an epidemic that children are vaccinated after infection by Small-pox, which in such cases pursues its natural course, and should be registered "Natural Smallpox-vaccination performed only days before the Small-pox eruption." d SMALL-POX,- after vaccination, which did not leave cicatrices. State here the time that has elapsed after vaccination:-Thus, "Small-pox, two years after Cow-pox." e CHICKEN-POX. 2 MILIARIA. 3 MEASLES. Varicella. Rubeola maligna may be distinguished by the epithet "malignant ;" so also may Scarlatina maligna. 4 a SCARLATINA. Scarlet Fever; Rosalia. b SCARLATINA, followed by Dropsy. C PUTRID SORE THROAT (Scarla- Angina maligna. (Dr. Tweedie.) tina.) This specific inflammation, with the exudation of coagulable lymph, is frequently called Angina membranacea, and ulcerated sore throat. There are neither true eschars nor ulcers. (Bretonneau.) 6 MUMPS. 7 HOOPING-COUGH. 8 CROUP. Cynanche Parotidea; Parotitis ; Pertussis; Chin-cough. Cynanche Trachealis. Whenever Croup is a secondary disease, or is complicated with diphtheria (5)— it should be so registered. 9 THRUSH. Aphthæ; Lily. Aphthæ, with vesicles, ulcers of the follicles, or a concrete mucous secretion, are included in this entry. The latter form is called Muguet in France, and Lily, the corresponding English name, in some parts of this country. Aphthæ occur in the latter stages of Chronic Diseases, to which, and not to "Thrush," the death must be referred. 10 DIARRHEA. Looseness; purging; bowel complaint; lientery. (Latham.) When the Diarrhoea occurs in the course of Typhus, of Consumption, or of other diseases, the death should be referred to those heads. Scurvy is characterized by spongy, livid gums; it is confounded by the ignorant with the scurfy eruptions of children. b PURPURA. 15 AGUE. Purpura hæmorrhagica; Purples. Febris intermittens; Intermittent It must be stated whether the Ague was quotidian, tertian, or quartan; and the complications, without which it would be rarely fatal, should be added. 16 a REMITTENT FEVER. Febris remittens. Not to be applied to cases sometimes called “Infantile remittent fever," (see 80,) nor to any but cases of the genuine remittent fever so prevalent in the Tropics and rare in England. b YELLOW FEVER. Typhus Icterodes. Probably an aggravated form of Remittent Fever. 17 a TYPHUS. Febris Typhoides; Dothinenteria. Two forms have been observed; the one (Dothinenteria) with ulceration of the glands of Peyer; the other without this character. Some writers distinguish "gastric fever," "nervous fever," "synochus," synocha," "jail fever," "camp fever." These terms may be employed at the discretion of the informant, but the common distinction of the varieties of fatal Typhus is not founded on essential characters. Care should be taken not to confound idiopathic inflammation of the lungs, brain, or mucous membranes with Typhus, which is a distinct wellmarked disease. (Louis; Christison; Southwood Smith.) The more important complications of typhus, such as erysipelas, meningia (see note 71 b), pneumonia, perforation of the intestine, and peritonitis, should be registered; the existence of petechiæ, rose-spots, ulcers of the glands of Peyer, glandular disorganization, may also be noticed in this important disease. 18 PUERPERAL FEVER or METRIA. Uterine Phlebitis; Puerperal peritonitis; Childbed Fever, (Dr. R. Lee; Dr. Ferguson.) Metria has been derived from un-pa, the womb-(root μnn, mother). 66 104. 68,956 Was prevalent in England down to the close of the 17th century. deaths were reported in the London bills of mortality, A.D. 1665. Only two cases were reported in 1679. It then merged in "spotted fever," or ague and fever," and has now disappeared. May not isolated cases, however, occur sporadically, and be confounded with Typhus? 20 RHEUMATIC FEVER. Rheumatismus; Rheumatism (acute). Rheumatism is rarely fatal except when it is acute and attacks the membranes of the heart or brain; such cases should be registered "Rheumatic Pericarditis. "Rheumatic Meningitis." &c. See "Chronic Rheumatism," 106. (Dr. Bright; Dr Macleod.) 21 a SYPHILIS (Primary). b SYPHILIS (Secondary.) 22 a ERYSIPELAS. b TRAUMATIC ERYSIPELAS Lues Venerea; Venereal Disease; Chancre. (Hunter; Mr. Parker, M. Ricord. Mr. Acton.) Ignis sacer; Rose; St. Anthony's Fire. Erysipelas is either simple, phlegmonous, or œdematous. It occurs occasionally at the close or in the course of other maladies, to which and to Erysipelas, the death should in such cases be referred. Erysipelas frequently follows wounds and surgical operations. The operation, as well as the disease for which it was performed, should be registered thus:-" Scrofulous disease of ankle joint,-amputation of the leg,-Erysipelas." See 145. C ERYTHEMA. This rash or superficial blush of the skin is sometimes confounded with Erysipelas. It is frequently symptomatic of disorders of the digestive organs. 