of the Tongue enlarged ; and the Lungs extensively in- durated, tuberculated, and ulcerated. A section of the Lung is also preserved. (Vide Division 3, No. 36.) 13. Larynx, — exhibiting oedema of the Epiglottis, and Rima Glottidis. — Ibid. From John Walsh, ast. 26, 87th Regiment, who had for a twelvemonth laboured under scrofulous ulcera- tions in the neck, and, for three months previous to death, enlargement of the conglobate glands of all the superficial parts of the body. This condition was at- tended by atrophy, extreme debility, purulent expecto- ration, night sweats, diarrhoea, and other signs of dis- organization of the Lungs, under which he sunk. The post mortem examination exhibited the above-mentioned state of the Larynx, with tubercular and ulcerated Lungs. The Intestines were studded with innumerable tubercles, many clusters of which had run into ulceration : the Liver had a marbled appearance, and was of highly granular texture ; and the mesenteric glands were much enlarged. 14. Larynx, — exhibiting extensive ulceration, and thickening of its nuicous membrane. — Ibid. From Matthew Carrol, 29th Regiment, ast. 29: having been treated for secondary Syphilis, symptoms of Phthisis laryngea set in, and terminated in death. On dissec- DIVISION I. 5 lion, the Larynx was found extensively ulcerated, and its mucous membrane much thickened, even to the Dor- sum linguae, the fungiform papilhp of which were en- larged. The Epiglottis was so nearly destroyed, as to be totally inadequate to its office. The Thyroid cartilage was partly ossified, and its inner layer apj)eared as if about to exfoliate. The only disease discoverable in the Lungs was slight hepatization of the inferior part of the left organ. 15. Larynx, — exhibiting induration, thickening, and ulcera- tion of the mucous membrane lining the Rima Glottidis. — History icnattainable. 16. Larynx, — exhibiting Varioloid Pustules. — Fort Pitt. From Thomas Cowley, 1st Regiment, aet. 30, who died of Variola, with secondary fever. (Vide Division II. No. 4.) 17. Larynx, — exhibiting thickening, oedema, and ulceration of the Glottis. — History unattainable. 18. Larynx, — exhibiting oedema, ulceration, and effusion of lymph. — History unattainable. 19. Larynx, — exhibiting extensive thickening and ulceration of its mucous membrane. — History unattainable. 20. Thickening and ulceration of the mucous membrane lining the Larynx. — History unattainable. 21. Larynx, — exhibiting oedema. — History unattainable. 22. Larynx, — exhibiting the adventitious membrane formed in Croup. — History unattainable. 23. Larynx, — exhibiting oedema; also enlargement of the Tonsils. — History unattainable. 24. Larynx, — exhibiting thickening of the Epiglottis. — Hi- story unattainable. 25. Larynx, — exhibiting the false membrane formed in Croup. — History unattainable. 26. Larynx, with lower Jaw attached, — exhibiting the result of an operation for the cure of a fistulous opening made in an attempt at suicide. — Fort Pitt. Thomas Holland, aet. 25, 36th Regiment, had at- tempted suicide by cutting his throat, seventeen months previous to admission into the General Hospital. At this period a circular opening, about an inch in tliameter, 6 RESPIRATION. with callous edges, through which the Epiglottis was dis- cernible, existed between the thyroid cartilage and the Os hyoides, by which, when the patient attempted to swallow fluids, a great part escaped. Four days after his admission, the following operation was performed : — A portion of integument was removed from below the chin, and adapted to the opening above described, to which it was secured by means of suture. This plan succeeded, as may be seen in the preparation. The man subsequently died of Phthisis pulmonalis. 27. Larynx, — exhibiting ulceration of its mucous membrane, which extends into the Trachea. — History imhioxon. 28. Larynx, — exhibiting an extensive wound made in the thy- roid cartilage by a suicide, considerable oedema of the Glottis, and the Epiglottis completely detached. — Chat- ham. Presented hy Dr. Davies, E. I. C. Service. From a private of the East India Company's Infantry, who, being admitted into hospital with a slight attack of Cholera, the same evening began to evince symptoms of insanity. During the night he effected several irre- gular wounds in the thyroid cartilage with a blunt razor, through which fluids issued when attempts were made to swallow any, the Epiglottis being unable to prevent it. Life was sustained for some days by means of a sto- mach-pump. Post mortem examination discovered the state of parts above described. 29. Larynx, — exhibiting ulceration of the Rima Glottidis, as well as of the Velum pendulum palati. — Presented hy Dr. Kinnis, Assistaiit Surgeon to the Forces. 30. Larynx and Trachea, — exhibiting extensive ulceration of their mucous lining. — Fort Pitt. From John Hazlewood, jet. 3i, 15th Regiment, who was admitted into the General Hospital with Phthisis pulmonalis, which commenced twenty months previ- ously. After seven weeks' further suffering he died ; and, on dissection, the Larynx and Trachea were found as above described, the Lungs tuberculated, and seven quarts of serous fluid effused into the cavity of the ab- domen. 31. Larynx and Trachea, — exhibiting high inflammation of their mucous lining, with lymph effused on its surface. — Ibid. From Michael Gollory, a-t. 23, 54th Regiment, a DIVISION I. 7 man ot" plethoric liabit, who was admitted into hospital with premonitory symptoms of Rubeola, which ter- minated, at rather a Late period, in that disease. On the receclini^ of tlie eruption, his symptoms indicated evi- dent determination to the chest, and, slightly, to the head also, for both of which he was actively, but unsuccess- fully, treated. He died on the 17th day. On dissection, the bronchial membrane was found extremely inflamed, the traces of inflammation becoming more intense in its minute subdivisions. The posterior part of the left Lung was in a state of hepatization, as well as that of the right, though less extensively. 32. Larynx, — exhibiting well defined ulceration of its mucous tunic. — Fort Pitt. F'rom William Pitts, i\?t. 31, S^th Regiment, who, having been afflicted with pulmonic disease for four years, ultimately died of tubercular Phthisis. 33. Interior of the Larynx lined with copious deposit of Lymph. — Ibid. From Isaac Graham, set. 21, 31st Regiment, who was admitted with confluent Small-pox. About the eleventh day the mouth and Pharynx became covered with pus- tules : symptoms indicative of their extension into the Larynx also set in, (as viscid expectoration, cough, dif- ficult deglutition, and urgent dyspnoea,) and continued in an aggravated form until his death, which took place on the fifteenth day. On examination post mortem, the principal internal morbid appearance was the state of the Larynx seen in the preparation. 34. Exhibits the effects of chronic Laryngitis; the Epiglottis and surrounding cellular substance cedematous ; no ves- tige of the Chordae vocales, but in their place an abun- dant, firm, fleshy deposit, protruding so much as nearly to obliterate the passage of the tube ; at the back part of the cricoid cavity a large ulcerated cavern, with the car- tilage bare, and involved in the process of exfoliation. — Ibid. From William Trayner, £et. 27, Royal Staff" Corps, who was admitted in August, 1829, with cough, difficult expectoration, severe pain in the Larynx and Trachea, and dyspnoea. Under these symptoms, in various de- grees of aggravation, he lingered until the following February. On inspection after death, the state of parts described above was discovered ; the Lungs, with the ex- 8 RESPIRATION. ception of one or two hard tubercular deposits on the left side, were unaffected by disease. — The case appears to have been one of laryngeal Phthisis simply. 35. Larynx, with copious deposit of lymph, and the remains of frequent clusters of pustules, apparent on its lining membrane. — Portsmouth. Presented by Dr. Tuthiil, Assista7it Surgeon, 52nd Regiment. From a patient who died of Small-pox. 36. Larynx, ossified throughout. — Fort Pitt. — History unat- tainable. 37. Larynx, — exhibiting destruction of part of the lining membrane, and deposition of coagulable lymph. — Malta. — Presented by Dr. Con?iell, Assistant Surgeon^ Rijle Brigade. Taken from an infant, who died from the efTects of this disease. 38. Exhibits ossification of the cartilages of the Larynx. — ■ Fort Pitt. — History unattainable. 39. Larynx,— exhibiting extensive ulceration, and destruction of its mucous membrane. — Presented by Mr. Whyte, Surgeon, 69th Regiment. From Corporal David Murphy, who, having been long affected with scrofulous ulceration in the neck, ultimately died of pulmonary Consumption. 40. Larynx, — exhibiting very deep and extensive ulceration of its internal surface. — Bengal. — PresentedbyDr. BurkCf Inspector General of Hospitals.— History unattainable. 4L Larynx, with great thickening of the Epiglottis, and ex- tensive ulcers on both al^e of the thyroid cartilages; that on the right side communicating by a sinus between the thyroid and os hyoides with the external integu- ments of the neck. — Corfu. — Presented by Dr. M^Munn, Assistant Surgeon, lOth Regiment. Taken from Daniel Boyle, aet. 20, lOdi Regiment, who had laboured under difficult deglutition for two years, and was repeatedly near losing his life from the detention of morsels of food in the passages. He had been four years in the service, the greater part of that lime in the Mediterranean. 42. Larynx, with a piece of detached bone imbedded in the DIVISION II. 9 left side of its inner surface. — Brighton. — Presented by Mr. Rogers, Surgeon, \Oth Hussars. P^rom John Price, aet. 34-, 10th Hussars. He was admitted into Hospital with ulcers on the penis and tonsil, for which he underwent a three weeks' course of mercury, when the sore on the penis being healed, and that in the throat becoming worse, the medicine was omitted. At this time he was hoarse, and had stridu- lus, and subsequently sonorous respiration, with cough, and mucous expectoration. He died about a month after admission, somewhat unexpectedly. On dissection, the surface of the cervical vertebras was found in a ca- rious state. On opening the Larynx posteriorly, the piece of bone seen in the preparation was observed, oc- cupying the site of the cricoid cartilage. It appears to be an anormal formation, and not an extraneous piece introduced in deglutition ; as, on the most particular in- quiiy, there is no evidence that the man ever met with an accident of that kind. Division H.— DISEASED STRUCTURE OF TRACHEA, &c. 1. Trachea and Bronchiae, — exhibiting extreme ulceration of their mucous membrane; also enlarged conglobate glands at the bifurcation. — Fort Pitt. — History unattainable. 2. Trachea, — exhibiting an ulcer, which communicated with the Gilsophagus. — Ibid. From Luke Luxwell, a?t. 25, 4th Regiment, who died in sixteen days after his return from the West Indies. After death an ulcerated opening, about half an inch in diameter, was discovered between the Trachea and CEso- phagus; the Lungs were consolidated, and contained vomicae in their substance; about a pint of fluid was ef- fused into the cavity of the chest; and the mucous tunic of the small intestines was extensively ulcerated. 3. A Kidney-bean impacted in the Trachea of a child, whereby suffocation ensued. — Halifax Museum.— History unat- tainable. 10 IIESPIRATION. 4. Trachea, — the mucous membrane highly inflamed, the effect of Small-pox.— Fo;-^ Pitt. From the same patient as No. 16, Division I. 5. Trachea,— exhibiting extensive ulceration. — History unat- tainable. 6. Trachea,— exhibiting a Bronchocele. —i^is/forj/ unattain- able. 7. Enlarged conglobate glands at the bifurcation of tlie Tra- chea. — History unattainable. 8. An opening between the third and fourth rings of the Trachea made in Tracheotomy ; also an Abscess in the base of the Tongne.—Preseiited by Dr. Kemlo.— Hi- story unattainable. 9. Bronchial gland?, — exhibiting abundant deposition of os- seous matter. — Fort Pitt. From William Burkin, aet. 35, 4th Dragoon Guards, who was treated for Phthisis pulmonalis, of which dis- ease he ultimately died. On dissection, the Lungs were found studded with tubercles in every stage of matu- ration, the intervening tissue being inflamed. 10. Bronchial glands, presenting copious earthy depositions. —Ibid. From John Rutledge, aet. 26, 1st Dragoon Guards, who, having for a long time been affected with pectoral disease, was admitted into the General Hospital with unequivocal symptoms of tubercular Phthisis, and died in a paroxysm of dyspnoea. On inspection, the Lungs presented tubercular deposition, and vomicae : the ven- tricles of the Heart were in a state of active aneurism, and on the lining membrane of the left ventricle were two distinct cartilaginous patches. On adding an acid to a portion of the earthy substance, carbonic acid gas was freely evolved. U. Exhibits the effect of high inflammation of the bronchial membrane, with grey hepatization of the pulmonic tissue. — Ibid. From Serjeant M'Loughlin, ,ibiHty, and died in two hours. On examination after death, a considerable DIVISION III. 13 quantity of blood was found effused between the Brain and dura mater; and osseous depositions were disco- verable in the Pleurae and Diaphragm. 12. Lung, — exhibiting consolidation. — Fort Pitt. From Samuel Bishop, a^t. 38, Royal African Corps, who was received into Hospital with symptoms of Pneu- monia, and died on the subsequent day. On dissec- tion, the Lungs were found extremely hepatized, and the Bronchiae inflamed. 13. Section of Lung, — exhibiting miliary Tubercles. — History unattainable. 14. Lung, — exhibiting the sacs of large Abscesses communi- cating with the Bronchite: the Pleura thickened. 15. Section of right Lung, — exhibiting a large Vomica, tra- versed by bands. — Fort Pitt. From Joseph Benison, eet. 28, 7th Regiment, who, having been treated for a glandular tumour in the left groin, some time subsequent to admission was attacked with symptoms of pulmonary Consumption, of which, after five months' suffering, he died. 16. Section of Lung, — exhibiting consolidation. — Ibid. Taken from John Fox, get. 37, 8th Regiment, who having been admitted into Hospital under a violent attack of Pneumonia, notwithstanding the most active treatment, died on the fifth day. Scctio Cadavcris : The right Lung was sound ; the left had formed adhesions to the surrounding parts, and was completely consoli- dated. 17. Lung, — exhibiting a large and irregular excavation. — Ibid. From Serjeant Allan, a3t. 36, 84th Regiment, who, having been phthisical for two years previous to his ad- mission, died after seven weeks' treatment. On dissec- tion, the right Lung was found as shown in the prepa- ration : the foramen ovale of the Heart was pervious. (Vide Circulation, Division L No. 6.) 18. Osseous deposit between the Diaphragm and Lung, the latter consolidated. — History unattainable. 19. Section of consolidated Lung, — exhibiting vomical cysts of cartilaginous structure. — Fort Pitt. From John Coulter, set. 48, 4th Veteran Battalion, who had formerly suffered much from pectoral affec- 14- RESPIRATION. tions, and was admitted with symptoms of Phthisis pul- monalis, of which disease he soon after died. On dis- section, the Lungs were found to contain tubercles and vomica?. 20. Lung, — exhibiting a very large Vomica, traversed by many bands. — Fort Pitt. From John Tattersal, set. 36, 22nd Regiment, who was admitted under symptoms of hectic fever. Being fatuous, the nature of his disease could not be distincdy ascertained. He continued under treatment for nine months before death took place. On dissection, the left Lung was found as seen in the preparation. 2L Lung, — exhibiting consolidation. — Ibid. From Jeremiah Hodge, aet. 40, 9th Regiment. He had been four months under treatment in the General Hospital for symptoms of Phthisis pulmonaiis, and had been discharged in an improved state of health. After some time he was re-admitted labouring under fever, which terminated his existence on the fifth day. On dissection, effusion was found to have taken place be- tween the membranes covering the Brain, and in the ventricles: the right Lung was sound, the left hepa- tized. 22. Portion of Lung, — exhibiting consolidation. — Ibid. Taken from John Chrystal, set. 40, 6Gdi Regiment, who died of fever on the ninth day. On examination, effusion was observed to have taken place into the ca- vities of the Brain ; and the right Lung was consoli- dated. 23. Portion of Lung, — exhibiting hepatization; the Pleura costalis thickened and adherent. — Ibid. From John Hammond, a?t. 43, 73rd Regiment, who,^ having been admitted into Hospital with symptoms of acute catarrh, died on the eighth day of Pneumonia. On dissection, it was found that effusion had taken place into the tissue of the left Lung; and the right, of which the preparation is a portion, was he})atized. 24. Root of Lung, — exhibiting a large Vomica lined by a false membrane. — Presented by Surgeon Burke, Rijie Brigade. — History unattainable. 25. Portion of Lung, — exhibiting consolidation, and miliary Tubercles.— ibr/ Pitt. From Thomas Davies, a^t. ^6, 59th Regiment, an in- DIVISION III. J5 valid from India, received into Hospital with symptoms of dysentery. In three weeks he died ; and, on dissec- tion, it was discovered that the inner surface of the Colon was extensively ulcerated ; diat effusion had taken place into the left side of the chest; and that the Luno-of that side was in the state above described. 26. Portion of Lung, thickly studded with Tubercles in dif- ferent stages of maturation. — Presented by Surgeon Burke, Uifle Brigade. — History unattainable. 27. Lung,— studded with granular Tubercles; the Pleura thickened and agglutinated by an intervening substance. — Foi't Pitt. — History unattainable. 28. Portion of Lung, — its substance condensed by the exist- ence of numerous crude Tubercles.— York Hospital, Chelsea. — History imattainable. 29. Portion of Lung, — exhibiting Tubercles and Vomica?. York Hospital, Chelsea. — History unattainable. 30. Bronchial glands, much ^xA^xg^^.— Presented by Assistant Surgeon Hendersoji, "JSth Regiment. 31. Portion of Lung, — exhibiting numerous Tubercles and Vomicj3e ; also the mucous lining of the Bronchia3 ex- tensively ulcerated. — Foi't Pitt. From Corporal M'Adjmis, a.-t. 30, 10th Regiment. He had been for six months under treatment, in his Re- gimental Hospital, with a pectoral affection ; after which he was transferred to the General Hospital, labourino- under symptoms of confirmed Consumption, and died at the expiration of five weeks. On dissection, the mucous tunic of the Trachea and Bronchia? was found extensively ulcerated ; the Lungs abounding in tuber- cles and vomicae; and both the small and large Intes- tines manifesting, in various parts, marks of ulceration. 32. Left lung, — exhibiting compression produced by the exist- ence of air and fluid in the cavity of the Pleura. — Ibid. Taken from Patrick Calnon, a?t. 28, 50th Regiment. Admitted, on his arrival from Jamaica, May 9th, 1823, labouring under pectoral disease, the result of an injury received eighteen months before, which had produced haemoptysis. On the 13th, after a violent fit of cough- ing, he was seized with a sense of constriction in the chest and abdomen, and rapid and difficult respiration; pulse small, 130; heart pulsating under the right mamma, 16 RESPIRATION. and great mental agitation. On measurement, the left thorax proved to be larger than the right, and a hollow, tympanitic sound was elicited from it on percussion. These symptoms affording strong presumption that air was contained in theleft pleural sac, — on the 2 1st the ope- ration for Empyema was performed between the eighth and ninth ribs, when only five cubic inches of air were collected, and the relief to the symptoms was inconsi- derable. On the following morning, therefore, the ope- ration was repeated immediately below the nipple, and upwards of twenty-five cubic inches of air (containing ninety-three parts of azotic gas, and seven of carbonic acid,) were collected. The relief now afforded was great and immediate, and the patient for some time improved in health ; but on the 5th of June, he was again attacked with dyspnoea, and other urgent symptoms. By the 15th, fluctuation could be discerned in the same cavity. The symptoms becoming yet more aggravated, on the 25th the operation of Paracentesis Thoracis was again performed, by passing a trocar and canula through the substance of the fifth rib (Vide Class III. Locomo- tion. Division IV. No. 5.), when twenty-four ounces of serous fluid were obtained. The canula, furnished with a stopper, being allowed to remain, fluid, which daily became more puriform, was constantly discharged to the amount of several pounds ; and gas (nearly in the same proportions as already stated,) was collected in large quantities at different periods. Hectic fever being induced, the patient sunk gradually; his feet became oe- dematous ; and on the 29th of July he suddenly expired. Sedio Cadavcris : The Heart was thrust over towards the right side of the chest; the Pericardium contained three ounces of fluid ; the right Lung was slightly com- pressed by the Heart, and adhered to the Sternum by a band of lymph, which crossed the Pericardium; and the substance of the Lung contained miliary tubercles. On the left side was a cavity nearly empty ; the Lung was much compressed; when inflated, three different openings were discovered in it, by which air had escaped into the pleural cavity. The Pleura was thickened, and coated with lymph. The Liver was of a dark colour; the Gall-bladder large, and contained a small quantity of pale bile; the small and large Intestines exhibited signs of former inflammation; and the cellular membrane of the extremities was loaded with serum. DIVISION III. 1 I 33. Portion of Lung — consolidated, and containing two small Vomicae. — Fort Pitt. — History unattainable. 34. Cyst attached to the costal Pleura, and filled with hytla- tids. — History unattainable. 35. Portion of the inferior lobe of the left Lung, — exhibiting hepatization from inflammation. — Chatham. — Presented by Dr. Skey, Deputy Inspector General of Hospitals. The patient, a boy, aet. 12, was attacked by acute Carditis, with fatal termination in fourteen days. On examination after death, a stratum of organized lymph, the sixteenth of an inch in thickness, was found to con- nect the Heart universally to the Pericardium (Vide Circulation. Division L No. .51.); and the inferior lobe of the left Lung was in the state above described. 36. Section of the left Lung, — exhibiting Tubercles, Vomicap, and hepatization. — Fort Pitt. From Simon Woodstock, cet. 40, 67th Regiment, who had laboured under difficulty of breathing, and dry cough, for a year previous to his leaving India, where he had suffered from hepatic disease, and had used much mercury. On admission into the General Ho- spital, he laboured under symptoms of chronic Laryn- gitis, and Phthisis pulmonalis, from the effects of which he gradually sunk. On dissection, the mucous membrane of the Larynx was discovered to be ulcerated and thick- ened ; the Epiglottis half-consumed by ulceration (Vide Division L No. 12.); and the Lungs, particularly the left, extensively indurated, tuberculated, and ulcerated. 37. Portion of Diaphragm, immediately above the Spleen, — exhibiting deposit of bony matter. — France. — Presented by Assistant Staff Surgeon Twining. From Brown, a baggage master attached to the Army of Occupation in France, who, having fallen from his horse when intoxicated, was carried home in a state of insensibility, and died in the night. It was after- wards discovered that his skull was fractured ; and four ounces and a half of semi-coagulated blood were effused between the dura mater and arachnoid. Deposits of bone were also discovered in many parts of the Aorta (Vide Circidatioii. Division IL No. 7.), as well as in the portion of Diaphragm which forms this preparation. 38. Portion of Pleura, — exhibiting an osseous deposit. — Flis^ tory unattainable. c 18 KESPIRATION. 39. Portion of Lung, — exhibiiing pulmonary Apoplexy. — History tinattahiahle. 40. Adventitious cartilaginous substance, gluing the Pleura costalis and pulmonalis together. — Albany Hospital^ Isle of Wight. — History unattainable. 41. Portion of Lung, thickly studded with crude Tubercles; the Pleura tubercuLited, thickened, and adherent. — Al- bany Hospital^ Isle of Wight. From the same subject as No. 40. 42. Right Lung, — exhibiting condensation and numerous ir- regularly-shaped cavities. — Fort Pitt. From Thomas Probert, aet. 22, 38th Regiment, a young man of scrofulous habit, who was admitted for disease of the hip-joint, on which phthisical symptoms soon supervened. From the commencement of the pec- toral affections, the progress of the original complaint appeared to be suspended, his suffering being derived altogether from the morbid condition of the chest, and, latterly, of the abdomen. He lingered in Hospital twelve montlis before he died. On dissection, the right Lung exhibited the appearance shown in the preparation; the Liver was enlarged; the Spleen lobulated (Vide Class IL Secretion. Division IlL No. 9.), and situated on the right side of the spinal column, the Caecum being lodged in the left iliac fossa; and the small and large Intestines pre- sented tubercular ulceration of their inner coats. A large scrofulous ulcer was found in the substance of the left in- ternal iliac muscle, having no connexion with the cavity of the hip-joint, the soft parts surrounding which were matted together by lymph. An abscess of moderate size was detected in the Gluteus maximus near its in- sertion, communicating with the inferior part of the hip- joint; and the head of the Femur, and the cavity of the Acetabulum, were extensively ulcerated, the cartilagi- nous covering of the bones being almost totally de- stroyed. 43. A mass of enlarged bronchial glands situated at the bi- furcation of the Trachea, and immediately behind the arch of the Aorta. — Ibid. From Morris Lanegan, jet. 25, 67th Regiment. On admission, he liad cough, ciyspna^a, and pain in the chest; also diarrlioea. Alter death, effusion into the risht side of the chest was discovered ; the same Lung DiviyiON III. 19 was collapsed; the left healthy; and the bronchial glands as seen in the preparation. 