Calendar: 1899-1900 Page 828

FACULTY OF MEDICINE The temperature ranged between 100 and 102 during the next three days Three days after admission about midnight the nurse's attention was attracted by the patient making peculiar noise as if attempting to speak-but on examination it was found that she wras unable to articulate and that there was also loss of power in the right arm and leg The mouth appeared to be drawn slightly to the left The patient retained consciousness but she was riot able my to protrude the tongue when asked to do so and she had some difficulty in swallowing purgative was given to relieve the bowels which were confined '1 7י י 1י For the next week her condition underwent little change The temperature remained sub-febrile At the end of this week she recovered some power of speech and was heard to call for the nurse-she could also still understand what was said to her and would open her mouth or close her eyes when asked to do so 'if Τ τ ί-r it 11 ז For another week little or no change occurred in her con- dition but at the end of this week she uttered two cries and י ז י iif il י was then found by the nurse to be very rigid the arms were spasmodically flexed and the legs were rigid and could not י י ill be flexed The conjunctival reflex was absent but the pupils reacted to light The head and eyes were turned to the left The temperature rose to 104 the pulse to 140 and the respiration assumed the Cheyne-Stokes type She was quite unconscious and remained in the same condition for days when she died You are required to comment on this case-to give an explanation of the symptoms observed during life and to state what morbid changes you would expect to find in the organs affected on post-mortem examination III b$t tvic Plc ictnc Describe morbid anatomy symptoms and signs and treatment of the different kinds of moles