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patient, a female, survived only three days. The thymus gland was greatly enlarged. The lungs were compressed into the smallest compass, apparently by tight lacing. The liver was much enlarged. Third, J. J., aged 66 years. This was a case of chronic disease of the kidneys and bladder. The urine contained a large quantity of pus, and after death both kidneys were found converted into large pouches, without a vestige of healthy tissue.

Herniarums.—Four cases of J. D., aged 48, who had been in hospital since 1860, and was quite bed-ridden from rigidity of the knees and hip joints. His death was caused by ulceration of the rectum, giving rise to fecal infiltration of the ischiorectal fosse, and so setting up fatal erysipelas. Incisions were made into the perineum, but without effect.

Erysipelas.—W. S., aged 56 years. The anterior part of the chest was, on admission, the seat of phlegmonous erysipelas, which speedily passed into gangrene. The liver was found enlarged, the heart was fatty, and the aortic valves ossified. Second, S. M., aged 60. Admitted in a dying state, and died of exhaustion in five days.

Phthisis Pulmonalis.—Ten cases of pulmonary consumption proved fatal, none of which presented anything remarkable.

Dysentery.—Four cases of dysentery proved fatal. First, H. N., aged 54 years. He had been long resident in India, where he had suffered from chronic dysentery. His aspect was exceedingly phthisical, and, after death, tubercles were found in the lungs and liver. Those in the latter were as large as marbles. The large intestines were extensively ulcerated. Second, W. R., aged 40. Admitted in a sinking state, and survived only a week. Third, E. N., aged 24 years. Admitted in a dying state, and survived only three days. The greater part of the large intestines being found in a gangrenous state after death. Fourth, R. E., aged 63 years. A chronic case of no special interest.

Brain Disease.—There are six fatal cases under this head. First, J. McC., aged 68 years, paralytic on admission, ultimately sank from bowel complaint. Second, W. S., 32 years, admitted in a state of insensibility, the cause or effect of a fall on the road. Partial recovery took place, but fatal relapse followed. Extravasation of blood was found at the base of the brain. Third, S. H., aged 52 years, an eccentric character, the effect of chronic disease of the brain. Admitted with low fever, apathy, and prostration; died comatose. The cranium was found of preternatural thickness. The arachnoid membrane was opaque, and there was much effusion beneath it. The brain weighed 52 ozs. The liver was greatly enlarged and the gall bladder contained 303 calculi, most of them of very minute size. Fourth, C. W., aged 45 years, admitted after a hemiplegic attack, and was considered likely to make a good recovery, when she was suddenly seized with an apoplectic fit, and died in a few hours. Blood was found largely extravasated at the base of the brain. Fifth, C. S., aged 27 years, brought to hospital in a state of insensibility, the result of injuries on the head while under the influence of drink. Extensive extravasation of blood was found in and upon the brain. An inquest was held. Sixth, A. C., aged 66 years, a plethoric subject, died suddenly from ruptured blood-vessels in the brain.

Tetanus.—T. H., aged 64 years, died on the day of his admission, presenting various tetanic symptoms, the effect of exposure at night.

Ileus.—E. P., aged 21 years, admitted some days after he was seized with symptoms of ileus. There was much abdominal swelling and stercoraceous vomiting. The patient lingered two days. After death a tight constriction of the small intestine (about its centre) was found. The cause of constriction was ascertained to have been a membranous band connected with the omentum, and forming a loop around the middle of the bowel. There was a quantity of dark fluid effused into the peritoneum.

Senora.—R. C., aged 31 years, remained from last year, and survived until March 9. The upper end of the left thigh bone was excised three months before his death, but without any advantage. The acetabulum or socket of the thigh-bone was found in a carious state.

Peritonitis.—W. D., aged 46, admitted May 7th and died May 11th. In this case there was unsarca and great debility; the blood was thin and watery, lungs and liver were diseased.

Serous.—T. N., aged 29 years, admitted January 18th with chronic vomiting, and died exhausted within a fortnight. The pylorus was found in a state of carcinomatous thickening and ulceration. The peritoneum was covered with innumerable white spots. Second, A. M., aged 46 years, admitted apparently in a moribund state, presenting all the characters of cancer. The patient looked like a living mummy. The stomach was found extremely small and contracted, and converted into a mass of cancerous disease. Third, J. G., aged 45 years, admitted February 20, with dyspeptic symptoms, with a sallow, earthy complexion. Soon became dropsical, but had no vomiting. He lingered five months. After death the lesser curvature of the stomach was found involved in a carcinomatous mass. The liver was cirrhosed. Fourth, A. C., aged 46 years, admitted March 29, with cancer of the uterus, under which she had laboured twelve months. After death the uterus was found enlarged so as to fill the pelvis, and was gangrenous in places. She was about five months in hospital, and endured excruciating torture. Fifth, J. K., aged 45, admitted June 23rd, in a state of anemia, and