44. Left Lung consolidated, and containing numerous large and irregular Vomicae, having firm cysts, and commu- nicating freely with each other, and with the bronchial tubes. — Fort Pitt. From William Regan, a_'t. 23, GOth Regiment. While serving in the VVest Indies he had several attacks of pectoral disease, for which he was eventually invalided. On his arrival at home he con)plained of cough, attended with oppressed breathing, and pain under the left breast, where the stethoscope, together with percussion, indi- cated that the Lung was impervious to air. During his sickness he was subject to periodical attacks of urgent dyspnoea, and, latterly, hectic was superinduced, accom- panied by a copious expectoration of fetid, puriform fluid, which, for some time previous to death, was coughed up in large quantities, and commonly tinged with blood. On dissection, the right lung was found adherent to the parietes of the chest, and its substance contained many miliary tubercles; the left adhered firml}', and universally, to the costal pleura, its bulk being diminished, its substance consolidated, and con- taining many irregular and considerable vomica?, which communicated freely with each other, and with the bron- chial tubes. The cysts of these cavities were of firm consistence, and their internal aspect presented a dark red appearance. The Heart was somewhat enlarged, and its parietes attenuated. 45. Portion of Diaphragm, — exhibiting deposition of carti- laginous substance. — Ibid. — History unattaivable. 46. Left Lung, — exhibiting tubercular degeneration, and Vo- micae lined with a fine membrane; carneous bands inter- secting the inferior cyst. — Ibid. From John Rogers, a^t. 20, 54th Regiment, a patient with cough and pain of the breast, for which he had been freely bled at different times with temporary re- lief. Subsequently debility ensued, the thoracic pain continued, with increased cough and dyspnoea, puru- lent expectoration, and all the symptoms of hectic fever depending on confirmed pulmonary Phthisis, of which he died. 4/. Lung converted throughout into a mass of caseous mat- ter, — Ibid. c 2 20 RESPIRATION. From John Coulands, jet. 19, 51st Regiment, who died of Phthisis pidmonaHs. On dissection, the right Lnng was found studded with scrofulous deposits, the Pleura being in a state of tubercular degeneration, but free from adhesions ; the interposed cellular tissue sound. The left Lung was universally adherent to the thoracic ])arietes, and converted throughout into a mass of ca- seous matter, without a vestige of its original structure. The Peritoneum was tuberculated. (Vide Class II. Di- gestion. Division III. Nos. 49. and 50.) 48. Is an example of pulmonary Apoplexy. — Fort Pitt. From Thomas Twinam, 4<0th Regiment, jet. 26. He was admitted into his Regimental Hospital labouring under pectoral disease, which, at first, was supposed to be incipient Phthisis. In a short time dropsical effusion taking place, particularly in the lower extremities, he was transferred to the General Hospital, where it was noted that the disease was dropsy, depending upon or- ganic lesion of the Heart. No irregularity was observed in the pulse, but the carotids pulsated with unusual vio- lence. The ordinary treatment was adopted without advantage, and death ensued. The Lungs were sound, except the appearance represented in the preparation; the Heart diseased. (Vide Circulation. Division I. No. 65.) 49. Apoplexy of the Lung. — Ibid. 50. Portion of right Lung and thoracic parietes, — exhibiting adhesions of the Pleurae, and a large cavity intersected by fleshy bands; the anterior part of the organ com- pletely converted into scrofulous matter. — Ibid. From William Barry, 77th Regiment, a?t. 28, who be- came affected with melancholy, while serving in Jamaica. He was admitted into the General Hospital, on arrival in England, with confirmed Phthisis, of which he soon died. On dissection, besides the pulmonary disorgani- zation exhibited in this and the following preparation, the Cfecum and Colon were affected with tubercular ulceration. .51. Left Lung, — showing every stage of tubercular degene- ration. — Ibid. From the same subject as the preceding preparation. .52. SectionofLung,— consolidated, and exhibiting a deposition DJMSION lit. 21 of lyiDpl], in a lace-like fbnn, on tlie surface of the Fleimi.— Furt Piit, From Thomas Jones, 46th Regiment, aet. '50, who was admitted with common continued Fever of two days standing. The following day symptoms of thoracic con- gestion set in, which did not yield to antiphlogistic re- medies; and the course of the lever continuing, accom- panied by increase of cough and dyspnoea, the sensorium became affected, and he sunk on the tenth day of the (Hsease. Post mortem examination exhibited a highly inflamed state of the bronchial lining, and tubercular deposits in many parts of the Lungs. The cavity of the right Pleura contained about a quart of serous fluid. 53. Portion of Lung, — carnified, and exhibiting a pseudo- membranous crust on the surface of the Pleura. — Ibid. From the same subject as the preceding preparation. 54. Section of the right Lung, — exhibiting phlegmonoid pu- rulent cysts. — Ibid. From John Landrigan, 54th Reoiment, let. 22, who was admitted into Hospital with slight febrile symptoms. Shortly after a pectoral affection supervened, and he was suddenly attacked with rigors, succeeded by faint- ings and cold perspirations. He then became somewhat better ; but in a few days was again attacked by the same train of symptoms, which recurred many times with dif- ferent degrees of violence until his dissolution, in two months from the accession of the disease. After death, two small abscesses were discovered in the Liver, be- sides those in the Lung. The lesion in the latter organ was totally unaccompanied by tubercular degeneration. 55. Portion of the right Lung, — consolidated, extremely vas- cular, and exhibiting a small abscess. — Ibid. From the same subject as the preceding preparation. 56. Right Lung, — exhibiting tubercular infiltration, exten- sive Vomicae, and thickening of the Pleura. — Ibid. From the same subject as No. IL Division IL 57. Left Lung, — in a state of collapse, and exhibiting a thick pseudo-membranous deposit on the surface of the pul- monary and costal Pleurte. — Ibid. From Serjeant Logan, aet. 35, 85th Regiment, who had served in the West Indies, and Malta. He was admitted into the General Hospital with peritoneal 22 RESPIRATION. dropsy, and chronic Hepatitis, under which diseases his constitution gave way. Antopsia: — The left thoracic ca- vity contained about two quarts of fluid, the Lung was compressed against the mediastinum, and the whole surface of the Pleura was coated with the cartilaginous adventitious membrane seen in the preparation. The peritoneal cavity contained a large quantity of fluid; the mucous tunic of the Intestines was inflamed, and covered with copious deposits of lymph. (Vide Class II. Digestion. Division III. No. 54.) .58. Portion of Diaphragm, the pleural surface of which is coated with a layer of newly-formed lymph. — Fort Fitt. From John Hurlihey, 87th Regiment, who was ad- mitted with the usual symptoms of Phthisis pulmonalis, accompanied by acute pain in the right hypochondrium. He soon sunk under the attending hectic fever. On dissection, the Lungs were found to be studded with crude tubercular matter and vomicae, the interposed tissue being oedematous. The right pleural bag con- tained about a quart of turbid serum, and the membrane was coated with a soft pseudo-membranous deposit, as represented in the preparation. The whole tract of In- testine was more or less affected with ulceration. The Liver was granular, of a brown colour, and much di- minished in size: the Gall-bladder contained a calculus about half an inch in diameter. (Vide Class II. Di- vision III. Nos. 65, and 66.) tion oi —Iljid. From John M'Cann, 95th Regiment, a?t. 28, who had been, for two years, more or less affected with dyspnoea, cough, and expectoration. The most urgent symptoms, on admission, were distressing dyspnoea, purulent expectoration, and debility, which continued to increase to the period of his dissolution. On opening the thorax, the Lungs did not collapse, being in a state of emphysema, with a prodigious number of dilated pulmonary vesicles presenting beneath the Pleura. In the apex of the right Lung was a vast cyst, lined with a tough, cartilaginous membrane; the pulmonary paren- chyma in the vicinity was healthy. In the posterior parts of the Lungs were some crude tubercular deposits, surrounded by inflamed and engorgeti pulmonaiy tissue. DIVISION III. 23 The Heart afforded ii good instance of passive aneu- rism of all its chambers. 60. Portion of right Lung, — exhibiting a vast tubercular ex- cavation, lined by a tough semi-cartilaginous membrane, in which are several openings of bronchial tubes. — Fort Pitt. From the same subject as the preceding preparation. The parietes of this cyst were so adjusted as only to allow of room for about half an ounce of grumous blood, inden- tations on the surface of the Lung denoting the extent and situation of the cavity. 61. Exhibits thickening of the costal Pleura, from deposition of lymph on its serous surface. The adventitious mem- brane had acquired very considerable toughness. — Ibid. From Michael Stapleton, 14th Regiment, set. 21, who had been treated for a pulmcmic affection about eight months previous to his death. Five months afterwards, he was admitted into the General Hospital with epi- lepsy, and paralysis of the right arm. The paroxysms of the former were frequent: he had also diarrhoea. At length the animal and sensorial powers diminishing, torpor supervened, and he became emaciated, notwith- standing the liberal use of nutriment, which a voracious appetite rendered imperative. He then became affected with coma, the pupils were dilated and insensible to the stimulus of light, and strabismus succeeded ; after which he soon died. On dissection, the dura and pia mater were adherent. The lateral ventricles contained four ounces of limpid fluid. The cerebral substance was softer than usual, and in dividing the left hemisphere, several deposits of a yellowish tinge, and moderately- firm texture, presented in the middle lobe. Similar substances, but of smaller size, were discovered in the right hemisphere, and in the Cerebellum. In the chest, the upper and posterior part of both Lungs was agglu- tinated to the contiguous ribs, by a firm adventitious membrane between the layers of the Pleura, the inferior free portion of the sacs being distended with about a quart of turbid fluid, and the serous surface of the mem- brane coated with lymph, as seen in the preparation. The substance of the Lungs contained a kw miliary and crude tubercles; and the bronchial glands pre- sented tubercular deposit. The whole of the abdominal viscera were matted toiiether bv adhesion. The Peri- 24 RESPIRATION. toneuin presented many tubercular accretions. The Kid- nies also contained tubercular deposits. (Vide Class II. Division III. No. 60. — Class III. Sensatiu?i. Division I. Nos. 28, 29, and 30.) 62. Duplicate of the preceding preparation — Fori Pitt. 63. Section of Lung, — exhibiting enlargement of the air-cells, and crude tubercular deYto^xX-.—Presented hy Mr. Gul- liver, Assistant Surgeon to the Forces. From a middle-aged man, who died of Phthisis. The most distressing symptom during life was constant dyspnoea, to such a degree that a "roaring" was audible at a considerable distance. The Lungs presented many crude and mature tubercles, with consolidation of the intervening substance, except at the inferior part of the right Lung, which was as represented in the preparation. The cysts beneath the Pleura appear to have been pro- duced by the rupture of the boundaries of many air- cells. The bronchial tubes were completely filled with tenacious muco-purulent matter. 64. Portions of Lung, — exhibiting well-defined deposits of medullary matter. — Ibid. From Samuel Burn, aet. 34, 4th foot. While at Lis- bon, his right Testis was extirpated, on account of a can- cerous affection. Two days after the operation he em- barked for England, and, on arrival, was admitted into the General Hospital. The wound at that time was healthy, and partially cicatrized. In a few days, however, he beg'an to complain of headache, his countenance be- came cadaverous, and an unhealthy cauliflower-like fungus sprouted up from the sore, the surrounding parts being livid and indurated. An abundant, fetid, sanies was now discharged, the diseased growth rapidly ex- tended, the whole Scrotum and part of the Penis became involved, superficial sloughs formed, and the patient was finally worn out after five months sojourn in Ho- spital. He never complained of any thoracic affection. The preparation exhibits very good examples of the encephaloid tumours of French authors. These de- posits possess no capsules, but appear to be in innnediate contact with the contiguous healthy ()nlmonic tissue; they are of soft, pulpy texture, approaching very nearly the structure of the foetal brain. 65. Duplicate of the preceding preparation — Ibid. DIVISION III. 25 66. Section of Lung, — exhibiting miliary and crude tubercu- lar deposits, with consolidation of the interposed tissue. Small Vomica? are also displayed. The preparation is minutely injected, and the pulmonic tissue presents the highest vascularity. It is doubtful whether any of the injection has entered the tubercular matter, as the small red puncta appearing in some of the deposits may be remnants of pulmonary parenchyma. — Fort Pitt. From Patrick M'Guffick, 61st Regiment, set. 25, who was fifteen weeks under treatment, with all the symptoms of confirmed Consumption, under which he sunk. ^T. Portion of Lung, — condensed, and presenting different stages of tubercular deposit. The bristle denotes the com- munication between a bronchial tube and small Vomica. Li this preparation an attempt has been made to inject the Tubercles. The false friable membrane which lined the excavations having been washed away, it will be seen how highly vascular their parietes are. An accurate examination will show that the injection has penetrated to the very centre of some small Tubercles, a pheno- menon certainly not produced by a transverse section of an injected blood-vessel. — Ibid. From a middle-aged man, who died of Phthisis. 68. Portion of left Lung, exhibiting miliary Tubercles, some of which have coalesced, and, in one situation, a Vomica is formed, which is lined by highly vascular parietes. The preparation is minutely injected'; but the tubercular matter exhibits no unequivocal traces of vascularity. — Presented by Mr. Gidliver^ Assistant Surgeon to the Forces. From an abandoned female, set. 17, who died of a very rapid Phthisis. 69. Section of the left Lung, exhibiting several irregular ex- cavations, and consolidation of the contiguous tissue by abundant tubercular infiltration. The preparation ex- hibits a well-marked example of gray hepatization. — Fort Pitt. From Donald Grant, aet. 26, sent home from the West Indies, where he had served seven years, on ac- count of Phthisis. When admitted, he was affected with pain of the chest, dyspnoea, and copious muco-sangui- nous and, subsequently, purulent, expectoration, under 26 RESPIRATION. which he gradually sunk, and died. On dissection, the right Lung was also found similarly' affected, but in a less degree. The left ventricle of the Fleart was dilated, and its parietes thickened. The mesenteric glands were enlarged and fleshy. 70. Section of the right Lung, — much consolidated by the in- flammatory process. — Fort Pitt. From William Springate, ast. 39, Royal African Corps. He had frequent attacks of remittent fever in Africa, where he had served twelve years. On admission, he had pectoral pain, respiration quick and anxious, rapid pulse, and other hectic symptoms, which, with incessant diarrhoea, soon ilestroyed him. 71. Duplicate of the preceding preparation. — Ibid. 72. Portion of left Lung, — converted into cartilaginous sub- stance. — Ibid. From a soldier, a?t. 36, who had been many years affected with Phthisis pulmonalis, of which he ultimately died. The Lungs were, nearly throughout, tuberculated, excavated, and consolidated ; and the posterior part of the left Lung had undergone the cartilaginous transfor- mation exhibited in the preparation. 73. Portion of left Lung, — exhibiting a fibro-cartilaginous investment of vast thickness. — Ibid. From a man, who, having many years suffered from the sequelae of Pleuritis and Pneumonia, ultimately died of Phthisis pulmonalis. 74. Presents a very abundant deposition of lymph on the costal and diaphragmatic PleiujE. — Ibid. From Henry Humphries, 1st Regiment, set. 23, a phthisical patient. On admission into the General Ho- spital, he was affected with cough, dyspnoea, and mucous expectoration, accompanied by frequent palpitations, and spasmodic pains of the chest, all of which symptoms became aggravated to the period of his dissolution. On dissection, the left Lung was found agglutinated to the surrounding parts by a very thick semi-cartilaginous, adventitious mass. The right was collapsed, and the pleural cavity of that side contained two quarts of well- formed pus. 75. Portion of Diaphragm, — exhibiting a pseudo-membranous DIVISION Ilf. *J7 deposit on its pleural surface, and an adventitious pro- cess of lymph attached by a slender peduncle to the serous membrane. — Ibid. From the same subject as Nos. 60 and 61. 76. Conical Cyst, — projecting from the Diaphragm into the left pleural bag. — Portugal. — Presented by Mr. Ford, Assistcmt Surgeon to the Forces. From a man of the 60th Regiment, who died from the bursting of an aortal aneurism into the right Lung. The Cyst had the appearance of a diaphragmatic her- nia; its serous sui'face was vascular, and its weight equal to an ounce and a half When punctured, about an ounce of an extremely tenacious fluid, of a muddy co- lour, escaped. 7'J. Portion of Lung, — exhibiting tubercular infiltration, the process of softening having commenced in the centre of the mass. — Fort Pitt. From .John Breathing, 60th Regiment, affected with mania. Llis health declined for four months previous to his death, during which he presented a state of atrophy without any well-defined morbid disorganiza- tion. On inspection, many small masses, similar to that in the preparation, were discovered, without any appearance of miliary tubercle. The thoracic Aorta was diseased. (Vide Circidation. Division IL No. 49.) 78. Lungs of a Monkey, — affected with tubercular Phthisis, in all its stages. — Presented by Mr. Ford, Assistant Sur- geon, 12nd Regiment. The animal died at the Cape of Good Hope, having had symptoms indicative of the disease for many months. 79. Gangrenous Lung. — Ibid. From James Bevan, 10th Regiment, aet. 27, who was sent home from Portugal in the last stage of Phthisis. He was admitted in a moribund state, and died on the evening of the day of his admission. On examination, the upper lobe of the left Lung was found converted into a large cavity, filled with black, and very fetid, matter, and containing also a large, black, solid slough, which adhered, at one part, to the walls of the cavity. The other Lung contained many crude tubercles. 80. Portion of right Lung, — with a large excavation in the apex, and a considerable bronchial tube opening imme- diately into it. — Ibid. 28 KESPJ RATION. From John Arundel, set. 40, 62nd Regiment, who, for some time previous to death, evinced unequivocal symptoms of Phthisis pulmonalis. On dissection, the right Lung was found loaded with tubercular matter in an advanced stage; the left had a few miliary tubercles towards the aj)ex. un dis- section, the surface of the Lungs was universally ad- herent to the parietes of the thorax; the Heart was en- larged, and had formed a strong adhesion at its apex to the Pericardium, where a sacculus was discovered, con- taining coagulated blood. 38. Heart,— exhibiting a large Aneurism attached to the left ventricle, the opening between the tumour and the ven- tricle being circular, and an inch in diameter. — Fort Pitt. From Serjeant Barnard M'Nulty, 65th Regiment, who, on arrival from India after seventeen years' service in that country, was admitted in a state of great ex- haustion, with cough, oppressed respiration, and pain of the chest. He had suffered, more or less, from these symptoms for two years previously, and once had an at- tack of haemoptysis, which, however, was permanently checked by treatment. After remaining some time in Hospital, death ensued. 39. Heart, — exhibiting dilatation of the left Ventricle, with close adhesions between the reflexions of the serous mem- branes. — Ibid. — History unattainable. 40. Heart, — exhibiting a Wound, the instrument having pe- netrated the right ventricle through the Dinphragm. — History unattainable. 40 CIUCbLATlON. 41. Heart, — exhibiting dilatation and thickening of the left ventricle, with bony deposit in the coats of the Aorta. — Fort Pitt. — History unattainable. 42. Passive Aneurism of the Heart; ossification of the right auriculo-ventricular opening; and corrugation of the valves of the pulmonary artery. — Ibid. — History unat- tainable. 43. Heart enlarged, and its walls attenuated, forming a pas- sive Aneurism. — Ibid. From Thomas Goggin, aet. 18, S^th Regiment, ad- mitted, four months previous to his death, suffering from dry cough, and palpitation. The former symptom in a short time degenerated into a purulent expectoration, which, with hectic fever, and other symptoms, suffici- ently denoted a phthisical state of Lung; the palpita- tions became more severe and distressing, and he gra- dually sunk. On dissection, the Heart was found as above noted, and of a pale colour ; the surfaces of the Pleurae were lined with an adventitious membrane ; their cavities contained about three pints of a straw-coloured fluid ; and tubercles were discovered in the Lungs and in the Intestines. 44. Heart of an adult, — exhibiting the Eustachian valve per- fect.— /^-zW. Removed from the body of a maniac, who, during life, afforded no symptom indicative of derangement in the functions of this organ. 45. An Hydatid, situated in the left ventricle of the Heart of a cow. — Corfu. — Presented by Dr. Daiy, Assista7it In- spector of Hospitals. 46. Heart, — exhibiting ossification and ulceration of the right auriculo-ventricular opening. — History unattainable. 47. Portion of Heart, affected with incipient Melanosis. — Corfu. — Presented by Dr. Davy, Assistant Inspector of Hospitals. Removed from the body of a Greek, in whom the Liver (which weighed fifteen pounds), the Pancreas, Aorta, and integuments were affected with the same disease. (Vitle Division IL No. 24-. and Class H. Secre- tion. — Division L No. 3. and Division IL No. 22.) 48. Heart mucli enlarged, and exhibiting the termination of DIVISION I. 41 inflammation of its serous membrane in effusion of coa- gulable lymph. The coat of lymph is of great thickness, particularly on the left ventricle, where it measures an inch . — History unattainahlc. 49. Heart, — exhibiting effusion of lymph on its surface, with partial adhesion of the Pericardium. — Preseyited hy Mr. Knott, Assistaiit Surgeon, 6th Dragoons. From Patrick Hogan, 15th Regiment, aet. 20, of de- licate habit, and frequently in Hospital with febrile and catarrhal affections, during the year 1825. In the month of November of the same year he had an attack of acute rheumatism, of which he was ill a month. In the fol- lowing January he was again taken into Hospital with a relapse in an aggravated form, many of his joints being much swollen. At this period he also began to com- plain of pain in the cardiac region. These symptoms were relieved by proper treatment; but shortly after- wards the action of the Heart was observed to be in- ordinate: by the end of May the palpitation had be- come very violent, attended with orthopnoea, rapid and irregular pulse, anxious collapsed features, and cold extremities. Things getting yet worse, he died on the 11th June. On dissection, besides the disease exhibited in the preparation, the Lung adhered to the outer sur- face of the Pericardium : no other disease was disco- vered. 50. Heart, — with coagulable lymph effused on its surface. — History unattainable. 51. Heart, — exhibiting effusion of lymph, and adhesion to the Pei-icardium. — Chatham. — Presented by Dr. Skey, De- jjuty Inspector General of Hospitals. Removed from the body of a boy who died of acute Carditis. — (Vide Respiration. Division III. No. 35.) 52. Heart, — exhibiting effusion of lymph on its surface, and calcareous deposit on the surface and in the substance of the Pericardium. — History unattainable. 53. Heart, — exhibiting effusion of lymph on its surface; also tubercular ossification of the Aorta. — History unattain- able. 54. Universal adhesion of the Pericardium to the surface of the Heart. Hypertrophy of the left Ventricle, attended 42 • CIRCULATION. with a cartilaginous degeneration of the mitral valves. — Fort Pitt. From Thomas Fitzgerald, 67th Regiment, at. 21. About two years before his death he was suddenly, while on guard, attacked with violent pain in the region of the Heart, from which he recovered, after sometime, sufficiently to resume his duties. From this period, however, his breathing became much oppressed, and he was subject to palpitation; both symptoms being aggravated on the least exertion : on admission into the General Hospital they Vv'ere exceedingly urgent and distressing. He experienced little alleviation of his misery from treatment, although he lingered for about four months before he died. 55. Heart, — exhibiting effusion of lymph, connecting the Pe- ricardium to its surface: the mitral valves thickened. — Histori) unattainable. 56. Pericardium, agglutinated to the surface of the Heart by a layer of lymph : coagulable lymph also effused on the surface of the Pleura. — History unattainable. 5/. Heart, — exhibiting effusion of lymph on its surface, which presents a fur-like appearance. — History unattainable. 58. Heart, — exhibiting effusion of lymph on its surflice; the Pericardium united to it by many bands of the same.^ History unattainable. 59. Heart and Pericardium, coated with coagulable lymph, which is minutely injected. — Fort Pitt. From Donald M'Donald, 93rd Regiment, ast. 30, who, on arrival from the West Indies, was admitted, la- bouring under dyspnoea and cough, attended by puriform expectoration and general debility. As these symptoms became worse, oedema of the lower extremities ensued, and he finally sunk. On post mortem inspection, the Lungs were found to be studded with crude and mature tubercles : the Pericardium contained ten ounces of sero-purulent fluid: the Liver was slightly enlarged; and the small Intestines were tuberculated and ulcerated. 