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CASE XII

A man dined when hot and drank too much. During the night he vomited everything ; acute fever ; pain in the right hypochondrium ; inflammation, soft underneath, from the inner part1; an uncomfortable night ; urine at the first thick and red ; on standing it did not settle ; tongue dry ; no great thirst.

Fourth day. Acute fever ; pains all over.

Fifth day. Passed much smooth, oily urine ; acute fever.

Sixth day. In the afternoon much delirium. No sleep at night.

Seventh day. General exacerbation ; urine similar ; much rambling ; could not restrain himself ; on stimulation the bowels passed watery, disturbed discharges, with worms. An uncomfortable night, with rigor in the morning. Acute fever. Hot sweat, and the patient seemed to lose his fever ;

[p. 209] little sleep, followed by chilliness ; expectoration. In the evening much delirium, and shortly afterwards he vomited black, scanty, bilious vomits.

Ninth day. Chill ; much wandering ; no sleep.

Tenth day. Legs painful ; general exacerbation ; wandering.

Eleventh day. Death.

1 See note, p. 188.

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