his last admission, having recovered from a severe attack of pneumonia. He was employed in some of the harbour works, and was too much exposed to the sun. He was heavy and stupid on admission, and complained greatly of frontal headache. In the course of a week he became comatose, and died with all the symptoms of effusion on the brain. This was fully verified on dissection.

PLEURISY AND ABSCESS.—The fatal case of abscess was that of M. J., aged 50 years. She had been under treatment for a considerable time previous to admission, and presented an enormous fluctuating tumour, situated at the back of the right hip. Her general health was so greatly impaired, that it was deemed inexpedient to open the abscess. The abscess after death was traced into the pelvis, and found to have originated in caries of the os sacrum.

DELIRIUM TREMENS.—Two fatal cases of delirium tremens, out of 32, are returned. One was that of W. F., aged 71, who was in a state of collapse on admission, and survived only eight hours. The second was that of R. G., aged 45 years. He had been under treatment for some time previous to admission, and survived only four days. His somewhat sudden death was owing in part at least to a gangrenous abscess, which was found in the middle lobe of the right lung. The right pleural sac was found filled with putrid purulent effusion.

PLEURISY AND PNEUMONIA.—Four of these cases proved fatal. First, T. L., aged 25 years, was rather a case of pulmonary apoplexy; both lungs being found filled with tumors of a dense consistence, each having a coagulum of blood in its centre. Second, R. V., aged 16 years, died on the day following his admission. Extensive purulent infiltration was found in his right lung. Second, J. P., aged 37 years. Admitted affected with harassing cough and dyspnoea, which was traced to chronic disease of left lung and pleura. In the fourth week he was suddenly carried off by hæmoptysis. Fourth, J. W., 30 years, admitted with well marked symptoms of empyema of the right side, which presented considerable bulging. His dyspnoea and general distress were temporarily relieved by paracentesis of the chest, between the seventh and eighth ribs, and the drawing off of two gallons of purulent matter; but he only lived a fortnight afterwards, owing to re-accumulation of the fluid and the presence of a diseased state of the liver and kidneys.

HEART DISEASE.—Under this head six fatal cases are returned. First, P. S., aged 63 years. Very feeble when admitted, and survived a month. The aortic valves were found ossified. Second, T. N., aged 71. This man had general dropsy, the effect of disease of the heart, which weighed 2¼ lbs. He survived five weeks. Third, M. A. F., aged 42, survived only 17 hours after admission. Great hypertrophy was found, and effusion of serum into the pericardium. Fourth, W. P., aged 26, admitted suffering from great dyspnoea, and survived only four days. The heart weighed 1½ lb., liver 5 lbs. Fifth, C. W., aged 49. Had long suffered from cough, dyspnoea, and purulent expectoration. Two large aneurisms of the aorta were found, one of the arch and the other of the thoracic aorta. The lower lobes of both lungs were found in a state of purulent infiltration; and, in many respects, similar was the sixth case, H. W., aged 49. An enormous aneurism of the arch was found, containing 1 lb. 9 oz. of fibrin. Both lungs were hepatized. Seventh, A. McS., aged 41 years. Suffered greatly from dyspnoea and pains in the region of the heart. The case was a complicated one. The heart, liver, and the kidneys being diseased. The right kidney was converted into a number of pouches, filled with a slate-coloured pus, of the consistence of lard. General anasarca prevailed the last week of his illness. Eighth, J. B., aged 63 years. Affected with general dropsy, dependent on disease of the heart. The lower extremities became gangrenous before death. The cardiac valves were found thickened and shortened, the substance of the heart hypertrophied, and the liver enlarged. Ninth, J. J., aged 45, was a case of aneurism of the aorta, and nutmeg liver. There was great dyspnoea during life.

LIVER DISEASE.—Of these there were three fatal cases. First, J. H., aged 53 years. Admitted in an exhausted state from chronic vomiting and pains in the region of the stomach. The liver was found in the condition of cirrhosis, and the heart was hypertrophied. Second, W. S. K., aged 39 years. Had had repeated attacks of delirium tremens, and became permanently jaundiced. After death the liver was found indurated, and of a deep yellow colour. It weighed 6 lbs. Third, W. D., aged 36. Admitted with liver disease and an encysted tumour on the back, near the left haunch bone, which had become carious from pressure. The operation for the removal of the tumour was followed by erysipelas, which caused death. The liver weighed 7½ lbs., and the spleen 20 ozs. The latter was filled with white tubercles.

KIDNEY DISEASE.—There have been three fatal cases under this head, viz.:—First, W. H., aged 30 years. Admitted with the lower limbs anasarcarous, dyspnoea, and albuminous urine, in fact the usual symptoms of Bright’s disease of the kidney. The dropsical effusion extended to all the serous sacs, and death took place 51 days after admission. Second, S. W., aged 41 years. This was an example of the remarkable disease of the supra renal capsules, called Morbus Addisonii. The skin was of a deep bronze colour. The prominent symptoms were constant nausea and vomiting, extreme weakness, &c. The