60. Heart, — exhibiting Hypertrophy, with dilatation of the left ventricle ; the left auriculo-ventricular opening carti- laginous and ulcerated: the mitral valves thickened; and the semilunar valves and Aorta thickened and ossified. — History unattainable. DIVISION I. 4,3 6J. Lymph effused on tlie surface of the Heart and Pericar- dium, producing adhesion to each other. — pVest Indies. — Presented by Mr, Davidson, Assistant Surgeon, 21 5^ Regiment. From James Lowe, 9th Regiment, aet. 24-, a man of scrofulous diathesis and spare habit. He was taken into Hospital, complaining of pains in his limbs, and sym- ptoms indicative of visceral derangement. On the tenth day an abscess formed at the inferior costa of the right scapula, followed by many others on the upper part of the trunk, and accompanied by the appearance of Bulla? on the lower extremities. He subsequently sunk under the influence of hectic fever. On examina- tion, it was discovered tliat both Lungs had formed adhesions to the costal walls ; the left was firmly attached to the Pericardium : their parenchyma was healthy : the pleural cavities contained about five pints of dark serum: and five ounces of a sanious fluid was found in the Pericardium. 62. Heart,— exhibiting the Foramen ovale open. — Prese^Ued by Dr. Blake, Surgeon, 1th Dragoon Guards. From John Conray, 7th Dragoon Guards, aet. 2], who was subject to paroxysms of Syncope cardiaca. On admission into Hospital, he appeared to have some in- flammatory affection of the Heart, as evinced by pain in the cardiac region, irregular pulse, and sense of suf- focation. He ascribed his complaint to a fall from his horse. Eventually he died of Consumption. 63. Ulceration and fungous degeneration of the basis of the Heart, involving the semilunar valves. — Malta. — Pre- sented by Dr. Calvert, Assistant Inspector of Hospitals. From a soldier of the 80th Regiment, who died of fever. The disease of the Heart was not suspected during life. 64. Excrescence growing from the left auriculo-ventricular opening of the Heart. — Edinburgh. — Presented by Dr. Knox. 65. Heart, — exhibiting contraction of the left auriculo-ven- tricular opening, by deposition of earthy matter in the mitral valve: the left ventricle enlarged and thickened : the aortic opening nearly closed by a deposition similar to that of the mitral valve. — Fort Pitt. 44 CIIICULATION. From the same subject as No. 48. Respiration. Divi- sion III. 66. Dilatation of the left ventricle of the Heart, with albu- minous deposition in its muscular substance; and partial adhesion of the Pericardium. — Gibraltar. — Presented hy Mr. Fraser, Assistant Surgeon to the Forces. History unattainable. &J. Heart, — exhibiting deposition of bone in the mitral valve, by which the auriculo-ventricular opening is nearly obliterated : also extensive dilatation of both auricles. — Gibraltar. — Presented by the same. From an Officer, who had been an invalid for five years, as was generally' supposed, from derangement of the digestive organs. For some months, however, prior to death, with the aid of the stethoscope, the true na- ture of the disease was divined without difficulty. 68. Heart, — exhibiting dilatation of the Pericardium, and partial adhesion of the sac. — Ibid. — Presented by the same. In this case the Pericardium contained about three pints of pure pus. 69. Deposition of lymph in the form of a continuous layer on the bag-like and reflected portion of the Pericardium. — Ibid. — Presented by the same. 70. Hypertrophy, with dilatation of the left ventricle, of the Heart: tubercular deposition under the serous tunic of the Aorta. — Portugal. — Presented by Mr. Ford, Assistant Surgeon, Tind Regiment. From Charles Mead, aet. S26, 43rd Regiment. He had been for three years frequently under treatment for dyspnoea. Latterly distressing orthopnoea, accom- panied by a peculiar sensation in the shoulders, oc- curred. He expired in a paroxysm of dyspnoea. On examination, the Lungs are reported to have been sound, although containing much blood; and the Bronchia; were filled with a frothy mucus. 71. Heart, — with loose bands of adhesion extending between the two layers of the Pericardium. — Presented by Mr. Gulliver, Assistant Surgeon, 7 1st Regiment. Taken from a young man, who had been treated for cardiac disease six years before his death, which took place from accident. DIVISION I. 45 72. Heart, — exhibiting a well-defined deposit of lymph on the serous surfiice of the reflected portion of the Peri- cardium, covering the right ventricle. A portion of the adventitious membrane is turned down, leaving the true membrane smooth and entire beneath. — Presented by the same. The man from whom this preparation was taken died of Phthisis pulmonalis : he had never, as far as could be ascertained, been affected with symptoms of disease of the Heart. 73. Basis of the Heart, — exhibiting abundant deposit of earthy matter in the mitral valve, by which the auriculo-ven- tricular opening is contracted. — Fort Pitt. From Charles Winter, aet. 29, 57th Regiment, who had been affected for three years with slight pain of the chest, dyspnoea, and oedema of the feet. He was ad- mitted with symptoms of thoracic dropsy, which soon became general, attended by a slight cough and mucous expectoration : pulse regular, until a short time before death, when it began to intermit. Three pints of serum were found, after death, in the right pleural sac, and two in the left: the Pericardium contained two ounces of a similar fluid, and the peritoneal bag a quart. The struc- ture of the Lungs was sound. The Heart was enlarged, and the walls of the systemic ventricles thickened ; the mitral valve was in the condition shown in the prepara- tion ; and the tricuspid was covered with fungous ex- crescences. 74. Portion of Heart, — exhibiting cartilaginous verruca? on the edges of the aortic and mitral valves. — Ibid. From Richard Stringer, a3t. 28, 51st Regiment, who had been attacked with hsemoptoe a year before. Sym- ptoms of confirmed Phthisis subsequently set in, and he died on the day following his disembarkation from the Ionian Islands. On examination, the Lungs were seen to be affected with every stage of tubercular dis- ease. The Heart was enlarged and flaccid ; the walls of the aortic ventricle attenuated. The lining membrane of the pulmonary artery and ventricle was tinged of a well-defined rose colour. 75. Heart, — showing a white patch on the cardio-reflected pericardium of the right ventricle. — Presented by Mr. Ford^ Assistaiit Surgeon, 12nd Pegifnetit. 4-6 CIRCULATION. From a soldier of the 23rd Regiment, who died of dysentery. No account of his having been affected with cardiac symptoms is on record. 76. Heart, — exhibiting ulceration of the inner surface of the apex of the left ventricle, which cavity is dilated, and its parietes thickened. — Fori Pitt. From John Johnson, aet. "2.2, 47th Regiment, who was primarily treated for Pneumonia, and cured. He was afterwards readmitted, with phthisical symptoms, and again discharged from Hospital, convalescent. Sub- sequently he was placed under treatment in the General Hospital, where it was observed that effusion had taken place into the thoracic and abdominal cavities. He was at this time affected with dyspnoea, muco-sangui- neous expectoration, and intermitting pulse; and soon sunk. On dissection, the Lungs presented many black points, resulting from the infiltration of blood into the air-cells. The lining membrane of the left auricle of the Heart was thickened, and of a pale colour. 77' Exhibits a deposit of lymph in the form of a continuous layer on the whole serous surfiice of the Pericardium, minutely injected. — Portugal. — Presented hy Mr. Russel^ Assistant Surgeon, 63rd Regiment. From John Watts, aet. 24-, who had been under treat- ment for intermittent fever, which left him in a state of great debility. He was soon after attacked with pain of the chest, and oppressed respiration ; he had also a relapse of the febrile paroxysms. To these ma- ladies were shortly added syncope, small intermittent pulse, and a sense of constriction across the chest, under which he quickly sunk. After death a quart of sero- purulent matter was removed from the cavity of the Pericardium, 78. Exhibits a punctured Wound of the Heart. — Portsinuuth. — Presented by Staff Surgeon Hill. From a soldier of the 83rd Regiment, who was killed by a thrust from a pointed instrument, which passed through the right ventricle, and penetrated the left. The Pericardium was found distended with blood, but there was no external hemorrhage. 79. Pericardium, greatly thickened, with abundant deposit of lymph on the surface of the Heart. — Mauritius. — Pre- sented hij Dr. Shanks, Assistant Surgeon, 82nd Regiment. DIVISION I. 47 From the body of Thomas Dowiies, senman. The disease was brought on by an incised wound, wliich pe- netrated the chest. He died in twenty days after the accident. 80. Similar to the last-described. — Mediterranean, — Presented hij Dr. Connel, Assistant Surgeon, Rijle Brigade. — His- tory unattainable. 81. Heart, — exhibiting deficiency of the septum of the Au- ricles. — JSlediterraneaji.— Presented by Mr. Lig/itbody, Surseon, SOth Regiment. From Peter Shaw, SOth Regiment, aet. 25, of delicate habit, who had evinced signs ol' pectoral infirmity from his infancy. Fie was never capable of performing mili- tary duty. No symptom of the blood having circulated in an imperfectly oxygenated state was observed in this case. 82. Considerable dilatation of the left Ventricle, with abun- dant bony deposit about the semilunar valves of the Aorta. — Presented by Mr. Marshall., Assistant Surgeon, 87th Regiment. — History Jinattainable. 83. Presents great dilatation of the left Ventricle, the valves connected with it being sound. — Fort Pitt. From Brian Giary, 86th Regiment, at. 23. He had sufl^'ered for some time from pectoral complaints, of which dyspnoea formed a very prominent symptom. He had slight cough, with scanty sputa, at one time sanguineous ; latterly the face was livid, skin clammy, and pulse depressed. On inspection, the Lungs were found to contain tubercles and vomicjje towards their apices. 84. Heart enlarged : the arch of the Aorta containing much osseous matter beneath its inner coat: the semilunar valves thickened and corrugated. — Presented by Dr. An- nesley. Surgeon, 2nd Dragoons. From George Millwood, 2nd Dragoons, who suffered from symptoms of diseased Heart and Hydrothorax. On examination post mortem, in addition to the disease shown in the preparation, two quarts of fluid were found in the chest. 85. Heart,— exhibiting a delicate deposition of lymph on the serous surface. — Fort Pitt. From John Thornton, aet. 48, Newfoundland Veteran 48 CIRCULATION. Company, a weakly and worn-out subject, who was attacked with acute pain in the right breast, attended with a low type of fever, great debility, and deficient general reaction. He sunk in fourteen days from the commencement of the attack. On post mortem inspec- tion, besides the lesions preserved in the preparation, the bag of the Pericardium was found to contain half a pint of sero-purulent fluid : the right Lung was of a gray colour, and so much consolidated as to sink in water; the left was healthy, except that its serous covering was coated with a copious eff'usion of lymph. 86. Dilatation of the left ventricle of the Heart, with thicken- ing of the edges of the semilunar valves of the Aorta. — Fort Pitt. From William Sutton, 80th Regiment, aet. 38, who was admitted with Paralysis, the sequela of Apoplexy. While under treatment, he was visited by a second, and fatal, apoplectic attack. On inspection after death, a great part of the right hemisphere of the Brain was found to be in a state of ramollissement: the Heart was discovered as shown in the preparation. — (Vide Class III. Sensatio7i. Division I. No. 39.) 87- Enlarged Heart, — with dilatation of the arch of the Aorta, and thickening of its coats. — Jamaica. — Presented hy Mr. Stewart, Surgeon, SUh Regiment. — History unat- tainable. 88. Heart enlarged; — the arch of the Aorta dilated, and its coats thickened. — Malta. — Presented by Dr. Conncll, Assistant Surgeon, Rijle Brigade. From an Officer, set. 4-5, who expired suddenly, while he was being bled. After death a quantity of serous fluid was detected in the thorax. 89. Heart, — exhibiting Hypertrophy, with dilatation of the left ventricle; the semilunar valves thickened. — Fort Pitt. From Serjeant James Hunter, Newfoundland Veteran Company, aet. 46. This nian, about a year previous to his admission into the General Hospital, liad an attack of hemiplegic Paralysis: he had also been subject to gout and rheumatism, for the last three years. He ex- hibited every symptom of decay, both mental and bodily, and was, some time afterwards, carried off' by Apoplexy. The only signs of cardiac disease were dyspnoea, and DIVISION II. -19 anasarca of the extremities. On dissection, the Brain was exsanfTuine, except at the middle of the right hemi- sphere, where there was considerable extravasation. Its left lateral ventricle contained much coagulated blood ; the walls were broken down, and it formed a large apo- plectic cell. The third and fourth ventricles were in the same state. The right thorax contained about five pints of bloody serum ; and this Lung was much com- pressed. The left Lung was adherent to the costal pa- rietes. The cavity of the abdomen contained eight pints of a fluid similar to that found in the thorax. (Vide Class in. Sensation. Division I. No. 42.) 90. Universal adhesion of the Pericardium to the surface of the Heart; and hypertrophy, with dilatation, of the right Ven tricle. — Ibid. From George Burnett, 37th Regiment, act. 41, a pa- tient for chronic dysentery, complicated with a catarrhal affection. He was in a state of great exhaustion and emaciation. The secretion from the bronchial tubes be- coming very profuse, and the dysenteric affection con- tinuing unabated, he sunk, and died. On dissection, six pints of dark serum were found in the chest: the Lungs contained much miliary tubercular deposit, and the bronchial glands were enlarged. 91. Exhibits adhesions of the Pericardium to the Heart's sur- face, and a spicula of bone deposited in that membrane. —Ibid. From Henry Wooler, 53rd Regiment, a?t. 24, who was invalided on account of disease of the bones con- nected with the left shoulder-joint, to which he fell a victim. No account of any former attack of Pericarditis is preserved. 92. Exhibiting active Aneurism of the left Ventricle. From a soldier of the 90th Regiment. Division II.— DISEASED STRUCTURE OF ARTERIES. Thickening and ulceration of the valves of the Aorta, with bony deposit between its coats : also thickening and so CIRCULATION. ulceration of the left auriciilo-ventricular opening and mitral valves. — Fort Pitt. From Patrick Norton, jet. 40, 90th Regiment, a man originally of robust habit, but reduced by intemperance: he had been much afflicted with pains in his limbs. On his arrival from the West Indies, where he had served eight years, he was admitted in a comatose state, and died on the following day. 2. Thickening, ossification, and ulceration of the semilunar valves of the Aorta. — History iinattainahle. 3. Ulceration, adhesion, and some points of ossification of the semilunar valves of the Aorta. — History unattainable. 4. Semilunar valves of the Aorta ruptured : bony deposition in their substance, and wart-like excrescences vegetating from their edges. — North America. The subject of this malady had been hemiplegic for a considerable time. After death, the Heart and aortic valves were found diseased ; and the Kidneys contained many calculous concretions. 5. Thickening of, and osseous deposit in, the valves of the Aorta, with some points of ossification in the tunics of that inhe.— Fort Pitt. From William Watts, aet. 63, 17th Regiment, aparient from India, affected with dysentery. Death took place in three weeks after his admission. On dissection, the right Lung was found hepatized ; the aortic valves diseased ; a ridge of bone was discovered in the Aorta; and the large Intestines exhibited both ancient antl recent ulcerations. 6. Extensive ulceration of the aortic valves; osseous deposit between the coats of the Aorta; the ascending portion of that vessel dilated. — History unattainable. 7. Portion of Aorta, exhibiting osseous deposit between its tunics. — France. Removed ii'om the body of Brown, a baggage- master. (Vide Respiration. Division III. No. 37.) 8. Coats of the Aorta dissected, — exhibiting numerous points of calcareous deposit between its internal and miildle tunics.— i'W Pitt. From Joseph James, 9di Regiment, ict. ll, a robust, healthy-looking man, who, three days previous to admis- sion, had been attacked with rigors. He C()m[)lained of DIVISION II. 51 severe pain in the liead, and erratic pains in the limbs and body, especially under the sternal extremities of the left ribs, where pressure produced increase of pain ; his re- spiration was hurried, and countenance anxious. He died suddenly, having the day before expressed himself as considerably better. On dissection, the Heart proved to be ulcerated, the Pericardium thickened, and osseous de- posit was detected in many parts of the arterial system, more particularly in the Aorta. 9. Tubercular ossification, and Aneurism of the arch of the Aorta.— i^or/; Pitt. From I'homas Ulytt, set. 43, 59th Regiment, who, on his arrival from India, where he had served the twelve preceding years, complained of laborious respiration, ha- rassing cough, and sense of constriction on the chest : his body generally was anasarcous ; in an especial manner his interior extremities, which were also covered with petechial spots. After three days sojourn in hospital he died. 10. Exhibits two ruptures of the Aorta; one immediately above the semilunar valves, the other close to the origin of the left subclavian artery. — Ibid. From Thomas M'Geary, 45th Regiment, at. 45, who was found dead in a chalk-pit, into which he was sup- posed to have fallen when intoxicated. The Aorta was discovered to be ruptured to within a quarter of an inch of its circumference ; and a second laceration of about half the circumference of its tunics existed near the origin of the subclavian artery. Numerous small vessels ramifying on the Pleura appeared to have been also rup- tured; and, lastly, the right Os femoris was fractured at its neck. (Vide Class III. Locomotion. Division IV. No. 6.) 11. Small rupture of the Aorta immediately beyond the semi- lunar valves. — Ibid. From Daniel Hogland, a maniac, who received a se- vere fall on the pavement, in consequence of his foot having slipped on some ice, and died in about two mi- nutes. On examination, it was discovered that the Aorta had been ruptured; and the Pericardium was filled with coagulated blood. 12. Aorta, — exhibiting ossification and dilatation : mitral E 2 52 ClIiCULATION. valves of the Heart thickened : the Pericardium ad- herent to that organ. — Fort Pitt. From Thomas Wetherall, 10th Regiment, get. 42, who was brought into hospital labouring under extreme difficulty of breathing; his pulse snjall, rapid, and inter- mitting; countenance expressive of great anxiety ; and extremities oedematous and cold. An attempt to bleed him led to little result; and, although he experienced momentary relief from immersion in a warm bath, he died in an hour afterwards. On dissection, the vessels of the Brain were found congested ; the Pleurje on both sides had formed strong adhesions to the opposite sur- faces : the Heart was considerably enlarged, and closely united to the Pericardium; the mitral valves were un- naturally thickened ; and the Aorta, which was ossified at numerous points, presented a dilatation capable of containing a large orange. 13. Exhibits a small Aneurism of the Aorta, about die size of a walnut, situated immediately above the semilunar valves, and involving the right coronary artery. — Pre- sented bij Mr. Stevenson, Assistant Surgeon, 60th Regi- ment. From John Schmitt, 60th Regiment. He became suddenly affected with dyspnoea, and fell dead on the floor. On examination, the Aneurism above described was found to have burst into the pericardial sac, whicii was filled with blood. 14. Exhibits the coats of the Aorta, much diseased, and a true Aneurism, about as large as an orange, existing imme- diately below the origin of the left subclavian artery, and ruptured. — Fort Pitt. From Serjeant John Saxelly, a-t. 28, 10th Hussars, who died suddenly in the night, post coitum. After death, the Fleart was found involved in a thick coagulum of blood, which had escaped from the ruptured aneu- rismal sac. 15. Aneurism of the ascending portion of the arch of the Aorta. — Albam/ Hospital, Isle of Wight. — History un- attai7iable. 16. Shows numerous points of osseous deposition in die coats of the Aorta, and Aneurism of the descending jiortion of its arch. An irregularity occurs in the origin of the vessels arising from the arch ; the left vertebral artery DKVISION II. lakinty its rise from the Aorta, between the left carotid and left subdavian arteries. — History unattainable. 17. Very large Aneurism of the abdominal Aorta, with open sac : Caries of the vertebrip. — Fort Pitt. From Daniel Baillie, 40th Regiment, ast. 40, who was admitted, complaining of pain and debility of the loins, and incapability of progression. He stated that eighteen months previously he had received a violent contusion on that part by a fall from a baggage-cart, since which period he had never been free from these symptoms. A pulsating tumour could be distinctly felt in the left lumbar region. He remained in hospital seven weeks, when death took place in consequence of the rupture of the aneurism internally. About ten pounds weight of coagula were extracted from the sac. 18. Aneurism of the abdominal Aorta, opening into the cavity of the belly. — America. From a'^soldier of the 60th Regiment, who died sud- denly on the bursting of the aneurismal sac. i9. xineurism of the abdominal Aorta. — Albany Hospital, Isle of Wight. — History unattainable. 20. Aneurism of the popliteal artery. — York Hospital, Chelsea. — History unattainable. 21. Exhibits complete obliteration of the femoral artery, after an operation for popliteal Aneurism. — Presented by Dr. Hennen, Deputy Inspector of Hospitals. The patient from whom this preparation was removed had undergone the operation for popliteal aneurism some time previous to his death, which ensued from another disease. The femoral artery was tied in the upper part of its course. 22. Semilunar valves of the Aorta, exhibiting fungiform ex- crescences. — History unattainable. 23. Extensive ossification of the Aorta, attended with dilata- tion of that \Qss,e\.— Corfu.— Presented by Dr. Davy, Assistant Inspector of Hospitals, — History unattainable. 24. Section of Aorta, discoloured by melanotic matter. — Corfu. — Presented by Dr. Davy, Assistant Inspector of Hospitals. From the body of a Greek. (Vide Circidat ion. Divi- sion I. No, 47.) 5'h CIRCULATION. 25. Femoral artery and Profunda, obstructed by a coagulum. —Fort FitL From John Bell, 1st Regiment, J3et. 47, admitted on account of an ununited compound fracture of the Os femoris, produced by a musket-ball at Waterloo, two years previously. While under treatment, the limb sud- denly mortified from the cause shown in the prepara- tion, and he died in fourteen hours. The femoral artery presented partial ossification of its tunics, when subse- quently examined. (Vide No. 37.) 26. Rupture of the x\orta, immediately above its valves, in consequence of fungiform disease of its structure. — His- tory iinattamahle. 27. Small Aneurism of the Aorta, by dilatation, beyond the valves ; and calcareous deposit between the coats of that tube. — History unattainable. 28. Aneurism of the arch of the Aorta: the Heart enlarged; and the Pericardium thickened. — Cape of Good Hope. — Presented by Dr. Macdounell, Surgeon, 51th Regiment. From James Quick, a^t. 39, 55th Regiment, who was received into hospital with cough, slight expectoration, orthopnoea, anxious countenance, and irregular, and occasionally intermittent action of the Heart. He had also difficult deglutition, and sometimes complained of a sensation of choaking. He had long complained of pain in the chest, which he latterly referred to the region of the Sternum. As the disease advanced, he could re- spire only when the trunk was inclined forwards, and was constantly apprehensive of impending suffi)cation ; he could take no sustenance ; his limbs, particularly the upper extremities, became mottled and oedcmatous, and death soon terminated his sufferings. On dissection, the Heart and aneurismal tumour occupied a considerable part of the thoracic cavity. The sac pressed anteriorly against the sternum, and posteriorly against the Trachea and (Esophagus. A small ossified patch occupied the tunics of the Aorta, in the site of the lesion : the Heart and Pericardium mutually and universally adhered; and the right pleural cavity contained about a pint of serum. The Lungs were unaffected by disease. 29. Aneurism of the descending Aorta, which burst into the base of the left Lung. — Ibid. — Presented by the same. From Gulliver Stola, a black pioneer. He had com- DIVISION II. 55 piained of dull pain between tlic scapula?, inability to repose, unless propped up in bed, and inordinate action of the Heart and arteries, by which he was incapacitated from duty, and invalided. A short time after, he was discovered dead on the sea-shore, where he had been bathing. On dissection, the left Lung was found col- lapsed to a mere line at its anterior edge, and was sepa- rated from the mediastinum by a firm coagulum three inches wide, extending from the clavicle to the dia- phragm, and embracing the root of the Lung. The clot and fluid portion together measured five pints. The aneurismal tumour, two inches and a half in diameter, having insinuated itself under the oesophagus, had pushed forward that tube, and protruded itself into the substance of the left Lung at its base. Posteriorly it pressed against the vertebrae, producing caries of the bodies of two of them, which were thus involved in the sac, and became part of its parietes. The posterior portion of the Lung was soft, the pleura having, apparently, been long detached. 