are often colourless in the early stages ; and grumouSj or cofFee-
coloured, in the last stages. Then again, the Mness over the
region of the stomach and liver is greater, and more extensive, than
is usual in scirrhous pylorus, unless the substance of the stomach
be itseK involved in the disease. At all events, her countenance
denotes plainly visceral organic disease ; and her emaciated and
weakened frame forbid any 1)ut the mildest remedies, or the most
gentle administration of the more powerful ones. Speaking to you,
as I do, in doubt respecting this case, I could wish each of you to
weigh the arguments on both sides. The disease may be in the
stomach, or it may be external to it. It may be in the liver ; or it
may be in the omentum, and the peritoneal covering of the stomach
and intestines. It is not unlikely that some extensive and compli-
cated disease of these parts wiU be found after death."

In the following case, the same great difficulty of going beyond
a conjectural diagnosis will be recognised ; stiU, the symptoms are
such as connect themselves in a most interesting manner with the
appearances after death, and seem to offer much encouragement
to our researches into the distinctive marks of disease.
Case 9. — Sloughing abscess of the spleen. — Ann H — , set. 21,
was admitted under my care, January 24th, 1829, into Dorcas
Ward. She was a housemaid ; and was in a most reduced condition,
having been ill for some weeks ; during which she had been very ac-
tively treated by copious and repeated bleedings, for what had been
considered an attack of carditis, coming on immediately after having
undergone excessive fatigue by walking upwards of twenty miles.
