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While they may result from the coagulation of fibrin-forming elements in the exudate, their occurrence in tuberculous hydrops would appear to be the result of coagulation necrosis, or of fibrinous degeneration of the surface layer of the diseased synovial membrane. However formed, their shape is the result of mechanical influences, and especially of the movement of the joint.

In both the well and the sick, the red corpuscles were diminished; and in all diseases uncomplicated with inflammation, the fibrinous element was deficient.

In such cases, vegetable diet with vegetable acids would remove the scorbutic condition without curing the hospital gangrene. . . Scurvy consists not only in an alteration in the constitution of the blood, which leads to passive hemorrhages from the bowels, and the effusion into the various tissues of a deeply-colored fibrinous exudation; but, as we have conclusively shown by postmortem examination, this state is attended with consistence of the muscles of the heart, and the mucous membrane of the alimentary canal, and of solid parts generally.

Case XII should be at once excluded from present consideration on account of its microscopy. Catholic, always of a quiet and reserved disposition, happy in married life. Delusional attitude concerning an abortion which she said she had induced. "Soul lost," "I'll see hell." Autopsy: Death from gangrene of lung and acute fibrinous pericarditis. Erosion of cervix uteri.

Very deep anterior chamber may occur in glaucoma, due to retraction of lens and iris following fibrinous or plastic exudation into the vitreous, or when it occurs in congenital glaucoma, due to enlargement of the globe. Aqueous Humor. The aqueous humor becomes slightly turbid in acute attacks, coagulating more readily than the normal.

In cases of ulceration of the mucous membrane of the intestinal canal, the fibrinous element of the blood appeared to be increased; while in simple diarrhea, uncomplicated with ulceration, and dependent upon the character of the food and the existence of scurvy, it was either diminished or remained stationary.

The commonest form hydrops is that in which the synovial sheath is distended with a viscous fluid, and the fibrinous material on the free surface becomes detached and is moulded into melon-seed bodies by the movement of the tendon. The sheath itself is thickened by the growth of tuberculous granulation tissue. The bodies are smooth and of a dull-white colour, and vary greatly in size and shape.

In such cases, vegetable diet with vegetable acids would remove the scorbutic condition without curing the hospital gangrene. . . Scurvy consists not only in an alteration in the constitution of the blood, which leads to passive hemorrhages from the bowels, and the effusion into the various tissues of a deeply-colored fibrinous exudation; but, as we have conclusively shown by postmortem examination, this state is attended with consistence of the muscles of the heart, and the mucous membrane of the alimentary canal, and of solid parts generally.

In cases of ulceration of the mucous membrane of the intestinal canal, the fibrinous element of the blood appeared to be increased; while in simple diarrhea, uncomplicated with ulceration, and dependent upon the character of the food and the existence of scurvy, it was either diminished or remained stationary.

These fringes may be detached and form loose bodies like those met with in joints; less frequently there are fibrinous bodies of the melon-seed type, sometimes moulded into circular discs like wafers. The presence of irregular thickenings of the wall, or of loose bodies, may be recognised on palpation, especially in superficial bursæ, if the sac is not tensely filled with fluid.