30. Large Aneurism of the arch of the Aorta, attended with dilatation of that vessel. — Presented by Mr, Puterson, Assistant Surgeon, 52nd Regiment. From Corporal William Young, 52nd Regiment, a robust healthy man, until eighteen months previous to his death, when he received a blow from a cricket-ball on the breast. From that time his health declined: he became emaciated, and was subject to dyspnoea on ex- ertion. About a year afterwards, it was remarked that the middle portion of the Sternum and adjoining carti- lages had become deformed. Six weeks before his death, on sudden exertion, this curve outwards enlarged, ex- tending as high up as the clavicle. At this period the pulsation of the tumour was frightful : the patient was a martyr to orthopnoea, dysphagia, and pain in the right arm, which gradually became benumbed : the pulsation in the left radial artery was feeble and irregular, in the right completely extinct ; and the lower extremities be- came anasarcous. Thus he dragged on a miserable existence, until death put an end to his sufferings. On dissection, the aneurism which constitutes the prepara- tion was discovered. No rupture of the sac had taken place. The tumour pressed posteriorly on the Qllso- phagus ; anteriorly against the Sternum, part of which had become carious, or had been absorbed ; and it had 56 CIRCULATION. also formed extensive adhesions with the adjoining vis- cera. (Vide Class III. Locomotion. Division I. No. 23.) 31. Extensive Aneurism of the arch of the Aorla. — Fort Pitt. From William Adams, aet. 40, Itth Regiment, who was admitted, on arrival from India, with symptoms of chronic catarrh, which had existed for twenty months. Soon after, a more alarming class of symptoms arose, in addition to the cough and expectoration, viz., incapa- bility of respiration, except in a sitting posture with the head inclined forwards; painful and difficult deglutition, and a sense of impending suffocation. On examination, an irregular convexity was now apparent at the upper part of the Sternum, where pulsation could be plainly observed, and its nature and cause detected by the ste- thoscope. At length a violent paroxysm of dyspnoea })ut a period to his existence. On dissection, a large aneurism, which had not burst, was found to occupy the whole arch of the Aorta, and to ascend on the Tra- chea and QEsophagus, as high as the inferior border of the left clavicle. The sac was in many parts very thin, and at these spots the coagida were thickest. The Ster- num, and bodies of three of the vertebras, against which the tumour had pressed, were carious, and partially ab- sorbed. 32. Large Aneurism of the thoracic Aorta, with rupture of the sac; the bodies of the neighbouring vertebrae, and heads of the adjoining ribs carious. — Halifax. — History unattainable. 33. Dilatation of the arch of the Aorta, and Aneurism of the thoracic portion of that vessel, with rupture of the sac. — Presented hy Mr. Robertson, Surgeon, Royal Navy. From a convict, who, having complained of severe pain in the chest, soon after being engaged in laborious work, was relieved from duty, and retained in hospital. On the following day, while sitting up in bed, engaged in conversation, he suddenly reclined, and expired. On dissection, the aneurism which forms the subject of the preparation was discovered: effusion of blood, but not to a very considerable extent, had taken place into the left pleural bag; and the bodies of two of the vertebra? were found carious from the pressure of the tumour on them. (Vide Class III. Locomoiiou. Division III. No. 11.) DIVISION II. 57 34. Exhibits Aneurism of the Popliteal artery, with opening in the sac. — History unattainable. 35. Small Aneurism of the Popliteal artery. — History imat- tainahlc. 36. Small (diffused?) Aneurism of the Popliteal artery. — History unattainable. 3/. Portion of Femoral artery, — exhibiting points of ossifi- cation. — Fort Pitt. From the same subject as No. 25. 38. Portion of the arch of the Aorta, — exhibiting diseased se- milunar valves, and incipient Aneurism, commencing by solution of continuity of the internal tunic. — Pre- sented by Dr. Macdonnell, Surgeon^ 51th Regiment. From a soldier of the 55th Regiment. 39. Excrescences growing from the semilunar valves of the Aorta.— i^o;/ Pitt. From William Pitt, 24th Regiment, aet. 23. (Vide Class II. Digestion. Division IV. No. 73.) 40. Ossified points deposited in the ascending Aorta. — Malta. — Presented by Dr. Mahony^ Stirgeon, 7tk Fusileers. 41. Aneurism of the arch of the Aorta. — Gibraltar. — Presented by Mr. Fraser, Assistant Surgeon to the Forces. In this case the ascending Vena cava was obliterated by the pressure of the aneurismal tumour. Death is said to have taken place from "a clot falling into the aorta." 42. Exhibits Aneurism of the abdominal Aorta, with ulceration of the bodies of the lumbar vertebrae ; and affords a well-marked specimen of aneurism of the external coat of the artery, after destruction of the inner and middle tunics. The basis only of the sac, which was of pro- digious magnitude, is shown. Notwithstanding the ex- tensive ulceration of the vertebra^, the interposed fibro- cartiiages are intact. — Prese?ited by Mr. Baynton, Cu- rator of the Museum of St. BartholomeisS s Hospital. 43. Basis of the Aorta, — exhibiting a cartilaginous condition of the inner tunic. — Fort Pitt. From a middle-aged soldier, of intemperate habits, who had long served in the Mediterranean. He died of Phthisis, the severity of the syn^.ptoms of which ob- 58 CIRCULATION. scured those arising from the diseased condition of the Aorta. On dissection, the left ventricle was found thick- ened, and somewhat dilated. The Lungs were, through- out, pervaded by vomicae, and crude tubercular de- posit. 44. Portion of Aorta, with thickening and cartilaginous in- duration of the inner tunic; affording an example ot that form of disease termed " Tuberculate Steatoma." — Fort Pitt. From James Cogle, 71st Regiment, set. 40, whose con- stitution had been previously broken down by visceral disease. He was admitted with Paralysis, having lost all controul over the muscles of articulation and deglu- tition, as well as those of the right arm. He soon be- came emaciated and delirious; and, shortly after, was attacked with apoplexy, of the effects of which, having lingered a few days, he died. 45. Portion of descending Aorta, presenting tubercular de- posit between the circular fibres of the vessel, and its inner membrane. — Presented hy Mr. Gtdliver, Assistant Surgeon, list Regiment. From a middle-aged woman. The right chambers of the Heart were vastly thickened, and dilated ; and the aortic valves were loaded with osseous deposit. 40. Presents vegetations from the semilunar valves of the Aorta.— i^or;; Pitt. From a soldier, who was affected with general ana- sarca, accompanied by a diffused and impulsive, but not irreom Peter M'Neil, 78th Regiment, who was admitted with Hernia humoralis. When convalescent, he was at- tacked with pain in the throat, and dysphagia; and, five days after, with urgent dyspnoea, and pain in the left hy- pochondrium ; the former to such a degree, as shortly to terminate in suffocation, although Bronchotomy was per- formed. He survived the operation but one hour. 3. Tongue, Trachea, and CEsophagus, — exhibiting traces of I n flam mation . — Ibid. Taken from a man, who died of Hydrophobia. 70 DIGESTION. 4. Ulceration of the soft Palate. — Ibid. — History imattainahlc. 5. CEsophagus, — exhibiting abrasion of the inner coat. — Ibid. From Cornelius Conway, 8th Light Dragoons, set. 28. On his arrival from India, where he had served eleven years, he was admitted with chronic dysentery; of which, in a short time, he died. While abroad, he had repeated attacks of fever and dysentery, and had been as often salivated. On examination, the large Intestines weiefound thickened, and extensively ulcerated. 6. Malignant ulceration, which has destroyed a great part of the Tongue. — Gibraltar. — Presented by Mr. Fraser, As- sistant Surgeon to the Forces. From a soldier of the 23rd Regiment. The disease, in connexion with diarrhoea, proved fatal. 7. Pharynx and Tongue, with deficiency of the Velum pen- dulum palati. — Fort Pitt. From Thomas Lock, 13th Light Dragoons, ast. 30, admitted in an advanced stage of pulmonary Phthisis. When he attempted to swallow fluid, the greater part of it regurgitated through the meati narium. He stated that he had been repeatedly salivated for venereal affec- tions, and that ulceration, and sloughing of the soft pa- late, had existed. On dissection, exostosis presented on the front of the cervical vertebree; the tibia was thick- ened from osseous deposition; and the glans penis was found nearly destroyed. (Vide Class III. Locomotion. Division III. No. 23.) 8. CEsophagus, — exhibiting a rough layer of lymph thrown out on its Hning membrane. — Portsmouth. — Presented by Dr. Tiithill, Assistant Surgeon, 52nd Regiment. From the body of Jane Walley, set. 23, who put a period to her existence by swallowing a large dose of oxalic acid. 9. CEsophagus, affected with an ulcer, which communicated by a sinus with the posterior mediastinum. — Malta. — Presented by Dr. Scott, Surgeon, Rijle Brigade. From a soldier, w iio died of Pneumonia. 10. Tonsil, — exhibiting a cavity, from ulceration and slough- ing. — Ibid. — Presented by Mr. Martin, Stn-geo?i, 13rd Regiment. From Patrick M'Donnough, 88th Regiment, who died of Phthisis pulmonalis. DIVISION 11. 71 Division II.— DISEASED STRUCTURE OF THE STOMACH. 1. A portion of Stomach, — exhibiting Scirrhus, condensation, and contraction of the pyloric orifice. — Fort Pitt. From John Sullivan, who died of tubercular Phthisis. No gastric symptoms were observed during life. 2. Portion of Stomach, presenting a small puncture. — York Hospital., Chelsea. From Serjeant Thomas Kendal, set. 58, who was as- sassinated. He had received six wounds in various parts of the body: that in the Stomach proved fatal on the third day. 3. Stomach, — exhibiting an extensive ulcer, with an elevated and firm edge, situated on its convex surface, near the pyloric orifice. — Fort Pitt. From Edward Burns, 95th Regiment, who was admitted with primary symptoms of Syphilis, and attacked with fever, of which he died suddenly, after drinking immode- rately of barley-water. 4. Stomach, — exhibiting ulceration and thickening of the py- loric extremity. — Presented by Dr. Chermside, Sm-geoii, lOt/i Hussars. From Josepli Cross, 10th Hussars, who was given to excess in spirits, and had been declining in health and strength two months before admission. He was affected with nausea, vomiting, anorexia, loss of appetite, abdo- minal distension, and irregularity of bowels: latterly, he became extremely emaciated and debilitated ; and died in ten weeks from his reception into hospital. 5. Stomach, showing petechial disease, with thickened and irregular inner membrane. — Fort Pitt. From Serjeant John Gibbs, 65th Regiment, set. 37, admitted moribund of Scurvy, on his arrival from India. His constitution appears to have been previously broken down by rheumatism and dysentery, and the use of large quantities of mercury. He died the morning following his admission. 6. Stomach, — exhibiting extensive ulceration of its great ex- tremity, communicating with the Sp\een.— Ibid. 72 DIGESTION. From John H. Lang, 60th Regiment, ast. 43, who complained of pain in the region oi" the Spleen, extend- ing towards the Sternum, increased by full inspiration, and sudden expirations. He attributed his complaint to an injury which he had received in Jamaica some time previously, since which he had never been free from pain in the site of the great extremity of the Stomach, and had occasionally been subject to hasnjatemesis. While under treatment he had frequent attacks of sanguineous vomiting and dejections. On examination after death, the Liver was found to be tuberculated, and the Stomach and Spleen in the state here described. 7- Stomach, — contracted, thickened, indurated, and ulcerated. — France^— Presented hi/ Mr. Booty, Assistant Surgeon to the Forces. From Serjeant Robert Sharpless, Rifle Brigade, set. 31, who had Ascites, with supposed hepatic disease, his bowels being constipated, and stools clay- coloured. To- wards the termination of the malady his apj^etite failed, and became capricious, and, after eating, he felt a sense of oppression about the praecordia, with inclination to vomit. Lie had been latterly addicted to drinking. 8. Stomach, — ulcerated, and adhering to the Liver. — Fort Pitt. — History unattaiiiahle. 9. Stomach, — exhibiting Scirrhus, and ulceration of the Py- lorus. — Canada. — Presented by Dr. Wright, Deputy In- spector Gejieral of Hospitals. Taken from a woman, whose food was said to pass through the intestinal canal undigested. 10. Stomach, — exhibiting a large aperture in its bulging ex- tremity. — Fort Pitt. — History unattainable. 11. Stomach, with inflammation and erosion of its bulging extremity. — Ireland. — Presented by Mr. Marti?idale, Surgeoji, l^th Regiment. From .Tohn M'Grath, who, while in hospital, swal- lowed a drachm of oxymuriate of mercury and half an ounce of laudanum. The following symptoms occurred: vomiting and abdominal pain, succeeded by signs of en- teritic inflammation: on the second day, continued vo- miting, with occasional hiccough ; on tlie third, in ad- dition to these, violent salivation ensued; and on the fourth, dysenteric symptoms appeared, with great debi- DIVISION II. 73 lity. In this state he continued, until late on the seventh day, when he became suddenly worse, and expired. On dissection, the Stoniacli was found as above described; small Intestines free from disease; Caecum and Colon thickened and inflamed, with erosion of the mucous mem- brane, and effusion of lymph, which hung inwards, pre- senting a rugged appearance. The left Lung adhered to the Pleura costalis, and was completely hepatized. (Vide Drawing, No. 20.) 12. Stomach, — exhibiting scirrhous ulceration of the Pylorus. — Fort Pitt. — History unattainahle. 13. Stomach, — exhibiting tubercular ulceration of its mucous membrane. — Ibid. — History unattainable. 14. Stomach, — much thickened, with extensive ulceration of its mucous coat. — Ibid. — History unattainable. 15. Tubercular disease of the peritoneal coat of the Stomach, which adheres to the Liver. — Ibid.— History unattain- able. 16. Stomach, — exhibiting extensive inflammation of its mu- cous coat. — Portsmouth. — Presented by Dr. Dease, Sur- geo?i to the Forces. A recruit was affected with confluent small-pox, and died on the seventh day. On dissection, the Stomach was found in the state here described. 1". Ulceration of the Pylorus. — Fort Pitt. From Edward Lockhart, Newfoundland Veteran Com- pany, who was reported to have been an habitual drunk- ard. Three weeks previous to admission he was attacked with pain and sickness of stomach : latterly he vomited both food and medicine, and stools were only procured by enemata. 18. Portion of Stomach and Duodenum, — exhibiting an ulcer with very defined edges, extending through the coats of the Pylorus. — Gibraltar. — Presented by Mr. Fraser, As- sistant Surgeon to the Forces. From a soldier, who, having been ill many years with dyspeptic complaints, eventually died of inflammation of the Lungs. 19. Stomach, — exhibiting an ulcer, which perforates all its coats. — Fort Pitt. T-i DIGESTION. From Michael Mulhclland, 89th Regiment, admitted with chronic dysentery. He complained of pain in the epigastric region, with vomiting after meals; and was supposed to labour under disease of the Pylorus. (Vide Painting, No. 2.) 20. Cancer of the Stomach, situated midway between the oesophageal and pyloric ov\fices.~London.—Prese}ited hy Mr. Titus Bcny, Surgeo7i to the Forces. From Alexander Brown, jet. 68, a tailor, who in early life had been addicted to spirit drinking. For eighteen months previous to death he was affected with repeated attacks of vomiting, accompanied by a burning sensation in the umbilical region. He gradually lost his appetite, flesh, and strength, and died in a fit of vomiting. The right lobe of the Liver, on inspection, was tuberculated. 21. Pyloric end of the Stomach,— exhibiting the effects of \^o\son.— Nottingham.— Frese7ited by Mr. Colclough, Sur- geon^ 9th Lancers. The poison swallowed was one ounce of the oxymu- riate of mercury. The patient survived this dose ten hours, and died of Gastritis. 22. Exhibits Scirrhus of the Pylorus. — Fort Pitt. From John Meyers, Rifle Brigade, a;t. 40, who was much addicted to drinking. He was affected, for seven months previous to death, with pyrosis, flatulency, pal- pitation, occasional swelling of the abdomen, vomiting after meals, sallow countenance, and emaciation ; but never complained of pain in the pyloric region, even on strong pressure. On dissection, the Stomach was found to contain about three pints of a brownish fluid ; the pyloric orifice would scarcely allow of the passage of a crow-quill, and was surrounded by scirrhous matter, tlie tubercular form o{' which is visible in the preparation. In the right lobe of the Liver was also a scirrhous tu- bercle (Vide Secretion. Division IL No. 69.). The Lungs contained some granular tubercles, and small excava- tions; and the Pleurae exhibited the effects of chronic inflammation. 23. Ball, — taken from the Stomach of a Sheep. — Cape of Good Hope. — Presented hj Mr. Ford, Assistant Swgeo'n, 7'2nd Ilegime7it. 24. Stomach, — exhibiting a large ulcerated opening. — Pre- DIVISION II. 75 sented by Mr. Jones, Surgeon^ Ordnance Medical Depart- ment. From a soldier of the Royal Artillery. 25. Portion of Stomach, — exhibitin(v a Cicatrix. — Malta. — Presented by Mr. Martin, Surgeon, 73rd Regiment. From a soldier of the 85th Regiment. 26. Exhibits extensive solution of continuity of the great arch of the Stomach. — Ibid. — Presented by Mr. Smyth, Assist- ant Surgeon, Soth Regiment. From the same subject as No. 91. Class I. Respiratioyi. Division III. 27. Portion of Stomach, — exhibiting the result of inflamma- tory action. — London. — Presented by Dr. Alexander, Sur- geon to the Forces. From Robert Lowry, set. 23, who was admitted with congestive fever, excited by intemperance and exposure to cold : the epigastrium was painful on pressure, the stomach very irritable, and the pulse small and rapid. Previous to death a miliary eruption appeared on the skin, and that event was ushered in by convulsions. On dissection, the Liver was found enlarged, and united by ancient adhesions to the diaphragm. The inner surface of the Stomach presented numerous large brown striae, giving the parts a marbled appearance towards the smaller arch, so dark as to resemble melanosis. This lesion was chiefly perceptible towards the cardiac end. 28. Ulcer of the inner coat of the Stomach. — Ireland. — Pre- sented by Dr. Barclay, Surgeon, ^l\st Regiment. From William Tully, 2 1st Regiment, who was ad- dicted to the use of ardent spirits, and died of Phthisis pulmonalis. 29. Portion of Stomach, — exhibiting abrasion, ulceration, and superficial slough. — Ibid. — Presented by the same. From John IBurke, 21st Regiment, who died of Ana- sarca, occasioned by intemperance in the use of ardent spirits. 30. Ball, — taken from the Stomach of a Sheep, divided, to show its structure. — Cape of Good Hope. — Presented by Mr. Ford, Assistant Surgeo?i, '12nd Regiment. From the same animal as No. 23. 31. Stomach, — with general thickening of its coats, and ulce- 76 DIGESTION. rated opening at the Pylorus. — Malta. — Presented by Dr. Porlelli. Taken from a Maltese of the Royal Fencibles, who died suddenly, after enting a large quantity of figs, owing to rupture of the ulcerated part, which had previously adhered to the surface of theLobulusSpigelii of the Liver. The contents of tiie Stomach had passed through this opening into the abdominal cavity. The Stomach itself weighed fifteen ounces and a half, and was capable of containing thirteen pints of fluid. Division III.— DISEASED STRUCTURE OF SMALL INTESTINES. 1. Portion of Ileum, — exhibiting ulceration. — Presented hy Dr. Hennen, Deputy Inspector General of Hospitals. The patient from whom it was removed died of fever, on the seventh day, 2. Portion of ulcerated Ileum. — Preseiited by the same. — His- tory unattainable. 3. Ulceration of the Ileum. — Presented by the same. — History unattainable. 4. Portion of Ileum, — exhibiting intus-susception. — Fort Pitt. From William Hunt, 69th Regiment, aet. 42, admitted, on his arrival from India, labouring under chronic He- patitis : he had also cough, and copious expectoration. He died on the third day after admission. On dissection, the Pericardium vvas found to be adherent to the Heart ; the Liver enlarged and indurated; the Colon ulcerated; and the Ileum iutus-suscepted. (Vide Division 111. No.-i.) 5. Presents another specimen of this disease. — Ibid. — History unattainable. 6. Portion of Ileum, — exhibiting tubercles. — Ibid. — History unattainable. /. Intus-suscepted portion of Intestine, withdrawn to exhibit an adhesion. — Ibid. From John Hriggs, e.Olh Regiment, a-t. 23, who was admitted complaining of severe pain in the loins, greatly DIVISION III. 77 aggravated by extending the trunk of the body; face flushed, eyes suffused, tongue white, appetite impaired, bowels constipated. He died after two days treatment. On dissection, all the viscera were sound, except the small Intestines, which were intus-suscepted at two dif- ferent points. Considerable vascularity was observed at the lower end of the Ileum. 8. Ileum, — exhibiting ulceration, and a layer of coagulable lymph on its peritoneal surface. — Fort Pitt. — History unattainable. 9. Portion of intus-suscepted Ileum. — Ibid. From the same subject as No. 7. 10. Presents another specimen of Intus-susceptio Ilei. — Ibid. — History unattainable. 11. Portion of Ileum, — exhibiting Sphacelus. — Ibid. — History unattainable. 12. Portion of Ileum, — exhibiting ulceration. — Ibid. The soldier, from whom this specimen was taken, died of a bowel complaint of three months' duration. 13. Portion of small Intestine, forming adhesions with itself, and exhibiting tubercular disease of its peritoneal coat. — Ibid. — History unattainable. 14. Portion of Jejunum, — exhibiting varicose lacteals. — Ibid. From Andrew Munro, 72nd Regiment, fet. 29, who, being admitted with Phthisis pulmonalis of seven months' duration, died in a fortnight. After death, the Lungs were found to be tuberculated, the mesenteric glands enlarged, and numerous lacteals were seen filled with chyle. The Ileum, at its inferior part, was ulcerated. 15. Part of the Ileum and Mesentery, — exhibiting enlargement of the mesenteric glands from Scrofula ; with a varicose state of the lacteals. — Chatham. — Presented by Dr. Bushe, Assistajit Surgeon to the Forces, From John Walsh, who, for twelve months, had been affected with scrofulous ulcerations in the neck. For three months previous to death, the conglobate glands in all the superficial parts of the body were enlarged. This state was attended with emaciation, extreme debi- lity, cough, purulent expectoration, diarrhoea, and night sweats. Under these symptoms he sunk. After death, iO DIGESTION. the Lungs were tound tuberculated and ulcerated, as were also the Intestines : round these diseased parts serous congestion had taken place. The Liver had a marbled appearance, and was highly granular. The mesenteric glands were much enlarged. 16. Portion of small Intestine, — exhibiting tubercles in a state of ulceration. — Chatham. — Presented by the same. From the same subject as No. 15. 17. Portion of Ileum, — exhibiting ulceration. From John Kirkham, 6th Regiment, aet. 19, admitted with fever. He stated that he had lately recovered from the eifects of a severe burn, and was subject to bowel complaints. He died on the fifth day after admission. The Intestines were afterwards found greatly diseased. 18. Portion of Ileum, — exhibiting sero-scrofulous ulcera- tion. — Fo7-t Pitt. — Histori) unattainahle. 19. Small Intestines strangulated by a portion of omentum, which had formed adhesions round the root of the Me- sentery. — Ibid. From Peter Hardy, 42nd Regiment, who had been frequently attacked with bowel complaints at Gibraltar, (from whence he was invalided,) and since these had subsided, by colic : after one of these seizures symptoms of Enteritis supervened, to which he rapidly fell a victim. 20. Portion of Intestine, on which is a varicose lacteal. — Ibid. From Serjeant-major Strong, ciet. 37, who, being ad- mitted with Consumption, died after two months' treat- ment. 21. Presents another example of the same. — Ibid. From John Millar, 91st Regiment, who being also admitted with Consumption, died at the end of four months. On dissection, two pints of pus were found in the right pleural cavity ; the Lungs were tuberculated ; the Intestines ulcerated ; the lacteals varicose. 22. Portion of small Intestine, — exhibiting ulceration. — Ediiu burgh. — Presented bij Mr. Martindale^ Surgeon, 11th Regiment. From John Shortell, J 7th Regiment, a^t. 20, of a strong and healthy appearance, wlio was admitted under a continued form of fever, from which he became con- DIVISION III. 79 valescent; but having encountered a relapse, the disease degenerated into a lormidable Typhus, of which he died on the 11th day. After death, the small Intestines ap- peared inflamed externally in patches, especially at the lower part of the Ileum ; on opening them, extensive ul^ cerations were observed, reaching to the valve of the Colon. The Liver was indurated to a degree approach- ing to scirrhus. (Vide Division IV. No. 39.) 23. Ulceration of small Intestines. — Edinburgh. — Presented by the same. From the same subject as No. 22. 24. Another specimen, in which the ulceration extends to the valve of the Colon. — Ibid. — Presented by the same. From the same subject as Nos. 22 and 23. 25. Portion of Ileum, ulcerated. — Fort Pitt. — History unat- tainable. 26. Portion of small Intestine,— exhibiting a fatty tumour im- bedded in its coats. — Ibid. — History unattainable. 27. Ileum, — exhibiting ulceration, and effusion of lymph. — Ibid. — History unattainable. 28. Portion of Jejunum,— exhibiting ulceration.— /^>zW. From Lawrence Tugwell, aet. 25, 4th Regiment, re- ceived into hospital with chronic Hepatitis, contracted in the West Indies ; he died, after being sixteen days under treatment. On dissection, effusion was found to have taken place into the chest ; the Lungs were conso- lidated and tuberculated ; the Trachea ulcerated ; and the small Intestines ulcerated along the whole course of their canal. 29. Ileum, — exhibiting an ulcerated perforation— Cor/7^. — Presented by Dr. Davy, Assistant Inspector of Hospitals. In this case, effusion of the faeculencies into the cavity was the consequence ; and a fatal peritoneal inflamma- tion ensued. 30. Ulcerated Ileum. — Malta. — Presented by Dr. Mahoney, Surgeon, 1th Fusileers. The result of remittent fever. 31 . A similar preparation. — Ibid. — Presented by the same. From the same subject as the preceding. 80 DIGESTION. 32. Small Intestines, — united by coagulable lymph. — Historij iinattainahle. 33. Small Intestines, — agglutinated by coagulable lymph. — History unattainable. 34. Portions of Omentum, forming adhesions together. — His- tory unattainable. 35. Ileum,— exhibiting petechial spots between its coats.— Fort Pitt. From John Parker, aet. 29, 13th Regiment, invalided for pulmonic disease. On the day after his admission into hospital he complained of headache, and other symptoms of fever, the skin of the face and trunk being unusually red : on the following day this appearance had extended to the extremities, with pulse of 1 10, co- pious discharge from the nose, and sputa tinged with blood. On the fifth day he died. After death, effusion was found to have taken place into the Lungs ; and pe- techial spots were observed on the surface of the Heart, and between the coats of the Intestines. (Vide Class I. Circulation. Division I. No. 27.) 36. Small Intestines,— agglutinated by bands of lymph. — Mau- ritius. — Presented by Dr. Shanks, Assist a7it Surgeon, 82nd Regiment. From a black pioneer, who was admitted with a fluc- tuating swelling of the abdomen, fulness and induration of the hepatic region, scanty secretion of urine, torpid bowels, and anasarcous extremities. These symptoms becoming aggravated, and dyspnoea, cough, debility, and emaciation supervening, he died in six months after the commencement of his illness. On dissection, the Liver was found thickly studded with pale, yellow, tu- bercles ; at the anterior margin c;f the left lobe it adhered to the pyloric extremity of the Stomach, where an abscess was detected communicating with that viscus ; the Peri- toneum and abdominal muscles were firmly agglutinated by bands of organized lymph, interspersed with innu- merable tubercles of various sizes ; and the thoracic, and abdominal cavities contained about three pints ot serous fluids. 37. Enlarged Mesenteric Glands. — Fort Pitt. — History unat- tainable. DIVISION III. 81 38. Presents an example of Intus-siisceptio Ilei. — Fort Pitt. — History unattainable. 39. A specimen of enlargement of the Mesenteric glands. — Presented by Sir James Grant, Inspector Ge?ieral of Hos- pitals. — History unattainable. 40. Portion of Ileum, — exhibiting incipient ulceration, which has its seat in the mucous follicles. — Fort Pitt. — History unattainable. 41. Portion of Ileum, — exhibiting a Diverticulum. — Ibid. — History unattainable. 42. Enlarged Mesenteric glands. — York Hospital, Chelsea. — History unattainable. 43. Portion of Ileum, — exhibiting numerous small scrofulous tubercles. — Ibid. The subject from whom this preparation was taken v,'as admitted with Phthisis pulmonalis, and died in three days. The Lungs were afterwards found tuberculated : the contents of the abdomen were firmly adherent toge- ther, and studded with tubercles. 44. Ulceration of the Ileum at its termination. — Fort Pitt. — History unattainable. 45. Presents a similar lesion of that Intestine. — Ibid. From John Hannan, ast. 21, 3rd Regiment, who was admitted into hospital, labouring under typhoid sym- ptoms, with diarrhoea of some standing. After five days treatment, he died. On dissection, it was observed that the small Intestines were alone diseased, their mucous membrane being extensively ulcerated, and studded with fleshy tubercles, the apices of many of which had un- dergone absorption. 46. Portion of Ileum, — exhibiting ulceration. From the same subjectas No. 17. 47. Small Intestine, — showing deposition of tubercles under its peritoneal coat. — Malta. — Presented by Dr. Calvert, Assistant hispector of Hospitals. The patient died of Phthisis pulmonalis. 48. Enlarged Mesentjeric glands. — History unattainable. 49. Exhibits tubercular deposition in the Peritoneum. — Fort Pitt. 82 DIGESTION. . From the same subject as No. 47. Class I. J^esjjira- tion. Division III. .^)0. Tubercular deposition in the Peritoneum, in a more ad- vanced stage than the preceding. — Ibid. From the same subject as the last preparation. 51. The peritoneal surface of the small Intestines adherent, and studded with tubercles. — Ibid. From John Cowan, 42nd Regiment, aet. 39, admitted with Ascites, of which he died. 52. Mass of Mesenteric glands enormously enlarged, and con- verted into caseous matter. — Gibraltar. — Presented by Mr. Fraser, Assistajit Surgeoji to the Forces. In this case death took place from marasmal wasting. 53. Portion of small Intestine, about seven inches in length, voided per anum ; the muscular fibres of the gut dis- tinctly visible. — Madras. — Presentedby Mr. Job, Sur- geon, 13th Light Dragoons. From John Seary, 13th Light Dragoons, who per- fectly recovered, and passed through tiie Invalid Depot, at Fort Pitt, some years afterwards. 54. Ileum, — exhibiting puckering of its mucous tunic, and co- pious depositionof lymph. The projections of the mucous membrane simulate the valvulae conniventes of the je- junum. The prepared part is taken from near the ter- mination of the small Intestine. — Fort Pitt. From the same subject as No. 57. Class I. Respira- tion. Division III. 55. Ileum, — exhibiting its vessels highly injected by inflam- mation. — Ibid. From Thomas Locke, 13th Light Dragoons, eet. 30, who died of pulmonary Consumption, diarrhoea, and hectic fever having set in a short time previous to death. The mucous tunic of the small Intestine, on examination, was observed to be extremely vascular ; the Peritoneum quite white, and healthy. 56. Portion of Jejunum, — exhibiting thickening and mortifi- cation of its coats. — London. — Presented by Mr. Titus Berry, Surgeon to the Forces. From a man who died, at the age of 25, of Ascites. The pyloric end of the Stomach was much thickened. 57. Ileum,— exhibiting corrugation of the inner tunic, copious DIVISION III. 83 deposit of highly vascular lymph, and ulcerations of old date, the bases of which are studded with miliary tu- bercles. — Presented by Mr. Gulliver, Assistant Surgeon, list Res.iment. From a young man, who had long been affected with tubercular Phthisis, and was ultimately exhausted by a violent attack of diarrhoea. 58. Ileum, — exhibiting turgescence, and dilatation of its blood- vessels. — Presented by the same. From a young woman, viho died of an acute attack of Enteritis. The highly inflammatory appearance pre- sented in the preparation pervaded the whole of the Ileum, and greater part of the Jejunum. 59. Ileum, — exhibiting thickening of its coats, and enlarge- ment, with incipient ulceration, of the mucous follicles. — Presented by the same. From a young woman, who was affected with organic lesion of the Heart, and ultimately died of Ascites. 60. Exhibits agglutination of the convolutions of the small In- testines, with tubercular accretions beneath the Perito- neum. — Fort Pitt. From the same subject as Nos. 61 and 62. Class I. Respiration. Division III. ; as well as Nos. 28, 29, and 30. Class III. Sensation. Division I. 61. Convolutions of small Intestine matted together by a thick adventitious layer on the serous surface of the Perito- neum, and by the deposition of large fleshy masses. — London. — Presented by Mr. Gulliver, Assistatit Surgeon to the Forces. From a middle-aged woman, who had dropsy of both Ovaria, and tubercular disease of the Lungs. 62. Exhibits ulcerations, the bases of which are studded with small caseous tubercles, in the mucous tunic of the Ileum ; their margins highly vascular and villous. The preparation has been minutely injected, and affords a good example of exaggerated vascularity by the inflam- matory process. The tubercular accretions elevate the Peritoneum immediately opposite the ulcers of the mu- cous tunic. — Presented by the same. From a middle-aged woman, who died of Phthisis. The night sweats, which had been very copious five weeks previous to dissolution, ceased at that time, and Si DIGESTION. a distressing diorrhoja supervened. She had also been affected with scrofulous disease of the knee-joint, in consequence of which the limb had been amputated. After death, the Lungs exhibited every stage of tuber- cular deposit. The mucous tunic of the Ileum and Cascum was much inflamed, and ulcerated. G3. Exhibits ulcers in the mucous tunic of the Ileum, the sur- rounding membrane being in a perfectly natural state. The preparation is injected. — Fort Pitt. From tlie same subject as No. 59. Class I. Rcspira- tion. Division III. 64. Portion of small Intestine, — exhibiting ulceration, and the highest vascularity of the mucous membrane. This pre- paration presents myriads of anastomes, the result of minute and successful injection. The gut is most vas- cular in the situation of the ulcers. — Presented h\j Mr. Gulliver, Assistant Surgcoji, 71st Regiment. 65. Injected ulcers of the mucous membrane of the Ileum. — Fort Pitt. From the same subject as No. 58. Class I. Respira- tion. Division III. 66. Another specimen of injected ulcers of the mucous mem- brane of the Ileum. The margins of the ulcerations ex- hibit small ecchymoses, but tlieir bases are totally de- stitute of vascularity. — Fort Pitt. &J. Portion of small Intestine injected, to exhibit two well- defined ulcers of the mucous tunic, with much general vascularity. — Ibid. From a young man, who died phthisical. 68. Ulcerationof the mucous lining of the Ileum. The ulcer is surrounded by a higher degree of vascularity than the rest of the gut, but the basis of the lesion aifords scarcely any red vessels from the injection. — Presented by Mr. Gulliver, Assistant Surgcoji, 7 1st Regiment. From James Lee, who was admitted into hospital moribund of Phthisis, from which he had been a sufferer for eighteen months. After death, the left Lung was found tuberculated and excavated, and the bronchial tubes contained much muco-purulent matter. The pe- ricardium was thickened, and contained about three pints of turbid, ilaky 11 aid ; its serous surface was, moreover, abundantly coated with lymph. DIVISION III. 85 69. Portion of Ileum,— exhibiting a largo ulcer of its mucous tunic; the basis of the lesion formed by abundant tu- bercular matter, which elevates the serous tunic of the gut in a granular form. The preparation is minutely injected, and exhibits a high degree of vascularity ; but none of the colouring matter of the injection has entered the tubercular substance. — Fmi Pitt. From a middle-aged subject, who died of Phthisis, and was affected with diarrhoea for six weeks prior to his dissolution. 70. Presents a small ulcer of the (injected) lining tunic of the Jejunum. — Ibid. The effect of tubercular degeneration : from the same subject as No. 5Q. Class I. liespiratioji. Division III. 71. Incipient ulceration of the mucous membrane of the Ileum: the preparation is highly injected, and the mucous tunic is excessively vascular round the ulcers. — Chatham. — Presented by Mr. Gullivc?-, Assistant Surgeon, 7 1st Re- giment, From a young female, who died of Phthisis pulnio- nalis. 72. Injected portion of Ileum, presenting ulcers of the inner membrane. — Ibid. — Presented by the same. From the same subject as the preceding. 73. Highly injected portion of Ileum, exhibiting ulcers on the mucous tunic. — Ibid. — Presented by the same. From the same subject as the two preceding prepa- rations. 71. Gun-shot wound of small Intestine, terminating in arti- ficial anus. — Ionian Islands. — Presented by Mr. Roe, Surgeon, 2Sth Regiment. From a sailor, who was wounded in the act of rowing towards the enemy. The ball entered on the left side below the ribs, wounded the Intestine, which here pro- trudes, and passed out through the second false rib of the same side. The bowel was impervious below the wound, but healthy above : a quill is inserted into the upper part. The tbces were voided through the wound. 75. Ileum, — perforated by the inflammatory process termina- ting in sphacelus of that spot. — Ibid. — Presented by Mr. Lindsay, Surgeon, 1 8th Regiment. Taken from a Serjeant of that Corps, aged 31 years, who died of Enteritis in tliirty-seven hours. 86 DIGESTION. 76. Portion of Jejunum, with well-marked stricture. — Fort Pitt. From Serjeant Carnagie, set. 37, 1st Regiment, who had suffered from ague. He was received into hospital with obscure disease. He had pains in the limbs, and constipated bowels; his tongue was foul and dry, his stomach rejected medicine, and there were symptoms of low fever. Two days after admission, he passed two evacuations: on the third day he vomited a dark fluid, having a gelatinous appearance; on the seventh, his bowels again acted, after the exhibition of Croton oil, and enemata. The fever continuing, he had pain in the scrobiculus cordis, hiccough, hollow and anxious coun- tenance, and a daily evacuation per anum : the day pre- vious to his death (which took place on the thirteenth day), the pain and singultus disappeared, and the pulse beat only thirty-six times per minute. On dissection, the Jejunum, about six inches from its commencement, was Ibund suddenly much contracted ; and when laid open, a considerable stricture was discovered, without any ulceration, or other disease, in the neighbouring part of the gut. The mucous membrane at the ilio-caecal valve was morbidly vascular. The stricture was, appa- rently, the result of chronic inflammation. 77- Presents another example of stricture of the Jejunum. — Ibid. From the same subject as the preceding. This stric- ture was found a foot further down the course of the gut, and had lessened its calibre even more than the first: its character was the same : nothing from above could be made to pass without forcible pressure by the hand. 78. Gun-shot wounds of the small Intestine and Mesentery; the former wounded in three places, the latter in one. — Cape of Good Hope. — Presented by Mr. Tighe, Assistant Surgeon, loth Kegiment. From John Robinson, 75th Regiment, who committed suicide, by placing the muzzle of his musket at the left side of the umbilicus, and firing it in that position. The ball, entering at this spot, made its exit near the pos- terior spinous process of the Ileum, fracturing that bone. He lived twenty-four hours after the accident. 79. The tubercular degeneration, which precedes ulceration in Phthisis jnilmonalis. — Fort Pitt. The patient lioin whom this preparation was taken DIVISION III. 87 died from Empyema. On dissection, tubercles were de- tected ill both Lungs, and vomicaa in the left. There were many tubercular depositions in the site of the Glan- dulae aggregatae, which, at some parts, had advanced to ulceration. 80. Specimen of Tape-worm. — Ibid. It was passed per anum. 81. Portion of Ileum, — exhibiting spongiform elevations from its inner coat, and a circular spot, at which all the tunics are deficient, except the peritoneal. — Malta. — Presented hx) Dr. Davi/, Assistant Inspector (f Hospitals. From an Officer, aet. 25, who died of fever of the re- mittent type. 82. Omentum, — exhibiting minute tubercles. — Ibid. — Pre- sented by the same. — History unattainable. 83. Portion of Ileum, — exhibiting very abundant deposition of tubercles, which, at some parts, have degenerated into large, and prominent vXcevs.—Ibid. — Presented by Dr. White, Assistant Surgeon to the Forces. From John Fairish, 95th Regiment, who died of con- tinued fever. 84. Portion of Ileum, — exhibiting perforation of all its tunics. — Ibid. — Presented by Mr. Lightbody, Surgeon, 80th Regiment. From the body of Thomas Allen, 80th Regiment. 85. Another specimen of the same lesion of the Intestine. — Ibid. — From Dr. Mahony, Sicrgeon, 1th Fusileers. — His- tory iinattainable. '^, Another specimen of similar lesion. — Ibid. — Presented by Mr. Lightbody, Surgeon, SOth Regiment. From a patient labouring under fever, in whom death ensued from peritoneal inflammation. 87. Small Intestine, — with a ruptured opening. — Presented by Mr. IVhyte, Surgeon, 69th Regiment. From Serjeant John Carr, of that Corps, who had an inguinal hernia of the right side, in the neighbourhood of which the laceration was discovered. It was produced by a fall. 88. Small Intestine intus-suscepted.— ikff/Z^fa. — Presented by Mr. Lightbody, Surgeon, SOtk Regiment. — History unat- tainable. 88 DIGESTION. 89. Exhibits great enlargement of the Mesenteric glands. — Fort Pitt. From Joseph Sibley, 15th Regiment, aet. 23, who, having suffered for some time from stomach and bowel complaints, subsequently became affected with tumid ab- domen, and oedematous feet. He died rather suddenly. On dissection, there was found in the abdominal cavity about a quart of straw-coloured serum ; the mucous lining of the small Intestines was much ulcerated ; the mesenteric glands were greatly enlarged ; and there was tubercular deposit in both Lungs. 90. Intus-susception of a portion of small Intestine. — Presented by Mr. Step/mison, 89th EegimcJit. From the body of M'Donald, of that Corps, aet. 22. Two other portions of Intestine were in a si- milar state. 91. Tubercular affection of the Peritoneum, the Omentum being the part principally involved in the disease. — Ca?i- terhury. — Presented hy Dr. Blake, Surgeon, 1th Dragoon Gna7'ds. From Serjeant Major James Gouley, of that Corps, set. 37. He first complained of a painful sensation of weight in the situation of the Spleen, which he attributed to riding, followed by nausea, and symptoms of dysen- tery. Some time afterwards costiveness ensued, and he continued to feel uneasiness in the left hypochondrium, the abdomen being considerably enlarged. He ejected matter from the stomach, which, at last, assumed the appearance of black vomit ; and died in about six months from the commencement of the disease, with symptoms of pressure on the Brain. On post mortem examination, about two gallons of serum were found in the abdomen; the peritoneum generally was involved in the tubercular formation, of which an example is given in the prepara- tion. The mass preserved was chiefly connected with the Omentum, the Stomach, and part of the Colon, being seen above it. 92. Portion of Duodenum, and common Bile-duct, the latter obstructed by calculi. — Fort Pitt. From the same subject as No. 88. Division IV. 93. Presents Intus-susception of a portion of small Intestine. —Bengal. — Presented by Dr. Burke, Inspector General uj Hospitals.— History unattainable. DIVISION III. 89 94 Exhibits oblique inguinal Hernia of the right side, the contents of the sac consisting of Omentum only. A large portion may be seen passing thrc ugh the abdominal ring. Fort Pitt. From Frederick Field, aet. 23, 20th Regiment, a pa- tient in the Lunatic Asylum. 95. Portion of Ileum,— exhibiting at one part a large, deep ulcer, of somewhat circular form, with raised edges ; at another, a considerable elevated ulcer of an oval form, in the situation of the Glandulee aggregates. — Ibid. From Samuel King, 96th Regiment, set. 23, who was attacked with continued fever, which degenerated into typhus, attended with delirium, small pulse, brown tongue, fetid stools, and prostration of strength ; lastly, by invo- luntary passage of urine and fasces, coma, and death, which took j)lace in a month from the commencement of the disease. 96. Portion of Ileum near the ileo-colic valve, showing exten- sive ulceration, with perforation through all its coats: at the lower part is another well-defined ulcer of a brown appearance. — Ibid. From Robert Florphley, 63rd Regiment, act. 21, ad- mitted with continued fever, which soon assumed a ty- phoid form, and proved fatal on the ninth day. On dis- section, it was discovered that faeces had escaped into the abdominal cavity ; and there was some redness in the convolutions of the Intestines. The mucous mem- brane of the small Intestines exhibited several ulcers similar to those preserved. 97. Great prominence and slight ulceration of two patches of the ulandula3 aggregatse, with the same state of some of the Glandular solitariee. — Ibid. From Thomas Jarris, 17th Regiment, aet. 19, admitted with head-ache, diarrhoea, heat of skin, thirst, and loss of appetite. In six or seven days, the symptoms assumed a typhoid type, attended by a relaxed state of bowels, prostration of strength, delirium, and coma. The case terminated in tleath at the end of twenty-six days. On opening the abdomen, the greater part of the Ileum was found in the state displayed in the preparation; no dis- ease of the Brain, or other part, was demonstrable. 98. Portion of Ileum, — exhibiting a small ulcer, which had penetrated its coats ; on the opposite peritoneal tunic is 90 DIGESTION. a deposit of lymph, probably thrown out to prevent the consequences of perforation. — Ibid. From Serjeant Temple, 53r(l Regiment, aet. 30. He was two months in hospital in a low state, chiefly in- duced by an obstinate diarrhcra : he had also occasional discharge of bloody coagula from the nose, and pain in the site'of the frontal sinuses. He ultimately sunk under the continuance of the diarrhoea, and died in a state of extreme atrophy. On post mortem examination, many ulcers were found in the small Intestines; tubercular matter existed in both Lungs, the apex of the left being somewhat excavated ; and the cartilaginous septum of the nose was destroyed. The whole outer surface of the calvarium was also covered with honey-comb ulceration. (Vide Class II. Secretio7i. Division II. No. 27. and Class III. Locomotion. Division I. No. 148.) 99. Portion of Intestine passed per anum. — Madras. — Pre- sented by Dr. Strachan^ Inspector General of Hospitals. From Thomas Rickmore, 13th Light Dragoons. 100. Portion of Ileum, — exhibiting great prominence of the Glandulaa solitariae and aggregata?, with some ulcera- tion, particularly of the latter.— Fo/t! Pitt.— History unattainable. 101. A similar preparation.— /(^zV/.—H/s/orz/ unattainable. 102. Portion of Omentum,— exhibiting tubercles of consider- able size.— Malta. — Presented by Surgeon Fiddes, 85th Iiegime7it. From a soldier of that Corps. 103. Portion of Ileum,— showing granules of lymph on its in- ternal smhce.— Ibid.— Presented by Dr. Davy, AssistaJit Inspector of Hospitals. Taken from the body of a man, who died of confluent small-pox. 104. Exhibits the same phenomenon.— 76/V/. — Presented by the same. Taken from the same subject as the preceding. 105. Portion of the upper part of the Jejunum,— presenting vAcevAVion.— Ibid.— Presented by Dr. Scott, Surgeon, Rifle Brigade. 'raken from the body of a soldier of that Corps. 106. Portion of Ileum at its junction with the caput Cicci, DIVISION III. 91 — exhibiting tubercular deposit in a granular form. — Fort Pitt. From James Barnett, T^th Regiment, who, having been long subject to chronic dysentery, was admitted in a state of extreme exhaustion, affected with Erysi- pelas of the right arm, and consequent gangrene; under which maladies he sunk in a few days. On dissection, besides the sphacelated condition of the upper extre- mity, the Lungs were found to contain miliary tuber- cles; the Liver was larger than natural, granular, and pale. There were, at some parts of the Ileum, patches of tubercular deposit, and, at its junction with the Cee- cum, the whole Intestine was in the condition exhibited in the preparation. 107. Portion of Ileum, presenting deposition of lymph in a granular form, on the external surface. — Ibid. From Thomas Foreman, 96th Regiment, jet. 20. On dissection, the peritoneal coat of the Intestines was found covered with the secretion of which the preparation af- fords an example, and adherent, in some parts, to the parietes of the abdomen. 108. Calcareous deposition taken from the Mesentery. — Fort Pitt. From Patrick Mulcahy, get. 32, Staff Corps, a maniac, inclined to violence, and in confinement for the last six years of his lite. He died of disease of the Lungs. 109. Specimen of Tania lata, eighteen feet in length. — Fre- land. — Presented by Mr. Cavet^ Assistant SurgeoJi, 97th Iiegime7it. This worm was expelled from the Intestines of a sol- dier of the 97th Regiment, who had been in the habit of passing joints of the same for more than two years. The six yards forming the preparation, and several joints, were passed after taking six drachms of Oleum Terebinthinte. 110. Portion of Ileum, with Diverticulum, — exhibiting ulcers on itsmucous coat. — Malta. — Presented by Mr. O'Brien, AssistaJit Surgeon^ 7th Fusileers. From a soldier of that Regiment, who died of Phthisis pulmonalis. Previous to death, ulceration appears to have taken place both in the large and small Intestines. 111. Ileum, — exhibiting general thickening, and abrasion of 92 DIGESTION, its inner coat. — Malta. — Presented hi) Mr. Fiddes, Sur- geon, 85th Regiment. From a soldier of the 85th Regiment, who died of a bowel complaint. On examination, the whole intestinal canal was found in a state of disease. 112. A Diverticulum \\e\.—Fort Pitt. 113. Shows the manner in which the Peritoneum forms the sac of a Hernia: at the posterior part is the Appendix vermiformis, of unusual breadth, but not more than half the usual length. — Malta. — Presented by Dr. Davi/, ylssi slant Inspector of Hospitals. Taken from a Maltese, 98 years of age, who died of Peritonitis. Division IV.— DISEASED STRUCTURE OF LARGE INTESTINES. 1 . Colon, — exhibiting ulceration, with elTasion of flocculent lymph. — History unattainable. 2. The same, — with extreme thickening and puckering of the inner coat. — History unattainable. 3. Portion of Colon, with ragged, irregular ulcerations scat- tered over the inner surface. — Port Pitt. From John Kenned, 8Gth Regiment, oot. 27, who was atimitted, on arrival from India, with Scorbutus. Ten days afterwards, symptoms of dysentery commenced. At the same time he appears to have had pectoral disease, as evinced by cough, and purulent expectoration. He died in fifteen days. On dissection, the Lungs were found tuberculated ; two pints of bloody ellusion were removed from the chest ; the abdomen contained a quantity of si- milar fluid ; and the large Intestines were ulcerated and thickened. 4. Ulcerated Colon, — with copious eflusion of lymph, ragged and flocculent, over its lining membi-ane. — Ibid. From Daniel MiUTay, (JOth Uegiment, at. '1\), who, being admitted into hcxspital labouring'under chronic 50. Liver much enlarged, its left lobe indurated, and exhibit- ing in the right an Abscess, which contained two pints of pus. — Fort Pitt. From John Kelly, 67th Regiment, admitted with ge- neral dropsy and hepatic disease, contracted in India. The operation of Paracentesis abdominis was performed below the umbilicus, and two quarts of turbid fluid ob- tained, after which high irritative fever set in, attended with delirium, and, lastly, death. On dissection, the viscera of the abdomen were found to be glued together with lymph ; and that cavity contained about two quarts of fluid. 51. Liver, — exhibiting large scrofulous tubercles, and weigh- ing ten pounds and a half. — Presented by Dr. Howell, Surgeori to tlie Forces. From Thomas Wood, 38th Regiment, £et. 41. He had suffered from the Walcheren fever, from the effects of which he had never recovered. He was a man of intemperate habits. He was admitted with Ascites, of which he died seven weeks afterwards. (Vide No. 4, Secretion. Division IV.) 52. Liver,— exhibiting large tubercles. — Fort Pitt. From John Lang, 60th Regiment, set. 43, admitted with a subacute attack of Splenitis. He referred the origin of his complaint to a blow which he had received in Jamaica, ever since which he had suffered from pain in the left hypochondriac region, accompanied by occasional spitting of blood. While under treatment, he had fre- quent hsematemesis, and his evacuations were almost always tinged with blood. 53. Liver tuberculated, and Pancreas adhering to it. — Ibid. — History wiattaiiiable. 54. Gall-bladder, — containing three large Calculi. — Ibid. — History unattainable, 55. Gall-bladder, — containing two Calculi. — Ibid. 56. Very minute biliary Calculi, of a black colour. — Edinburgh. — Presented by Dr. Kiiox, 57. Extensive Abscess of the right lobe of the Liver. — Gibral- tar. — Presented by Mr. Fraser^ Assistant Surgeon to the Forces, The patient died hectic. From John Irving, 28th Regiment, who died of acute 114. SECRETION. 58. Portion of the convex surface of the right lobe of the Liver, — containing Hydatids. — Presented hj Dr. Kenny, Surgeoi^ 67t/i Regiment. The soldier from whom this preparation was taken died of Haemoptysis. The Hydatids had no relation to his death. 59. Section of the concave side of the left lobe of the Liver, — exhibiting a cyst, which contained Hydatids. — Pre- sented by the same. From the same subject as the preceding. 60. Section of tubercular Liver. — Mediterranean. — Presented by Mr. O'Brien, Assistant Surgeon, "Itli Fusileers From J( ' ' ' • " - dysentery. 61 . Liver injected, — exhibiting Fungus hoematodes. — Loyidon. — Presented by Mr. Howship. 62. Section of Liver, — exhibiting an Abscess, which commu- nicates with the Stomach. — History unattainable. 63. Biliary Calculi, of a mulberry shape, and black colour. — Fort Pitt. From a soldier, who served some years in India, and, on arrival at home, died of Phthisis. The Liver was shrunk, of a dark colour, firm, and granular. The gall- bladder contained a moderate quantity of brown-coloured bile, and near its neck were situated the eight calculi pre- sented in the preparation. He had not, latterly, com- plained of any symptoms of hepatic disease, although it was reported that he had suffered most severely in India from acute Hepatitis. 64. Biliai-y Calculi. — Ibid. Taken from a soldier who died of tubercular Phthisis. The Intestines were ulcerated ; the Liver firm and te- nacious ; and the gall-bladder moderately distended with healthy-looking bile, in which floated the Calculi. 65. Portion of Liver, — in which a distinct osseous deposit has taken place. — Ibid. From Moses Ruston, aet. 29, 46th Regiment, a stru- mous subject, who died of chronic abscesses under the lumbar fascia. On dissection, the Lungs were found to contain miliary tubercles ; the Liver was of a dark colour, and somewhat smaller than natural. DIVISION II. 115 66. Section of Liver, — presenting a circumscribed and very hard portion of bone in its substance. — History unat- taiiiahle. 67. Biliary Calculus.— i^or/ Pitt. Taken from Samuel Hervey, 1st Regiment, who, having served many years in India, was invalided on account of visceral disease and dropsy, of which he ulti- mately died. On examination, the Lungs were found inflamed and indurated by tubercular infiltration ; and many large tubercular deposits existed in the Liver. The gall-bladder was prodigiously distended by pale bile : — the calculus was fixed in the neck of this vis- 68. Gall-bladder, with a Calculus firmly impacted in its neck. —Ibid. From the same subject as No. 58. Class L Respira- tion. Division IlL 69. Section of Liver, — exhibiting a well-marked specimen of scirrhous tubercle. — Ibid. From the same subject as No. 22. Digestion. Divi- sion IL 70. Section of Liver, — exhibiting Tubera circumscripta. — Ibid. From the same subject as No. 67. 7L Hydatids from the Liver of a Bullock. — Cape of Good Hope. — Presented by Mr. Ford^ Assistant Surgeofi, 12nd Regiment. These were situated in the right lobe, and contained in a cyst ; when first removed, they evinced evident symptoms of vitality. 72. Portion of Liver, — containing the cyst of an Hydatid, of considerable size. — Fort Pitt. From the same subject as No. 82. Digestion. Divi- sion IV. 73. Gall-bladder, — exhibiting great thickening of its coats. — —Madras. — Presented by Dr. Strachan, Inspector Gene- ral of Hospitals. — History unattainable. 74. Portion of Liver, — exhibiting many supplementary lobes. — Presented by Mr. Orr, Assistant Surgeon^ 95th Regi- ment. I 2 116 SECRETION. From a seijeant of the 95th Regiment, who died suddenly of pulmonary apoplexy. 75. Gall-stones of four species, having various external cha- racters. — Hisioi-y unattainable. 76. Biliary Calculi. — History unattainable. "il. Calculi from the gall-bladder.— Ms^o;7/ unattainable. 78. Calculus of mulberry shape found in the gall-bladder. — Fort Pitt. From the body of Michael Kelly, who died of Phthisis pulmonalis. 79. Calculi from the gall-bladder. — Jhid. From John Carpenter, 65th Regiment, aet. 25, who, having returned from India after six years' service, died on the day of his arrival. 80. Two Calculi from the gall-bladder.— /i/(/. From James Johnston, 26th Regiment, who, after an apoplectic fit, became idiotic and paralytic, and so died, at the end of six years. 81. Numerous Calculi, of various sizes and forms, from the gall-bladder. — Ibid. Taken from a soldier's wife, who died of intermittent fever and Anasarca. 82. Liver, — exhibiting an Abscess of considerable size; an in- cision through the external integuments communicating with \i.— Malta.— Presented by Mr. Lightbody, Surgeon, 80tk Regiment. From Charles Burns, 80th Regiment. The abscess was opened externally, with considerable temporary re- lief of the symptoms. 83. Portion of Liver,— exhibiting ulcerated sinuses.— /i/V/.— Presented by Dr. Hodson, Surgeon, 95th Regiment. 84. Portion of Liver, — presenting Abscess and sinuses. — Ibid. — Presented by the same. From the same subject as the preceding. 85. Portion of Liver, — with a deposit of cartilaginous consis- tence on its surface. — Fort Pitt. From Patrick Burns, ait. 4-8, 11th Regiment, an im- becile patient, subject to apoplectic fits, in one of which he died. He had been much addicted to the use of DIVISION II. 117 ardent spirits. On dissection, the remains and effects of considerable vascular plethora were detected in the Brain : the viscera of the other cavities vi^ere sufficiently sound, with the exception exemplified in the prepara- tion. The Spleen was of remarkably diminutive size. (Vide Division III. No. 13.) 86. Portion of Liver,— exhibiting numerous nodules, and supplementary lobes. — Mauritius. — Presented hy Dr. Ingham^ Surgeon.^ 29th Regiment. From the wife of the Hospital serjeant of the 29tii Regiment. 87- Liver, — exhibiting numerous large Abscesses. — Madras. — Presented by Dr. Thomson^ Assistant Surgeon^ 26th Regiment. From John Marr, 26th Regiment, at. 19. This youth, having been eighteen months in India, during which time he had been in good health, with the ex- ception of a slight dysenteric affection, was suddenly attacked with Hepatitis in its most ardent type. In spite of very active medical treatment, it ran into extensive suppuration, and the case proved fatal in twenty-five days. On dissection, some serum was discovered in the abdomen, in which cavity the Liver presented the most remarkable feature, being of an enormous size, and pro- truding itself so high into the right thoracic cavity as to compress tiie Lung, and thrust the Heart far towards the left side. In removing the viscus one large abscess burst; the remaining solid and fluid parts together weighed fourteen pounds, whereof probably nearly three fourths were purulent matter. 88. Portion of Liver,— exhibiting two well-defined tubercles. — Ireland. — Presented hy Mr. Cavet, Assistant Surgeon, 91th Regiment. From Thomas Duggan, a child three years of age, who died of marasmus. After death, the Lungs were found to contain miliary tubercles ; the bronchial and mesenteric glands were enlarged, and converted into firm tubercular masses ; and there were also tubercles in the Spleen, as well as the Liver. 89. Cyst of an Abscess from the surface of the Liver.— iVf<2- 'dras. —Presented by Dr. Strachan, Inspector General of Hospitals. P'rom John Read, 13th Light Dragoons. 118 SECRETION. 90. Portion of Liver, — exhibiting a caseous tubercle depo- sited near the convex surface, and giving rise to an ap- pearance of a cicatrix at this spot. — Fort Pitt. From William Hart, 96th Regiment, aet. 25, who died of Phthisis. On examination, some tubercles were also found beneath the mucous membrane of the Intestines. 91. Portion of Liver, — containing the cyst of an Hydatid. — Malta. — Presented by Mr. Martin, Surgeon, lord lie- givient. — History unattainable. 92. Portion of tuberculated Liver, — having attached to it a small globular mass of similar structure. — Ibid. — Pre- sented by the same. From a serjeant of the 73rd Regiment, who died of chronic dysentery. 93. Small Tumour of cartilaginous consistence taken from the Liver, where it was imbedded in a fibrous cyst.— Ibid. — Presented by Dr. Davy, Assistant Inspector of Ho- spitals. Procured from a Maltese, who died of Tetanus. 94. Gall-bladder, — the surface contiguous to the Liver ulcer- ated. — Ibid. — PresentedbyDr. Scott, Surgeon, Bijle Bri- gade. — History unattainable. 95. Exhibits an opening from the convex surface of the Liver through the Diaphragm into the right pleural cavity, the result of the bursting of an hepatic Abscess : a small portion of Lung attached. — Ibid. — Presented by M?: Fiddcs, Surgeon, S5th Regiment. From a soldier of the 85th Regiment, who died of this disease. The sac contained a sero-purulent fluid, which, after rupture into the cavity of the chest, was confined in a limited space by a praeternatural adhesion of the Pleura pulmonalis to the Diaphragm. 96. Part of the sac of an Abscess found in the Liver. — Ibid. — Presented by Dr. Scott, Surgeon, Bijle Brigade. From a soldier of the Rifle Brigade, who, at one pe- riod, had laboured under dysentery, but, latterly, had dropsical symptoms. The sac was detected in the in- ferior part of the right lobe, and contained about two pints of viscid matter. 9/. Portion of Liver, — with several small cysts of Abscesses. —Ibid. DIVISION III. 119 From Simon Grey, 14-th Regiment, aet. 37, an invalid from India, where he had served sixteen years. He complained of irritability of stomach, diarrhoea, and te- nesmus ; and, shortly afterwards, of pain in the right hypochondrium, and abdominal tension, combined with symptoms of fever, which degenerating into hectic, he sunk exhausted. On dissection, both Lungs adhered to the costal parietes ; the abdominal cavity contained eighteen pints of fluid ; the Liver was indurated, and contained the lesions shown in the preparation. 98. Liver, — exhibiting cavities made by Abscesses in various parts of its structure. — Fort Pitt. From a soldier of the 1st Regiment, who returned from India with decayed constitution, and labouring under chronic Hepatitis, of which he died. 99. A G2i\\-s\.owe. — Ionian Islands.— Presented hy Dr. M'Mwm, yissistant Surgeon, 10th Begiment. From William Looby, 10th Regiment, aet. 25, who died of remittent fever, having been attacked with colic shortly before his death. 100. Gall-bladder, — its coats of cartilaginous consistence, and bone deposited at its fvin(\\\s.— Malta.— Presented by Mr. Fiddes, Surgeon, S5t/i Regime?it. From Edward M'Cann, 85th Regiment, who died of ulceration of the Intestines. 101. Portion of Liver,— exhibiting an Hydatid in its bed.— Fort Pitt. From Joseph Wheeler, 4-th Regiment, at. 31, who, having been long a sufferer from chronic disease, ulti- matelv died by the supervening of a low form of peri- pneumony. The existence of disease in the Liver was not betrayed during life. Division III —DISEASED STRUCTURE OF SPLEEN. I. Spleen, tuberculated. — Fort Pitt. From James Neally, 7 1st Regiment, admitted with Phthisis, of which he died. 120 SECUETION. 2. Spleen, — exhibiting Abscesses. — Fort Pitt. From Arthur Langan, 13th Regiment, set. 24', ad- mitted under the head of continued fever, which he had contracted on a march. He died after seven weeks' treat- ment. On examination, it was found that effusion had taken place between the dura mater and araclmoid, and into the ventricles of the Brain. No symptoms are re- corded demonstrative of the splenic lesion. 3. Spleen, — with a large sac surrounding it, which contained purulent matter. — Ibid. From John M'Kenzie, 41st Regiment, set. 47, ad- mitted wiih common continued fever, with which he had been affected for three weeks. He died after being seven weeks under treatment. On dissection, an abscess was found between the pleurae of the right side, which con- tained a pint and ahalf of pus; another, equally exten- sive, was found between the peritoneum and abdominal muscles ; and a third as represented in the preparation. 4. Spleen, — enlarged. — History unattainable. 5. Spleen, — indurated. — History unattainable. 6. Spleen, — exhibiting ulceration. — Fort Pitt. From Robert Green, set. 31, 34th Regiment, admitted, on arrival from India, labouring under dysentery of tour weeks' standing, contracted on the passage home. He had served seven years in that country, and had enjoyed good health until within the last two years, when he had syphilis, for which he took mercury. Subsequently his bones became affected with nodes. He died in five weeks, without any indication of disease of the Spleen. After death the Intestines were found in a state of ulce- ration. 7- Spleen, — tuberculated. — Ibid. — History xinattainable. 8. Spleen, — of unusual magnitude. — History unattainable. 9. Lobulated Spleen.— iv?;-if Pitt. From the same subject as No. 42. Class I. Respiration. Division III. 10. Spleen, — enlarged and condensed in structure. — Ibid. From John Gee, Royal African Corps, who, after a two years' residence on the western coast of Africa, was invalided for the sequeht of remittent fever, particularly Splenitis. In hospital he had frequent attacks of epi- DIVISION III. 121 staxis, and pulmonic irritation; and, while apparently improving, he expired without ostensible cause. Dis- section .—the Lungs adhered to the pleura costalis by a recent effusion, and, when cut into, exhibited traces of hepatization, and the third stage of Pneumonia; the right heart was dilated; the Liver enlarged, and unna- turally hard ; the Spleen as exhibited in the preparation. 1 L Spleen, — ruptured. — Gibraltar. — Presented by Mr. Fraser, Assistant Surgeon to the Forces. From a sailor, who fell from the mast-head, and was killed. On examination, the abdomen was found full of grumous blood from the ruptured viscus. 12. Spleen, — exhibiting well-defined sanguineous coagula in its substance. — Fort Pitt. From the same subject as No. 23. Class IIL Sensation. Division L 13. Spleen, — exceedingly small ; its capsule at parts opaque. — Ibid. From the same subject as No. 85. Division 11. 14. Spleen, — much enlarged, its capsule in some parts thick- ened, and exhibiting shreds of lymph appended to it. — Ibid. From Patrick Daley, Royal African Corps, who had served five years in Sierra Leone, and, soon after his return, died of Phthisis. After death, the Lungs were found greatly disorganized by tubercular deposit, and consequent induration ; the Liver was of large size, and pale colour; and the Spleen as above described. 15. Spleen, — exceedingly small. — Jamaica. — Presented by Mr. Stewart, Surgeon, 8^th Regiment. The man from whom this preparation was obtained had been much addicted to the use of ardent spirits. 16. Spleen, — of unusual form, being elongated, and divided into two equal portions longitudinally by a narrow neck. — Malta. — Presented by Mr. Thomas, Surgeon, Ordnance Medical Department. Taken from the body of an insane Officer, who com- mitted suicide. 17. Exhibits a supernumerary Spleen. — Malta. — Presented by Dr. Daxy, Assistant Inspector of Hospitals. — History un- attainable. 18. Spleen, — with capsule become thickened and opaque.— SECRETION. Malta. — Presented by Mr. Martin, Surgeon^ 13rd Re- giment. From Patrick M'Donnaugh, 88th Regiment, who died of Phthisis pulmomilis. Division IV.— DISEASED STRUCTURE OF KIDNEY. 1. Kidney, — exhibiting Calculi in its pelvis. — Fort Pitt. From George Fellitre, 43rd Regiment, aet, 40, ad- mitted with pain of the head, thirst, and purging of a thin yellow matter. Three days afterwards he became comatose, and died the following day. 2. Large cyst, filled with Hydatids, attached to the Kidney. —Ibid. From John Copeman, 17th Regiment, tet. 44, admitted with a pulmonic affection of four years' standing, attended with cough, purulent expectoration, night-sweats, and frequent and distressing inclination to void his urine. He had served twelve years in India. 3. Kidney, — partly absorbed ; ureter obliterated. — Ibid. From the same subject as No. 17. Class I. Circulation. Division II. 4. Kidney, — tuberculated, and exhibiting a number of small stones in its pelvis. From the same subject as No. 51. Division II. 5. Kidney, — exhibiting a number of sacculi, many of them containing Calculi. — Ibid. The patient from whom this preparation was obtained died of fever. 6. Kidney, — exhibiting calculous matter in its pelvis. — Ibid. From a soldier, who died of Phthisis pulmonalis. 7. Kidney, — exhibiting a large sac in its centre, having no communication with the substance of the organ. — Deal. — Presented by Mr. Bell, Assistant Surgeon to the Forces. The ))atient had been ten months under treatment for rheumatism and bowel complaints, of which he died. DIVISION IV. 123 After death, the Lungs were found to be tuberculated, and the large Intestines in a state of ulceration. 8. Calculous concretions in the infundibula of the Kidney. — Fort Pitt. From a soldier, who died of dropsy, succeeding inter- mittent fever. 9. Kidney, — exhibiting Hydatids in its substance. — Ibid. From Peter 1 aylor, set. 45, 53rd Regiment, who was admitted, complaining of frequent cough, dyspnoea, and pain on the right side of the chest, and died in six weeks. He had served seven years in the West, and thirteen in the East, Indies. 10. Kidney, — tuberculated. — Ibid. From William Cox, aet. 38, admitted, on his arrival from the West Indies, with dysentery, with which he became affected on the voyage : he died at the end of three months. On dissection, the mucous lining of the Intestines presented ulceration ; and there was a false passage in the urethra. 11. Kidney, — with Tubercles. — Ibid. From William Claycoats, 7th Veteran Battalion, who was received into hospital with symptoms of continued fever, and died in three months. After death, the left Lung was found completely hepatized, and effusion had taken place on that side of the chest : the Liver was also indurated. 12. Kidney, — exhibiting Tubercles. — Ibid. From John M'Namara, 53rd Regiment, set. 37, ad- mitted, on arrival from India, with pain in the right hy- pochondrium, increased on coughing or pressure. After death, which took place in sixteen weeks, an abscess was discovered in the Liver; and the Kidneys were in the state illustrated by the preparation. 13. Hydatid of the Kidney. — Ibid. From Frederick Watson, 26th Regiment, admitted with violent ptyalism. He had been subject to a painful affection of the head for the last twelve years; when on the voyage home from Malta it became so excruciating that he was ordered to take large doses of calomel, which produced the above-mentioned effect. No symptoms connected with the Kidneys appear on record. He died in two days. Dissection discovered effusion into the Brain and Lungs. 12i SECRETION. 14. Kidney, — enlar. Caries of the distal extremities of the bones of the leg, with thickening and consolidation of the Tibia. — Ibid. — History unattainable. QiJ . Tibia, — exhibiting superficial Necrosis, and the commence- ment of the process of exfoliation ; the line of disjunction being distinctly visible. — History unattainable. 68. Trochanter major femoris, — exhibiting ulceration, and de- position of new bony matter. — History unattainable. 69. Calvarium, — exhibiting incipient ulceration of both tables. —Fort Pitt. Supposed to be the effect of mercury. 70. Ulceration of the internal table of the skull. — Ibid. — His- tory unattainable. 71. Another specimen of ulceration of the internal table of the skull. — Ibid. — History unattainable. 72. Presents absorption of the internal table of the skull. — Ibid. These depressions are the effect of the pressure of Funjri from the dura inaler. 15'i LOCOMOTION. 73. Anotlier specimen of absorption of tlie inner table of the skull, from the same cause. — Ibid. 74. Skull-cap, — exhibiting ulceration of both tables. — Ibid. Reported to be the effect of mercury. 75. Portion of Cranium, — exhibiting ulceration of the external table. — Fort Pitt. — History unattainable. JQ. Portion of Cranium, — thickened and consolidated, and exhibiting ulceration of both tables. JJ. Skull-cap, — much thickened and consolidated, and exhibit- ing defined ulcerations extending through both tables. 78. Ulceration of a portion of the Os frontis, with Necrosis. — North America. — History unattainable. 79. Anchylosis of the Atlas to the Os occipitis. — Portsmouth. — Presented, by Dr. Hetmen, Deputy Inspector General of Hospitals. From a Negro, who died of Phthisis. He never com- plained of any inconvenience from this anormal struc- ture, during life. 80. Ulceration of both tables of the Cranium, and of the upper Jaw-bone. — History unattainable. 81. Ulceration of both tables of the Skull; with a depression in the Os frontis, denoting the site of a former ulcer. — History unattainable. 82. Skull-cap, — exhibiting depressions, denoting the site of old ulcers. Reported to be the result of the use of mercury. 83. Presents ulceration of the external table of the Os frontis. — History unattainable. 84. Exhibits tumefaction of the superior maxillary bones. — Sierra Leone. — Presented by Dr. S'wecriy, Deputy In- spector GeJicral of Hospitals. The cranium is, apparently, that of a Negress. 85. Cranium, — exhibiting thickening and consolidation. — Port Pitt. From John Tupinger, 60th Regiment, set. 42, who died of dropsy. 86. Cranium,— presenting exfoliation of the posterior part of the alveolar process of the right sujierior maxillary bone. — Ibid. — History unattainable. SJ. Absorption of the bony palate, and portions of the ujiper Jaw, and Malar bone^. — Ibid. DIVISION I. 1.55 From John Blackwood, aet. 39, 1st Veteran Battalion, admitted with Carcinoma of the face : a large fungous zone was situated over the right cheek, and connected with the antrum of the same side. He, at length, died greatly emaciated. (Vide Drawing, No. 76.) 88. Cranium, — exhibiting absorption of part of the bones of the face. — Fort Pitt. This absorption was the result of pressure of Polypus nasi. The patient, John Hobhouse, died of pulmonic disease. (Vide Drawing, No. 75.) 89. Presents absorption of the right half of the lower Jaw. — Ibid. Produced by the pressure of a carcinomatous fungus. 90. Cranium, — exhibiting Necrosis of part of the superior Jaw-bone, the necrosed portion nearly separated by dis- junctive absorption; the bony palate and part of the orbits having exfoliated. — Presented by Dr. Kiimis, As- sistant Surgeon to the Forces. — History unattainable. 91. Presents the effect of Abscess in the posterior superior spine of the Os ilii. — History unattainable. 92. Ulceration of the internal table of the skull ; a defined aperture communicating with the surface. — History un- attainable. 93. Portion of Cranium, — exhibiting ulceration of the Malar bone and zygoma.. — History unattainable. 94. Presents ulceration of both tables of the Cranium. — His- tory unattainable. 95. Tibia, — exhibiting Necrosis. — Presented by Mr. O'Brien. History u?iattai?iable. 96. Exfoliated portions of Frontal bone. — Chatham. From Serjeant Philip Conway, Sith Regiment, aet. 35, who, three years prior to his admission into hospital, had been affected with pain in the forehead, succeeded by a hard tumour over the Os frontis, which suppurated slowly, and two years after the commencement of the complaint was punctured, when the bone underneath was found to be denuded. In course of time the necrosed bone exfoliated. At the commencement of the exfolia- tion, the cerebral pulsation was visibly communicated to the pus contained in the hollows of the diseased bone. 156 LOCOMOTION. This man recovered. He had three times in his life been under the influence of mercury. (Vide Cast, No. 2.) 97. Caries of the upper part of the Sternum and first Rib, with deposition of scrofulous matter in the neighbour- hood of the ulceration. — Fort Pitt. From the same subject as No. 29. Class II. Secretio7i. Division IV. 98. Cranium, — exhibiting various degrees of deficiency, total and partial, of a large portion of its parietes, chiefly from exfoliation. — Barbadoes. — Presented hy Mr. Gimning^ Inspector General of Hospitals. From an African Negro, a maniac, with occasional violent paroxysms. He had, for four years, been affected with disease of the Cranium, the consequence ot a sabre- wound on the left parietal bone ; and many large pieces of bone exfoliated at different times. 99. Sternum, — exhibiting Necrosis. — Fort Pitt. From George Dow, set. 24, who, on his arrival from North America, had necrosed Sternum, strumous ab- scesses in different parts of the body, and hectic fever; from the effects of which, together with pulmonary con- sumption, he soon sunk. On dissection, the Lungs were pervaded by tubercular deposition, and vomicae; and the intestinal canal was in many places affected with tubercular ulceration. 100. Os temporalis, — exhibiting ulceration of the bony walls of the meatus, and mastoid process. — Ibid. From John Bean, 42nd Regiment, ait. 30, admitted with Phthisis pulmonalis, of which he died. He had been very deaf for six months previous to admission, which complaint he attributed to cold ; and had copious purulent discharge from both ears. After death, it was found that an abscess situated in the mastoid process communicated with the internal ear, and that the mem- brana tympani, and all the ossicula auditus, except the stapes, had been destroyed by ulceration. 101 . Portion of the left Temporal bone, — presenting the same disease, the ulceration of bone in the internal meatus being rather more extensive. From the same subject as the preceding. 102. Portion of Cranium, — exhibiting death and complete ex- foliation of the greater part of the Os fronlis. — Bcnrese7ited, by Dr. Fanpihar M'Crae, Assist- ant Sia-eeon to the Forces. GENERATION. 1. Testis and Tunica albuginea, — minutely injected. — Fori Pitt. — Prepared, and presented, by Mr. Gulliver, As- sistant Surgeoii, 71st Regiment. 2. Exhibits the vascularity of the tubular structure of the Testis. — Ibid. — Prepared, and presented, by the same. 3. Tubuli seminiferi testis, — unravelled. — Ibid.— ■ Prepared, and presented, by the same. 4. Mercurial injection of the Corpus spongiosum penis. — Ibid. — Prepared, ajid presented, by the sarne. 5. Arteries of the Spermatic chord, Epididymis, Tunica albuginea, and Tunica vaginalis, — injected. — Ibid. — Prepared, and presented, by the same. (5. Testicle and Spermatic chord. — Ibid. 7. Exhibits the continuity between the sac of the Peritoneum and that of the Vaginalis testis. — Ibid. — Prepared, and presented, by Mr. Gtdlive?; Assistant Snjgeon, 7 1st Regi- ment. 8. Hymen and external parts of Generation, from a child three years old, — Injected. — Ibid. — Prepared, and pre- sented, by the same. 0. Mons Veneris, Labia pudendi, Nympluc, Clitoris, Pre- putium clitoridis, Meatus urinarius, Vestigia hymcnis. Meatus vaginuc, and Crura clitoridis, — fronj an adult. GENERATION. 233 10. External parts of the organs of Generation, from a young female child. — Malta. — Presented by Dr. Davy, Assist- ant Inspector of Hospitals. 11. The whole of the organs of Generation, and urinary Blad- der, of a female child. — Ibid. — Presented by the same. 12. Impregnated Uterus.— /br^ Pitt. 13. Uterus, at the eighth week of pregnancy. — Ibid. 14. Gravid Uterus at the fourth month. — Ireland. — Presented by Dr. Cavet, Assistant Surgeon, 91 fh Regiment. 15. Uterus of a female, who died shortly after delivery. — Ibid. 16. Uterus at the full period of gestation, — the Bladder and Rectum attached, and the blood-vessels injected. — Edinbmgh. — Presented by Dr. Knox. 17. Ovum, at a very early period of gestation. — Malta. — Presented by Dr. Scott, Swgeon, Rijle Brigade. 18. Foetus, with Membranes, at about the fourth week. — Fort Pitt. 19. Foetus, with Placenta, at about the sixth week. — Chatham. — Presented by Mr. Baker, Surgeon. 20. Foetus, with Membranes, at the second month. — Ibid. — Presented by the same. 21. The same, at the sixth week. — Ibid. — Presented by Mr. Johnstone, Assistant Surgeon to the Forces. 22. The same, at the ninth week. — Canterbury, — Presented by Mr. Steel, Assistant Surgeon, \st Dragoons. 23. The same, at the third month.— jpor^ Pitt. 24. The same, at about the fourth month. — IbicL 25. The same, at about the fifth month. — Ibid. 26. Twin Foetus from a Negress, about the fourth month. — Mauritius. 27. Foetus, — taken from the Uterus constituting No. 14. — Ireland. — Presented by Dr. Cavet, Assistant Surgeon, 91th Ilegimejit. 28. Foetus, at the fourtli month. — Chatham. — Presented by Mr. Blythe, Assistant Surgeon, Royal Mari?ies. 234 MISCELLANEOUS. — PAINTINGS. 29. The same, between the third and fourth month. — Fort Pitt. 30. The same, at the fifth month. — Ibid. 31. The same, at the fifdi mondi. — Ireland. — Presented by Dr. Cavet, Assista?it Surgeo?i, 97th Regiment. 32. Umbilical chord, with part of the Placenta and Mem- branes ; from a Foetus, at the sixth month. — Malta. — Presented by Dr. Scott, Surgeon, Rijle Brigade. 33. Foetus, — part of the abdominal viscera removed, to display the Renal capsules, the situation of the Testicle, and lobulated form of the Kidneys. — Fort Pitt. 34. Foetus, — part of the thoracic and abdominal viscera ex- posed. — 3id. 35. Foetus of six months, — displaying the Gubernaculum tes- tis, fold of Peritoneum between the Rectum and Blad- der, situation of the fretal Testis, lobular structure of the Kidneys, and large size of the Renal capsules. — Ibid. — Prepared, and presented, by Mr. Gidliver, Assist- ant Surgeon, 71st Regiment. 36. Exhibits the situation of the Testicle in the Foetus, the Umbilical arteries, and lobular form of the Kidneys. — Ibid. MISCELLANEOUS. 1. Exhibits some of the parts concerned in Hernia. — Edin- burgh. — Presented by Professor Mimro. PAINTINGS. Staff* Surgeon Millar demonstrating the anatomy of the Neck to Mr. Schelky.— Painted, and presented, by Mr. Schelky, Deputy Inspector General of Hospitals. DRAWINGS. — PRINTS. 235 2. The anatomy of the parts concerned in Hernia. — Painted, and presented, hy the same. DRAWINGS. 1. Front view of the anatomy of the Pelvis and Thighs. — Draiim, and presented, by Mr. Schetky, Deputy Inspector General of Hospitals. 2. Front view of the anatomy of the Neck, and upper Arm. — Drawji, and presented, by the same. 3. Anatomy of the parts connected with the Subclavian artery. — Drato/i, and presejited, by the same. 4. Nerves of the Neck. — Drawn, and presented, by Mr. Stratford, Assistant Surgeoji to the Forces. 5. Nerves of the Trunk. — Drawn, and prese}ited, by the same. 6. Nerves of the Arm. — Drawn, ajid presented, by the same. 7. External Muscles of the Face. — Presented by Sir James M'Grigor, Bart., M.D. F.B.S., Director General of the Army Medical Department. 8. The second order of Muscles on the back of the Neck. — Presented by the same. 9. Muscles of the side of the Trunk and Extremities. — Pre- sented by the same. PRINTS. 1. A Diagram of the Human Eye, from a perpendicular section of the left orbit, with the parts contained in it, — coloured. 2. A Diagram of the Human Eye, — coloured. 3. A Map of the Ear magnified to four times its natural size, — coloured. [ 2S6 ] CASTS. 1. Head of John Hutton, an executed Malefactor. — New South Wales. — Taken, and presented, hy Dr. Gibson, AssistaJit Surgeon to the Forces. 2. Head of William Webb, an executed Malefactor. — Ibid. — Taken, and -presented, by the same. 3. Head of Anne Campbell, an executed Criminal. — Ibid. — Taken, and presented, by the saine. 4. Head of Patrick Malony, an executed Malefactor. — Ibid. — Taken, and presented, by the same. 5. Head of Thomas Mustin, an executed Malefactor. — Ibid. — Taken, and py-esented, by the same. 6. Head of Lot M'Namara, an executed Malefactor. — Ibid. — Taken, and presented, by the same. /. Head of William Regan, an executed Malefactor. — Ibid. — Taken, a7id presented, by the same. 8. Head of John Wright, an executed Malefactor. — Ibid. — Taken, and presented, by the same. 9. Head of John Gough, an executed Malefactor. — Ibid. — Taken, and presented, by the same. 10. Head of John Any Bird Bell, aet. 14, executed for Murder, at Maidstone, \%'i\.— Presented by Mr. Blylhe, Assistant Surgeon, Royal Marines. 11. Cranium of King Robert Bruce. — Presetited by Sir James M'Grigor, Barf. M.D. F.R.S. Director General of the Army Medical Department. 12. Cranium of George Buchanan. — Presented by the same. Part III.— COMPARATIVE ANATOMY. A. OSTEOLOGY. Class MAMMALIA. Order QUADRUMANA. Family SiMiiE. 1 . Articulated Skeleton of an undetermined species. — From the Museum of the Army Medical Department^ Ceylon. 2. Articulated Skeleton of an undetermined species. — From the same. 3. Cranium of an undetermined species, from South Africa. — Presented by Dr. A. Smith, Assist. Surgeon to the Forces. 4. Cranium of Troglodytes niger. 5. Cranium of Troglodytes niger (immature). 6. Cranium of Simia cyanops? (male). — Presented by Mr. Ford, Assistant Surgeon, 12nd Regiment. 7- Cranium of an undetermined species. Order CHEIROPTERA. Family Vespertilionides. 1 . Natural Skeleton of an undetermined species, from Ben- gal. — Presented by Dr. Burke, Inspector General of Hospitals. 2.S8 BIAMMALIA. — VERJE. 2. Skeleton of Vespertilio murhms.— Presented hy Dr. Knox. 3. Cranium of an undetermined species. Order FER^. Family Insectivora. 1. Articulated Skeleton of Erinaceus europasus. — Presented hy Dr. Kiiox. 2. Cranium of the same. 3. Cranium of an undetermined species, from Bengal. — Presented hy Mr. G. R. Dartnell, Assistant Surgeon^ 41 5^ Regiment. Family Carnivora. 1. Articulated Skeleton of Putorius vn\gav\s.~Prese7ited by Dr. Knox. 2. Cranium of an undetermined species of Ursus. 3. Cranium of Meles vulgaris. — Presented hy Mr. Bacon, Assistant Surgeon, Honorable Company's Service. 4. Cranium of an undetermined species of the same genus. —Presented by Mr. G. R. Dartiiell, Assistant Surgeon, A:\st Regiment. 5 to 8. Crania of an undetermined species of Mustela, from Bengal. — Presented by the same. 9. Os penis of Procyon Lotor. — Presented by Mr. Burton, Suigeon to the Forces. 10 to 16. Crania of several varieties of Canis familiaris. — Presented by Mr. G. R. Dartnell, Assistant Stirgcon, ■^ist Regiment, and Mr. Bacon, Assistant Surgeon, Honor- able Company's Service. 17 to 21 . Crania of Canis aureus. — Presented by Dr. A. Smith, Assistant Surgeon to the Forces, and Mr. G. R. Dartnell, Assistant Surgeon, 41 5^ Regiment. 22. Cranium of Hyrcna vulgaris (male). — Presented hy Dr. Burke, Inspector General of Hospitals. MAMMALIA. — MARSUPIALIA— GLIRES. 239 23. Cranium of Hyjena vulgaris (female). — Presented by Dr. Burke, Inspector General of Hospitals. 24. Cranium of Hycena vulgaris (immature). — Presented by the same. 25. Cranium of Hyeena crocuta. — Presented by Dr. A. Smith, Assistajit Surgeon to the Forces. 26 to 34. Crania of Felis Tigris. — Presented by Dr. Burke, In- spector General: Dr. Broxv?i, Dep^ity Inspector General; Staff" Surgeon Grasset; and Mr. G. B. Dartnell, Assistant Surgeon, ^\st Begiment. 35. Articulated Skeleton of Felis venatica. — From the Museum of the A?-my Medical Department, Ceylon. 36 to 38. Crania of Felis Catus.— Presented by Mr. G. B. Dartnell, Assistant Surgeon, ^\st Begiment. Order MARSUPIALIA. 1. Cranium and bones of Macropus \w?^]ov'^. —Presented by the Earl of Darnley. Order GLIRES. 1 to 4. Crania of an undetermined species of the genus Mus. —Presented by Mr. G. B. Dartnell, Assistant Surgeon, 'l^lst Begimejit. 5. Natural Skeleton, from the same genus. 6 and 7« Crania of Sciurus vulgaris. — Presented by Mr. G. B. DartJicll, Assistant Surgeon, ^\st Begiment. 8 and 9. Crania of Lepus timidus. — Presented by the same. 10 and IL Crania of Lepus Cuniculus. — Presented by the same. 12. Ossicula auditus of Lepus C. — Presented by Mr. Steel, Assistant Surgeon, \st Dragoons. 13. Cranium of Cobaya. — Presented by Mr. G. B. DartnelU Assistant Surgeon, ^\st Begiment. 240 MAMMALIA. EDENTATA — PACH YDERMATA. Order EDENTATA. 1 . Cranium of Myrmecophaga capensis. — Presented by Mr. Ford, Assistant Surgeo?i, 415^ Regiment. 2. Articulated Skeleton of Manis crassicaudata. 3. Articulated Skeleton of Manis longicaudata. 4. Natural Skeleton of Ornithorhynchus fuscus. — Presented by Dr. Jones, Surgeon, 4tOth Regiment. Order PACHYDERMATA. Family Proboscidea. 1. Cranium of Elephas indicus (immature). 2 to 4. Tusks of Elephas africanus, — one, two, and three years old. — Presented by Dr. A. Smith, Assistant Surgeon to the Forces. 5 to 7- Molar Teeth of Elephas indicus. — Presented by Mr. G. R. Dartnell, Assistant Surgeon, ^\st Regiment. Family Pachyderma (proper). 1. Cranium of Hippopotamus amphibius. — Presented by Dr. Bell, Surgeon to the Forces. 2. Cranium of the same (immature). — Preseiited by Dr. Murray, Surgeon to the Forces. 3 to 5. Teeth of the same. — Presentedby Dr. Burke, Inspector General of Hospitals, and Dr. A. Smith, Assistant Sur- geon to the Forces. 6. Atlas and Dentata of the same. — PreseJited by Dr. Bell, Surgeon to the Forces. 7 to 11. Crania of Sus Scrofa. — Presented by Dr. Burke and Mr. Fraser, Inspectors General ,- Liejd. Lloyd, 1 4//^ Re- giment; and Mr. G. R. Dartnell, Assistant Surgeon, ^\st Reiiiment. .MAMMALIA. — RUMINANTIA. 241 12. Part of the Jaws of Sus Scrofa, — exhibiting the Incisors and Canines. 13 and 14. Tusks of the same, from wSouth Africa. — Presented by Dr. A. Smith, Assistant Surgeon to the Forces. 15 to 19. Five Tusks from the lower Jaw, — of various sizes and growth. 20. Pair of Canine Teeth from the upper Jaw. 21. Cranium of Phascocaerus africanus. 22. Cranium of Sus Babyrussa. 23. Cranium of Rhinoceros bicornis. — Presented by Mr. Mor- gan, Assistant Surgeon, 55th Regiment. Family Solidungula. 1. Cranium of Equus Caballus (SemsilG.).— Presented by Dr. CooL-, Assistant Surgeon, 75th Regiment. 2 to 5. Part of the lower Jaws of the same, illustrating Den- tition at the second, fifth, sixth, and eighth years. — Pre- sented by Mr. Burton, Surgeon to the Forces; and Captain Squire, 13th Light Infantiy. 6. The same, — showing the insertion of the Teeth into the Alveolar processes. — Presented by Captain Squire, 1 3th Light Infantry. 7, Part of both Jaws of the same, — exhibiting the state of the Teeth in the male, at a very advanced age. — Pre- sented by Mr. Burton, Surgeon to ike Forces. Order RUMINANTIA. Tribe Camelid.e. 1. Cranium of Camelus Dromedarius (immature).— P/r- sented by Mr. Grasset, Surgeon to the Forces. 2. Cranium of the same, at a very advanced age. — Presented by Mr. G. R. Dartnell, Assistant Surgeon.^ A:lst Regi- ment. Tribe Cervid.e. 1, Articulated Skeleton of Moschus Meminna. — From the Museum of the Army Medical Department, Ceylon. R 242 MAMMALIA. CETACEA. 2 and 3. Crania of Cervns Uania {male and lemale). — Pre- sented by the Earl of Darnley. 4. Cranium of Cervus Capreolus. Tribe CAPRiDiE. 1 and 2. Crania of Antilope Cervicapra. — Presented by Mr. G. R. Dartnell, Assistaiit Surgeoii, 41s/ Regiment -, and Mr. Shower, Apothecary to the Forces. 3. Cranium of Antilope Goral. — Presented by Mr. G. R. Dartnell, Assistajit Surgeon to the Forces. 4 and 5. Crania of Capra Hircus (male and female), — Per- sian var. — Presented by Mr. Chapman, Assistant Surgeon, 1st Royals. 6. Cranium of Ovis Aries, — Cape var. — Presented by Mr. Ford, Assistant Surgeon, 12nd Regiment. 7. Cranium of Damalis risia. — Presented by Mr. G. R. Dart- nell, Assistatit Surgeon, 41s/ Regi merit. 8. Cranium of Damalis strepsiceros. — Presented by Dr. A. Smith, Assistant Surgeoji to the Forces. 9. Cranium of Damalis Orcas. — Presented by the same. Ordkr CETACEA. Family Cete. 1 to 4. Crania of Delphinus Phocaena. — One presented h Mr. G. R. Dartnell, Assistant Surgeon, 41s/ Regiment. 5. Ossa bulbosa of Balaena Mysticetus. MISCELLANEOUS. 1. Part of the Eye of a Quadruped, — exhibiting the Retina, and Pigmentum nifvrum. AVES. — RAPACES — CURSORES. 213 2. The same, injected, — exhibiting the vascularity of the Corpus ciliare. 3. Part of the Eye of a large Quadruped, — showing the an- terior chamber of the Aqueous humour, and relation of the Retina to the Ciliax-y processes. 4. The same,— exhibiting a general view of its anatomical structure. 5. The same, — exhibiting the distribution of the Ciliary nerves. Anterior view of the same, — injected, showing the Iris, Ciliary processes, and vascularity of the Cho- roid coat. 6. The same, injected, — exhibiting the three proper Coats of the Eye, Arteria centralis Retina?, and Vasa vorticosa, with the extreme ramifications of the Ciliary nerves on the Choroid tunic. Class AVES. Order RAPACES. 1. Cranium of an undetermined species of Vultur. — Pre- sented hy Mr. Grasset, Surgeon to Uie Forces. 2. Skeleton of an undetermined species of Falco. — Presented by Dr. Burke, Inspector General of Hospitals. •3. Articulated Skeleton of Astur nisus. — Presented by Dr. Knox. Order CURSORES. I . Sternum of Struthio Camelus. — Presented by Dr. Burke^ Inspector General of Hospitals. R 1 24-4' AVES.— GftALLATORES PALMIPEDES. Order GRALLATORES. 1. Skeleton of Ciconia argala. — Presented hy Mr. G. /?. Dart?iell, Assistant Surgeo7i, 41 5^ Regiment. 2 and 3. Crania of the same. — Presented by Dr. Burle, In- spector General of Hospitals. A. Cranium of an undetermined species of Ciconia. — Pre- sented hy Mr. Grasset, Surgeon to the Forces. Order PALMIPEDES. I and 2. Crania of Procellaria capensis. — Preseiifed by Mr. Tighe, Assista7it Surgeon, 15th Regiment. ?). Cranium of Pachyptila Forsteri. — Presented by the same. 4. Cranium, Pelvis, and Extremities of Dibmedea exulans? h. Articulated Skeleton of Pelecanus onocrotalus. — From the Museum of the Army Medical Department, Ceylon. 6. Cranium of the same. — From the same. MISCELLANEOUS. Case, — containing one hundred and eight Crania of Birds of the following genera: viz. — Vultur — Falco — Strix — Lanius — Corvus — Picus — Sternus — Turdus — Mota- cilla — Muscicapa — Alauda — Parus — Emberiza — Loxia — Fringilla — Cuculus — Psittacus — Certhia — Alcedo — Hirundo — Phasianus — Meleagris — Numida — Tetr;u> — Columba — Charadrius — Tringa — Ardea — Scolopax — Rallus — Fulica — Sterna — Larus — Anas — Mergns — Colymbus — and Pelecanus. — Presented by Mr. Bacon, Assistant Surgeon, Honorable Company's Service. Case, — containing fifty-two Crania of Birds of the followiiio- genera : viz. — Falco — Corvus — Oriolus — Friiigilla — Alcedo — Hirundo — Charadrius — Tringa — Parra — Larus — and Anas. — Presented by Mr. G. R. Dartnell, Asi^istant Surgeon, 1-I.s7 Ix'eg/nimf. [ 24.5 ] Class REPTILIA. OuDEu CHELONIA. 1 to 4. Crania of Testudo Midas. — Presented hy Captain Phillips, R.N. ; Staff" Surgeons Grasset and Burton ; and Mr. Bacon, Assistant Surgeo?i, Honorable Company's Service. Order SAURIA. 1. Articulated Skeleton of Guviala gangetica*. — Presented by Dr. Sand// am, Surgeon, llth Light Dragoo?is. 2 to 5. Crania of the same. — Presented by Mr. G. R. Dartnell, Assistant Surgeon, 41s/ Regiment ,- Medical Department, Ceylon ,- and Dr. Burke, Inspector General of Hospitals. 6 and 7- Crania of Gaviala tenuirostris. — Presented by Dr. Burke, Inspector General of Hospitals. 8 to 10. Crania of Crocodilus vulgaris. — Presented, by Mr. G. R. Darfnell, Assistant Surgeon, 41s/ Regiment ; and Dr. A. Smith, Assistant Surseon to the Forces. Order OPHIDIA. 1. Poison gland, Duct, and Fang of Naija vulgaris. — Pie- sented by Mr. Grasset, Surgeon to the Forces. 2. Part of the Spine and Ribs of an undetermined species of Coluber. * This superb and unique specimen is twelve feet three inches in length, in the finest condition, and perfect in all its parts. [ 246 ] Class PISCES. Order PLAGIOSTOMI. Family SqualidjE. 1 to 3. Jaws of Carcharias vulgaris. — Tresented by Mr. Shower, Apothecanj to the Forces; Mr. Giffhey., Assistant Surgeon, 16th Regiment ; a7id Lieut. Colonel Buchanan, Royal E7igineers. B. INTERNAL STRUCTURE. Class MAMMALIA. Order CHEIROPTERA. 1. Foetus of Phyllostoma Vampyrus. — Presented by Mr. Burton, Surgeon to the Forces. 2. Plecotus auritus, — dissected, to exhibit part of the con- tents of the thoracic and abdominal cavities. — Presented by Dr. Davy, Assistant Inspector of Hospitals. Order MARSUPIALIA. Foetus of an undetermined species, attached to the Mamma. — Presented by Lieut. Bates, Sitk Regiment. Order EDENTATA. 1. Foetus in utero of Manis crassicaudata. — Presented by Mr. G. R. Dartnell, Assistant Surgeon, i 1st Regiment. AVES. — KEPTILIA. 247 2. Tongue of Ornithorhynchus fuscus. — Presented by Dr. Jones, Surgeon, Wth Regiment. 3 and 4. Penis (?) of Ornithorhynchus fuscus. — Presented by the same. Order RUMINANTIA. 1. Stomachs of Capra Hircus, — exhibiting their internal structure. — Presented by Dr. Davy, Assistant Inspector of Hospitals. 2. Lower jaw of Capra Hircus, — exhibiting the progress of Dentition. Class AYES. Stomach of Struthio Camelus. — Presented by Professor Munro. Class REPTILIA. Order CHELONIA. 1. Chelonia caouana, — dissected, to show the structure of the Lungs. — Presented by Dr. Davy, Assistant Inspector of Hospitals. 2. OSsophagus, Stomach, and Intestine of Chelonia caouana. — Preseyited by the same. 13. (Esophagus of Chelonia Midas,— exhibiting the structure of its inner lining. — Presented by Mr. Burton, Surgeon to the Forces. 4. Male organs of Generation of Chelonia Midas. — Pre- sented by Mr. Poole, Assistant Surgeon to the Forces. 248 REPTILIA. SAURIyV — I N VEUTEBRATA. 5. Kidney of a Chelonian. — Presented by Dr. Davy^ Asshtani Inspector q/' Hospitals. Order SAURIA. 1. Chamaeleon vulgaris, — dissected to show the Ova. 2. Heart and great Blood-vessels of a large Saurian, — in- jected. — From the Museum of the Army Medical Depart- ment, Ceylon. Division INVERTEBRATA. 1. Astacus marinus, — dissected, to show the Nervous system. — Presented by Professor Munro. 2 to 4. Hirudo sanguisuga, — dissected, to exhibit the Nervous system. — Presented by the same. APPENDIX. THE FOLLOWING OBJECTS HAVE BEEN PREPARED AND ADDED TO THE COLLECTION SINCE THE CATALOGUE WENT TO THE PRESS; By FARQUHAR M'CRAE, M.D. Assistant Staff Surgeon, CORRESPONDING MEMBER OF THE ANATOMICAL SOCIETY OF PARIS ; MEMBER OF THE ROYAL MEDICAL SOCIETY OF EDINBURGH ; AND FOR SEVERAL YEARS DEMONSTRATOR OF ANATOMY IN THE SCHOOL OF PROFESSOR LIZARS OF THAT PLACE. RESPIRATION. Division L 43. Fracture of the Cricoid cartilage, in consequence of the kick of a horse. — Presented by Dr. Annesley, Surgeon, 2nd Dragoon Guards. — Prepared by Dr. Parquhar M'Craet Assistant Staff Surgeo7i. From James White, aet. 19, 2nd Dragoon Guards. This man was leading his horse, when it suddenly started forward, and kicked him on the throat. Ge- neral Emphysema, with great difficulty of breathing, and a sensation of suffocation, immediately followed, and he expired four hours after the receipt of the in- jury- Division IIL 103. A portion of Lung having a foramen in it, which com- municated with the cavity of the chest, and caused Pneumo- thorax. — Fort Pitt. — Prepared by Dr. Par- quhar M'Crae, Assistant Staff Surgeon. 250 APJ'ENDIX. From Michael Noon, 21st Regiment, £et. 24. This individual was admitted into the General Hospital on the 24th of November, \8'V2, having all the symptoms of Phthisis pulmonalis. On the 15th of December it was noticed (in addition to the Stethoscopic phenomena usual in that disease,) that both sides of the chest emitted a dull sound on percussion. This latter symptom con- tinued till the 27th, when suddenly respiration became very laborious and frequent, with difficult expecto- ration, &c. On minute examination it was found that the left side had nov/ become very sonorous on percus- sion, and neither respiratory murmur nor rales could be detected by the Stethoscope. Opposite the lower part of the right Lung respiration had the puerile cha- racter, and between the fourth and fifth ribs of that side the action of the Heart was strong. By the 29th all the symptoms had become aggravated ; at each in- spiration the intercostal muscles of the left side were puffed out, and the metallic reso?ia?ice, and occasionally metallic tinkling, distinctly heard between the second and third ribs near to the sternum. In addition to these, the patient complained of severe pain between the two last ribs of the left side, and inability to lie on the right. Pulse 120, very feeble. These symptoms continued, and the man having become gradually weaker, expired on the 2nd of January, 1833. Appearances on dissection. — Exterior: — The left side projected more than the right. The Abdomen being opened, the diaphragm on the former side presented a convexity instead of a concavity on its sacral aspect, and was sopushed down that its most convex part lay parallel with the lowest rib. Considerable displacement of the stomach, &c. was the consequence. On examining the chest it was ascertained that this tumour of the dia- phragm was caused by the escape of a vast quantity of air into the pleural cavity, through the fistulous fora- men of the Lung — seen in the preparation. The Lung itself was much condensed, the Heart pushed over to the right side, and the foramen situated at the exact spot between the second and third ribs, where the Ste- thoscope had indicated its existence before the patient's death. There was little fluid in the cavity, but both the Pleura pulmonalis and costalis were covered by a thick layer of recently effused coagulable lymph. A full account of the post mortem examination may APPENDIX. 251 be found in Necrological Register, vol. iv. page 3*; and details of case in Medical Register, No. 143, page 162. 104. A part of the Pleura lining the diaphragm, converted into cartilage. — Fort Pitt. — Prepared by Dr. Parqxihar M^Crae, Assistant Staff Surgeoti. This specimen was obtained from the body of James Hardacre, 12th Foot, set. 37, who was admitted into the General Hospital from Gibraltar, in an impaired state of health, which he attributed to repeated attacks of fever, catarrh, &c. At the period of admission he had chronic catarrh, which soon terminated in Phthisis pulmonalis, of which he died. There were no symptoms before death indicative of the condition of the diaphragm as seen in the preparation. The state of the Pleurae was as follows: — On the right side of the chest firmly or- ganized bands connected the Lung to the ribs. These were most numerous at its postero-superior and inferior portions, the centre being comparatively free. The left Lung adhered throughout to the ribs by condensed cellular substance, and a cartilaginous patch about the size of a crown piece was noticed on the middle of the right side of the diaphragm. A full account of the post mortem examination may be found in Necrological Register, vol. iv. page 24; and details of case are con- tained in Medical Register, No. 144. folio 62. 105. Hypertrophy of a small portion of the parenchyma of a Lung. — Fort Pitt. — Preparedhy Dr. Farquhar M'Crae, Assistant Staff Surgeon. From William Woodhead, 35th Regiment, aet. 24. From the Medical Register, it appears that this indi- vidual was admitted into the General Hospital on the 15th of September last, affected with an obstinate bowel complaint, of which he died on the 6th of November. There were no symptoms befoi'e death which could lead to a suspicion of a diseased condition of the tho- racic viscera. At the post mortem examination, how- ever, the following appearances were noticed. The Lungs externally were of the natural colour, but strong adhesions existed both on the left and right sides between their Pleura and the Pleura costalis. Those of the right were firm, transparent, and so numerous, as to re- semble net-work, while on the left they were opaque, glueing together, as it 252 Al'PENDlX. were, the Pleura costalis and pulmonalis throughout the whole extent of the cavity. These were easily detached from each other; and this being done, the pleura lining the ribs and diaphragm was found studded with small tubercular bodies, and numerous red patches were no- ticed on the same. This inflammatory congestion was most considerable, however, at the postero-inferior part of the left cavity, where a small depositof recently effused coagulable lymph also was found. The internal struc- ture of the Lungs generally presented few marks of disease. At the lower part of the left was the hyper- trophied portion seen in the preparation. It had a grey colour ; and when cut into, appeared studded with mi- nute granules, but with no appearance of pus. Its length is about two inches, and breadth one, forming a fine specimen of the Hypertrophie du poiimon of An- dral, or the Granulation pulmonaire of Bayle. A full account of the post mortem examination may be found in Necrological Register, vol. iv. page 24 ; and details of case in Medical Register, No. 143. folio 85. 106. A part of the Diaphragm, having its Pleural lining studded with tubercles. — Fort Pitt. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. This preparation was procured from the same body which furnished the preceding one; an account of it will be obtained by reading that attached to No. 105. CIRCULATION. Division I. 93. Enlargement with thickening of the Pericardium. — Preseiited by Mr. Davey, 7th Fusileers, Malta. — Pre- pared by Dr. Farquhar M^Crae, Assistant Staff" Sur- geon. Obtained from the body of a man of 7th Fusileers, who died of Pericarditis. The pericardium contained about three pints of pus. No detailed account of case has been received. 253 Division II. 86. Arteries of the Brain partially ossified. — Presented by Dr. Davy^ Assistant Inspector of Hospitals, Malta. — Prepared by Dr. Farqiihar WCrae, Assistant Staff" Surgeon. From a Maltese woman, ap-t. 92, who died of Hydro- thorax. No history of case received. 8/. Partial ossification of the Basilar artery, and its branches. — Presented by Dr. Davy, Assistant Inspector of Ho- spitals, Malta. — Prepared by Dr. Farqiihar M'Crae, Assistant Staff Surgeoii. From a Maltese, aged 95. No history of case re- ceived. 88. Partial ossification of the superficial Femoral artery. — Presented by Dr. Dazy, Assistant Inspector of Hospi- tals, Malta. — Prepared by Dr. Farqnhar M'Crae, As- sistant Staff Surgeon. From a Maltese, aged 98, who died of Peritonitis. No history of case received. 89. The Internal carotid arteries, and their branches; the former partially ossified. — Presented by Dr. Davy, As- sistant Inspector of Hospitals, Malta. — Prepared by Dr. Farqiihar M'Crae, Assistant Staff Surgeon. From a Maltese, aged 95. No history of case re- ceived. 90. Partial ossification of Internal carotid arteries ; and some of the vessels forming the circle of Willis, obstructed by coagula. — Presented by Dr. iVhite, Rifles, Malta. — Prepared by Dr. Farqiihar M'Crae, Assistant Staff Surgeon. From a man of the Rifle Brigade, who died comatose ; but whether the diseased condition originated from in- ternal or external causes, is not mentioned in the do- cument. The information received is, that on dissection the cortical substance of the Brain was found in a state of ramoUisement, and of a pinkish hue. 91. Partial ossification of a portion of one of the coronary arteries of the Heart. — Presented by Dr. Davy, As- sistant Inspector of Hospitals, Malta. — Prepared by Dr. Farqiihar M Crae, Assistant Staff Surgeon. From a Maltese, aged 98, who died of Peritonitis. No history of case received. 25i! APPENDIX. 92. Arch of the Aorta, having its inner coat studded with osseous deposit.— Pr^'s^n/'^^/ bi/ Dr. Davy, Assistant In- spector of Hospitals, Malta. — Prepared by Dr. Farquhar M'Crae, AssistaJit Staff" Surgeon. From a Maltese, aged 95. No history of case re- ceived. 93. Abdominal Aorta and common iliac arteries ossified in many places. — Presented by Dr. Davy, Assistant In- spector of Hospitals, Malta. — Prepared by Dr. Farquhar M'Crae, Assistajit Staff Surgeon. From a Maltese, aged 98, who died of Peritonitis. No history of case received. 94. Thoracic Aorta partially ossified. — Presented by Dr. Davy, Assistant Inspector of Hospitals, Malta. — Pre- pared by Dr. Farquhar M'Crae, Assistant Staff Sur- geon. From a Maltese, aged St. No history of case re- ceived. DIGESTION. Division I. 1 1 . Exhibits two ulcers in the interior of the CEsophagus, one of which communicates with a diseased bronchial gland at the division of the Trachea. — Fort Pitt. — Prepared by Dr. Farquhar M'Crae, Assistant Staff' Surgeon. From Michael M'Carthy, 36th Regiment, aet. 35, who died of the sequelae of dysentery, complicated with a pulmonic affection. There were no symptoms before death indicative of the disease seen in the preparation. Division III. 114. Perforation of the Ilium, which occurred as a conse- quence of fever. — Presented by Dr. Henderson, Surgeon, ^Sth Regiment. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. The individual from whose body this specimen was taken, had been under treatment for fever. His con- valescence was protracted without any evident cause, when peritoneal inflammation suddenly occurred, and APPF.NDIX. S.^S cut him off". At the post mortem examination the disease was found to have been produced by the escape of feculent matter into the abdomen through the open- ing seen in the preparation. 115. An umbilical hernia dissected, so as to show the con- tinuity of the sac with the peritoneum, and the nature of its contents. — Preseiited by Mr. C. Fagg, Hythe. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. No history of case received. A large quantity of Omentum is contained in the sac, to which, in some parts, it firmly adheres. Division IV. 104. A very large Appendix vermiformis covered with ulcers internally. — Presented by Mr. Martin^ 73rd Regiment^ Malta. — Prepared by Dr. Farquhar M' Crae, Assistant Staff Surgeon. From a man of the 73rd Regiment, who died of Phthisis pulmonalis. No history of case received. 105. A peculiar adhesive band stretching across the interior of the Colon. — Presented by Dr. Davy^ Assistant In- spector of Hospitals^ Malta. — Prepared by Dr. Farquhar ArCrae, Assistant Staff Surgeon. This band is situated in the lower part of a Colon taken from the body of a Maltese woman, aged 92, who died of Hydrothorax. 106. An ulcer in the interior of the transverse arch of the Colon in a healing state. — Presented by Mr. Davey^ 1th Fusileers, Malta. — Prepared by Dr. Farquhar M'Crae, Assistatit Staff Surgeon. From a man who died of Phthisis pulmonalis. The document states that he had dysenteric symptoms, which were removed by appropriate treatment, and his bowels became regular before death. 10/. The Meso-colon and transverse arch of the Colon in a carcinomatous state. — Presented by Mr. M'' Andreti^, Surgeon, \Mh Begiment, Portsmouth. — Prepared by Dr. Farquhar M'Crae, Assistant Staff' Surgeon. From the body of Serjeant Callender, 14th Regi- ment. This man was admitted into hospital on the 14th December, 1831, to be treated for Hydrocele. 256 APPENDIX. The abdomen though tumified did not excite attention till the 27th, when he was attacked with sickness and vomiting; suitable remedies relieved these symptoms, but becoming again aggravated on the 5th January, an attentive examination was made, and it was discovered that a distinct moveable tumour existed in the Umbilical, and extended upwards into the epigastric, and latterly into the two renal regions. From this date it continued to increase in size, and became exceedingly painful on pressure, accompanied at intervals with sickness and vomiting. The stools were generally copious and fe- culent, but occasionally mixed with bloody pus, and always passed with much uneasiness. The post mortem appearances were as follows: — Exterior: Great ema- ciation, and countenance of a yellow hue. On opening abdomen a large cartilaginous-like mass was found occupying more or less the umbilical, epigastiic, hypo- chondriac, and renal regions. The great curvature of the stomach and parts of the duodenum and jejunum intimately adhered to it. But the chief objects impli- cated were the meso-colon and the transverse arch of colon. The former is seen in the preparation converted into a large scirrhous mass ; the coats of the latter are much thickened and indurated, and there is an ulce- rated opening nearly in the centre of the transverse arch through which its contents were discharged into the abdominal cavity. — For particulars of case see Book of Original Documents for 1832, page 51. 108. The transverse arch of the Colon exhibiting two re- markable contractions. — Fort Pitt. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surge 07i. From the body of Martin Murray, 21st Regiment. This man died of Phthisis pulmonalis, get. 23. On dissection the lungs had many of the appearances com- monly noticed in such cases. No symptoms before death indicated disease in the Abdomen : its viscera, however, both membranous and parenchymatous, ex- hibited increased vascularity, and at each extremity of the transverse arch of the Colon were two contractions by which (as seen in preparation,) the gut in these points is reduced to half its usual calibre. An account of the post mortem examination may be found in Necrologi- cal Register, vol. iv. page 18; and details of case in Medical Register, No. 143. folio 98. 257 SECRETION. Division II. 102. The Cavity of an abscess in the Liver. — Presented hy Mr. Davey, 1th Ftisileers, Malta. — Prepared by Dr. Farquhar M'Crae, Assista?it Staff Surgeo7i. From a man of the 7th Fusileers. It was situated in the convex part of right lobe of the liver, in contact with the diaphragm. No history of case yet received. Division III. 19. A very small Spleen with its capsule partially converted into cartilage. — Presented hy Dr. Daiy, Assistant In- spector of Hospitals, Malta. — Prepared by Dr. Far- quhar MCrae, Assistant Staffs Surgeon. From a Maltese, aet. 84, whose arteries were very generally ossified. No history of case yet received. 20. A portion of Spleen having several small cartilaginous bodies on its capsule. — Presented by Dr. Davy, Assist- ant Inspector of Hospitals, Malta. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. No history of case yet received. Division IV. 43. Kidney containing many small cavities which were filled with pus. — Presented by Mr. Davey, 7th Fusileers, Malta. — Prepared by Dr. Farquhar MCrae, Assistant Staff Surgeon. From a private of the 7th Fusileers, concerning whose case no further notice has been yet received, than that similar abscesses were found in the other kidney and in his lungs and prostate gland. The vesiculae seminales also were distended with pus. 44. A Kidney, having many hydatid cysts in its substance. — Presented by Mr. Henry, Assista?it Surgeon, \^th Dra- goo7is. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. From the body of William Arnokl, 14-th Light Dra- goons. This man died, set. 22, of acute Hepatitis. There were no symptoms before death which indicated s 258 APPENDIX. either deranged function or organic disease of this kidney. The other was perfectly healthy. Division V. 14. A portion of Cuticle detached from the Cutis,— exhibiting the alteration in structure which is caused by cicatri- zation. — Presented by Dr. Davy, Assistant Inspector of Hospitals, Malta.— Preparedly Dr. Farquhar M'Crae, Assistant Staff' Surgeon. From the thigh of a young man. SENSATION. Division I. 50. The Pineal Gland enlarged and its structure slightly altered. — Presented by Dr. Davy, Assistatit hispector of Hospitals, Malta. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. From a man who died of Pneumonia. There were no symptoms before death indicative of disease of the Brain. 51. Blood effused under the Dura Mater. — Presented by Dr. Davy, Assistant Inspector of Hospitals, Malta. — Pre- pared by Dr. Farquhar M'Crae, Assistant Staff Sur- geon. The blood was spread over the right hemisphere of the Brain, and occasioned death. It occurred in an in- fant aged 6 weeks. No history of case yet received. 52. A firm tumour which was situated in the substance of the Cerebrum a little anterior to its right Crus. — Pre- sented by Mr. Davey, 1th Fusileers, Malta. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. From a man of the 7th Fusileers, who died of Phthisis complicated with Cerebral disease. Document states that the tumour had no cyst, but that the portion of Brain surrounding it was softened. No detailed account of case has yet been received. 53. Thickening of the Pia Mater and Arachnoid membranes. APPi.xDix. 259 — Presented by Mr. Daveij, 1th Fusileers, Malta. — Pre- pared by Dr. Farquhar AVCrac, Assistant Staff Szir- geon. From the upper surface of the Cerebrum of a man of the 7th Fusileers, aet, 46, vvho died of Phthisis Pul- monalis compHcated with Cerebral disease. No his- tory of case has yet been received. Division II. 3. The trunk of Nervus Vagus intimately connected with that of the Great sympathetic. — Presented by Dr.Davy^ Assista7it Inspector of Hospitals, Malta. — Prepared by Dr. Farquhar M'C?ae, Assista^it Staff^ Surgeon. From a child that died of Pneumonia, aged 38 days. LOCOMOTION. Division I. 157. A Cranium and lower Jaw extensively affected with Ca- ries. — Presented by Dr. A. Stewart, Staff Suigeon. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeo7i. The disease has destroyed more or less every bone of the Cranium, and several of the face. The lower jaw also is extensively affected. Division IV. 70. The Sternum of a soldier who killed himself by wound- ing the heart with a penknife, the blade of which is seen broken in the bone. — Donor unhwwn. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. It came from Madras, but no history of case was sent. 71. Luxation of the head of the femur into the Ischiatic notch, with fracture of the posterior part of the rim of the Acetabulum. — Presented by Mr. Gulliver, Assistant Surgeon, 7 1st Regiment. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. s 2 260 APPENDIX. The position of the limb and its appearance were those which Sir Astley Cooper describes as belonging to this accident; bnt as it admitted being easily re- duced, and as a crepitus was heard on rotation, those who examined the injury at first thought it to be a case of fracture of the neck of the thigh bone, of a na- ture similar to one described by Mr. Stanle}', in which, contrary to the general rule, the toes were turned in- wards. This specimen is valuable as showing a very rare injury. It was taken from the body of a man of the 71st Regiment, who fell from the wall of Edinburgh Castle into Princes Street gardens, where he was found dead some hours after the accident. The degree of injury sustained by the Acetabulum, the capsular and round ligaments, is seen in the preparation, but no account of the appearance which the surrounding muscles presented on dissection has been yet re- ceived. 71. Exhibits the reunion of a fractured Clavicle. — Fort Pitt. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. From Michael M'Carthy, a man of 36th Regiment. GENERATION. Division I. 34. The Prostate Gland and Vesicular Seminales ; the former contained many small abscesses, and the latter were filled with pus. — Presented by Dr. Davy, Assistant In- spector of Hospitals, Malta. — Prepared by Dr. Far- quhar M'Crae, Assistant Staff Surgeon. From a man of the 7th Fusileers. Document states that he had abscesses in his lungs and kidneys. No account of case yet received. 35. The Tunica Albuginea Testis partially ossified. — Pre- sented by Dr. Davy, Assistant Inspector of Hospitals, Malta. — Prepared by Dr. Farquhar M''Crae, Assistant Staff Surgeon. A dunlicate of No. 32, and from the same subject. 261 APPENDIX. ^^^ Division II. 18. Shows an obliteration of the Os Uteri.-Pr^^."/?^^ by Dr. Davy, Assistant Inspector of Hospitals, Malta — Prepared by Dr. Farquhar M'Crae, Assistaiit Staf From a Maltese woman, aged 92. 1 he relations ot the external and internal organs of generation are dis- played. MALFORMATIONS. 24 Shows the right Auricle of heart. A large foramen is <;een in Fossa Ovalis, together with some fine tendinous cords which pass from the Eustachian valve to the oppo- site side of the cavity— Pr^s^^^^^-^ by Dr. Davy, Assist- ant Inspector of Hospitals, Malta.— Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. From a Serjeant of the Royal Fusileers, aet. 36, who was shot when in perfect health. 95 The Septum Auriculorum of the heart, showing a peculiar reticulated structure over Fossa Ox?i\\^.— Presented by Mr. Martin, ISrd Regiment, Malta.— Prepared by Dr. Farquhar M'Crae, Assistant Staf Surgeon. From a man of the 73rd Regiment, who died ot Phthisis pulmonalis. No history of case yet received. 26. A sacculated appendix to a portion of small intestine.— Presented by Mr. Martin, 13rd Regiment, Malta- Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. , i- i r From a man of the 73rd Regiment, who died ot gangrene of the right lung. 27 The Receptaculum Chyli, and a portion of the thoracic duct exhibiting an unusual cellular structure.-Pr^- sented by Dr. Davy, Assistant Inspector of Hospitals Malta.^Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. from a Maltese who died aged 95. Ihe commu- nication in the duct is preserved by means of small 262 APPENDIX. openings in the cells. No history of case as yet re- ceived. 28. A Puppy without a face. — Presented by Dr. Mouatt^ ISfh Light Dragoons. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. 29. An Appendix Vermiformis of unusual length. — Presented by Dr. White, Rijle Brigade. — Prepared by Dr. Far- quhar M'Crae, Assistant Staff Surgeon. From a man of the Rifle Brigade, who died of Pneu- MI8CELLANE0US. 44. Two Sacs found in the lungs, which were filled with a substance composed of carbonate, phosphate of lime, and animal matter. — Presented by Dr. Davy, Assistant Inspector of Hospitals, Malta. — Prepared by Dr. Far- quhar M'Crae, Assistant Staff Surgeon. From a man of the 7th Fusileers, who died of Peri- carditis. The substance resembled putty. 45. A small Atheromatous Tumour. — Presented by Mr. Men- zies. Assistant Staff Surgeon. — Prepared by Dr. Far- quhar M'Crae, Assistant Staff Surgeon. Removed from a female breast, 46. A portion of the human Umbilical Cord, exhibiting the ulcerative process which causes its separation. — Pre- sented by Dr. Davy, Assistant Inspector of Hospitals, Malta.— Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. [ 263 ] PREPARATIONS IN HEALTHY ANATOMY, Added to the Museum sijice 1st January 1833. CIRCULATION. 43. The circle of Willis, with the trunks of the Internal Ca- rotid and Basilar arteries. — Presented hy Dr. Davy, Assistant Inspector of Hospitals, Malta. — Prepared by Dr. Farquhar M'Crae, Assistant St af^ Surgeon. 44. The Heart of a foetus at the 9th month, showing the valve of the Foramen Ovale. — Presented by Dr. Davy, Assistant Inspector of Hospitals. — Prepared by Dr. Farquhar M'Crae, Assistaiit Staff' Su}-geon. SECRETION. 19. A Spleen prepared by maceration, to show its structure. — Presented by Dr. Davy, Assistant Inspector of Ho- spitals, Malta. — Prepared by Dr. Farquhar MCrae, Assistant Staff Surgeon. EXCRETION. 40. The Urinary Bladder of a Male child aged 38 days. — Presented by Dr. Davy, Assistant hispector of Hospitals, Malta. — Preparedly Dr. Farquhar M'Crae, Assistant Staff Surgeo7i. SENSATION The origin of some of the nerves of the Brain. — Pye- scnted\j Dr. Davy, Assistajit Inspector of Hospitals, Malta. ^—Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. 264- APPENDIX. Preparations illustrative of the Mijiute Anatomy of the Human Ear, — all made from adult temporal bones. 3. A Dissection, to show the size of the tympanic cavity, and the different objects within it described by authors. The canal of the tensor tympani muscle is painted I'ed, that of the Eustachian tube blue. There is a black bristle in the aqueduct of Fallopius which is laid open, and another indicates the cana! in which the chorda tympani lies. Besides these, the mastoid cells and their communication with the tympanic cavity, the promontory and pyramid of the tympanum, and the Foramen Ovale, and F. Rotundum are shown. — Pre- pared, a7id presented, by Dr. Farquhar M'Crae, As- sistant Staff Surgeon. 4. Shows the beautiful structure of the Mastoid cells. — Prepared, and presented, by Dr. Farquhar M'CVae, Assistant Staff' Surgeon. 5. Form and exact size of the cavity of the Vestibule display- ed, with its relation to the Meatus Auditorius Internus, Cochlea, and Foramen Ovale. — Prepared,and presented, by Dr. Farquhar M'Crae, Assistant Staff Surgeon. 6. Shows a perpendicular section of the Mastoid cells, also some of the objects in the tympanic cavity. The aque- duct of Fallopius is coloured red, the canal of chorda tympani laid open and painted blue ; the exact point where it enters the tympanum is seen, together with the situation and relations of the Cochlea, vestibule, and three semicircular canals. — Prepared, and presented, by Dr. Farquhar M'Crae, Assistant Staff Surgeon. 7. Shows the whole of the Mastoid cells and their foramen of communication with the tympanum, the size of the vestibule and the objects which communicate with it, also one of the Ampullae of the semicircular canals, the whole of the Lamina Spiralis, and the manner in which it separates the tympanic and vestibular scala?. — Pre- pared, and. presented, by Dr. Farquhar M'Crae, As- sistant Staff' Surgeon. 8. Exhibits the tympanic cavity, the whole course of the P'acial nerve within the temporal bone, the canal of the Chorda tympani, the distribution of a nerve which has its origin from the Giosbo-pharyngcal in the Foianien Liicerum APPENDIX. 265 posterius, and enters the tympanum, where, after sending twigs to the Tensor tympani, Laxator tympani, major and minor, and Stapedius muscles, it divides into three branches: one communicates with the facial nerve in the aqueduct of Fallopius; another passes backwards and enters the carotid canal (by a distinct foramen), where it unites with the Great Sympathetic ; and the third passes in a canal immediately above that of Tensor tympani muscle, and ultimately is lost in the ganglion of Arnold*. — Prepared, and ■presented, by Dr. Farquhar M'Crae, Assistant Staff Surgeon. 9. Shows the whole anatomy and relations of the parts which compose the Labyrinth ; but the chief object of the preparation is to display the aqueduct of Cochlea, which is painted red. — Prepared and presented by Dr. Farquhar M'Crae, Assistant Staff Surgeon. 10. A section of the temporal bone, showing some of the re- lations of tympanic cavity, the whole course of the aqueduct of the Cochlea, the size of the Vestibule, the course of a canal noticed by the preparer, M'Crae, in 1831 (and which he supposes to be an aqueduct of tympanum), the Cavitas Semiovalis, Sulciformis, and Hemisphaerica, &c. — Prepared, and presented, by Dr. Farquhar M'Crae, Assistant Staff Surgeo?i. 11. Shows the minute anatomy of the parts which compose the 'Labyrinth.— Prepared, and presented, by Dr. Far- quhar M'Crae, Assistant Staff Surgeon. 12. Displays the origin of the spinal nerves of a Foetus at the ninth month. — Presented by Dr. Davy, Assistant In- spector of Hospitals.— Prepared by Dr. Farquhar M'Crae, Assista?it Staff Surgeon. 13. The osseous anatomy of the Orbit and ^ose.— Prepared by Dr. Farquhar M'Crae, Assistant Staff' Surgeon. » [Dr. M'Crae affirms that he noticed several of these objects in 1825, and showed them to Professor Lizars of Edinburgh.] 266 APPENDIX. LOCOMOTION. 28. A male pelvis, prepared so as to show all its ligaments. There is a remarkable deficiency of a portion of the an- terior part of the capsular ligament of the left hip-joint. The Synovia appeared to have been retained in the cavity solely by means of a few muscular fibres, which extended transversely across that part where the de- ficiency is. GENERATION. 18. The organs of Generation of a female child, aged five months and seventeen days. — Presejifed by Dr. Davy, Assistant Inspector of Hospitals, Malta. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. MISCELLANEOUS. 44. A Human foetus at the fifth or sixth week. — Presented by Assista7it Staff Surgeon Menzies. — Prepared by Dr. Farquhar M'Crae, Assistant Staff' Surgeon. 45. A Human foetus between the second and third months. — Donor ^mknoison. Received from Ireland. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. 46. The Cranium of P. J., a maniac. The character of his insanity was that of Religious Melancholia, with a ten- dency to commit suicide. — He died of dysentery. — Pre- pared by Dr. Farquhar M'Crac, Assistant Staff Surgeon. — Necrological Register, vol. iv. p. 39. 4/. The Cranium of R. L., a maniac. He imagined himself a robber, but was harmless. Died of Atrophia. — F^rc- parcd by Dr. Farquhar M' Crae, Assistant Staff Surgeon. — Necrological Register, vol. iv. p. 20. 48. The Cranium of .T. 1)., a Religious Melancholic. Died of Phthisis. — Prepared by Dr. Farquhar M'Crae, As- sistant Staff' Surgeon. — Js^ecroloffical Register, vol. iv. p. 17. I 267 ] PREPARATIONS IN COMPARATIVE ANATOMY, Added since 1st Jamtarij 1833. Ornithorhynchus fuscus, Cuv. Dissected by Dr. Clark, Assistant Inspector of Hospitals, so as to show the forms of the throat, tongue, and teeth, together with some of the abdominal viscera, but more especially the urinary and genital organs. On the right side are several ova, varying in size from that of a pea to a millet-seed. This preparation derives an additional value from the circumstance of that excellent compa- rative anatomist Mr. Owen, Assistant Curator of the Museum of the College of Surgeons of London, having lately kindly displayed in it several discoveries he has made regarding the Generative and Lactiferous Sy- stems of the animal. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. The Foetus of a Pig, supposed to be at the fourth or fifth week, dissected so as to display the Thoracic and Ab- dominal viscera. — Presented by Mr. Richardson, Malta. — Prepared by Dr. Farquhar M'Crae, Assistant Staff Surgeon. [ 268 ] Beiurn of the State of the Museum of the Ariny Medical De- partment, from loth May 1832 to I3th May 1833. Desciiption. f Natural I Moibid 1st, Anatomy. <( Comparative I Total P Mammalia Birds .'.... Reptiles .. Fishes Animal * Tvoo^^c T-. J < insects Kingdom > ~ Testacea ., Zoophytes Total 417 1249 360 2026 178 42 Vegetable ) Kingdom ... j Specimens in Botany 4520 675 Mineral Kingdom ... Specimens in Mineralogy .2594 374 r Drawings 1 Paintings 3rd, Works of) Casts " J^^Yt ] Specimens in Rude Arts. Tot; 457 1333 372 61 13 3 646 254 50 352 76 7 55 19 1540 587 93 55 351 8 2717 1300 153 2162 71 850 421 74 2034 406 8 108 44 1 ... ... j 19 1 1 ... 46 93 23 ... 266 68 ' ... ... 1 3864 2968 152 20 116 334 [ 269 ] Report of the State of the Library of the Army Medical De- partment, from 10th May 1832 to I3th May 1833. lis o _; j3 6 oo No.ofVoluires since added. 1" 3 -a c e5 Hi 1^ 3 a> ■~ •£ CO Z6 lip i^ 3 2 1 3 i 1 Professional Works Works of Science) and Literature J Total . . 1416 518 30 239 58 109 1 239 5 508 172 150 2 1752 710 230 19 123 46 1934 88 3!8 214 6S0 152 2162 249 169 Note. — There are also two highly useful Institutions of the Medical Officers of the Army : one, of the nature of an In- surance Society for the benefit of their Widows; and the other, a Charitable Institution for the Orphans of Medical Officers, and supported entirely by benevolent Members of the Depart- ment. The Insurance Society was instituted in 1816, and the Benevolent Society in 1820. THE END. 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