23 a NECUSIA. A disease produced by puncture or infection in dissection; inoculation with the matter of a dead body; Cellulitis venenata. (Dr. Duncan; Mr. Stafford; Dr. Williams.) Necusia has been derived from xvs, the dead body. M b MALIGNANT PUSTULE. Pustule Maligne. Occurs sometimes in butchers, or others who have handled the carcases of infected animals. C HOSPITAL GANGRENE. d TETANUS. e MILDEW MORTIFICATION. 24 GLANDERS. See 39. (Butter.) See 53. Gangræna ustilaginea; Ergotism. It may be stated how the disease was contracted. (Elliotson; Rayer.) 25 HYDROPHOBIA. The time which elapses between the bite of the rabid animal and the death of the patient should be mentioned. If spontaneous cases ever occur, and prove fatal, they should be carefully distinguished. 26 PORRIGO. 27 SCABIES. Tinea; Favus; Scald-head; Ringworm of the 26, 27, are not fatal diseases, but belong to this class. (2.)-SPORADIC DISEASES OF UNCERTAIN OR This class consists of diseases of variable seat, or diseases in which the nature of the morbid product and action is, as in cancer, of more importance than the part affected. (Meckel, Andral, Carswell, Craveilher, Cragie.) 28 HÆMORRHAGE. Bleeding. Rupture or bursting of a If the bleeding be from wounded arteries or veins, this should be stated. It is commonly supposed that the discharge of blood from the lungs and other internal organs is, like external hæmorrhage, from an opened blood-vessel. This is an error. Hæmorrhage from the rupture of a blood-vessel is rare. The blood is exhaled from the capillary system of internal organs. Death should be ascribed to rupture of a blood-vessel only when the rupture has been detected; and it will then be more convenient to use "laceration or bursting of an artery or vein," as the case may be, giving the name of the particular vessel. When the hæmorrhage arises from the bursting of an aneurismal sac, or of varicose veins, the entry should be "Aneurism burst."-"Varicose vein burst." Fatal hæmorrhage occurs in Fevers, in Scurvy, and in Purpura, of which, and some specific alteration in the blood, it is then the result. The cases should be registered "Scurvy with hæmorrhage from the gums," &c. &c. Hæmorrhage is the frequent result of morbid alterations or deposits in the tissues, as in Consumption and Cancer. It is here a secondary malady. Hæmorrhage is also produced by obstructions of the venous circulation, as in some diseases of the heart and liver. These remarks apply generally to Epistaxis, Hæmoptysis, Hæmatemesis, Melana, Hæmorrhoids, Hæmaturia (which are named distinct diseases), as well as to other Hæmorrhages. When Hæmorrhage takes place in the head it cause Apoplexy and Paralysis. (Dr. Watson.) a EPISTAXIS. 6 HÆMOPTYSIS. C HEMATEMESIS. d MELÆNA. Bleeding from the Nose. Discharge of blood (generally red) from the lungs by coughing; spitting of blood. Vomiting of blood (generally dark). Discharge of black blood by stool from the intestines. For the acute Dropsy following Scarlatina, see "Scarlatina." Whenever there is "Dropsy," it should be registered, and referred to the heart, lung, or kidney diseases, if they be positively proved to exist either by the symptoms or post mortem examination. Where there is a doubt about the existence of the organic disease, "Dropsy" alone should be used. Dropsy occurs in Chlorosis, after intermittents, in scurvy, and in the impoverished state of blood produced by inadequate nourishment; which should always in such cases be registered as well as the Dropsy. When partial Dropsy occurs from the obstruction of a vein or veins, it should be so stated. The effusions in Pleurisy, Pericarditis, and other inflammations of Serous Membranes should be registered" Pleurisy with serous effusion," &c. A distinct name is given to this form of Pleurisy, "Empyema." “Beriberi” is allied to Dropsy. (Dr. Wells, Dr. Blackall, Dr. Watson.) Inflammatory Dropsy; Febrile Dropsy. a DROPSY (acute). Is generally a symptom of Heart Disease, which should be registered. e HYDROPERICARDIUM. f ASCITES. Dropsy of the Heart sac; water in the pericardium, see note d. Dropsy in the belly. The Ascites arising from a peculiar disease (Cirrhosis) of the liver, or from Chronic Peritonitis, should be carefully distinguished from general Dropsy, which involves the abdomen with other parts of the organization. See 90. g HYDROCELE. Water in the tunica albuginea. A troublesome disease, but can scarcely be a cause of death, except when an operation is performed for its removal. h OVARIAN DROPSY. i CHRONIC HYDROCEPHALUS. Hydrops ovarii. (Dr. Seymour.) This term should be applied exclusively to the Chronic Dropsy of the head. (See 46.) 31 a ABSCESS. b PURULENT deposit. Abscessus. Purulent infiltration; Phlebitis. Pus is deposited in the serous sacs, the brain, the lungs, the liver, and other parts of the body after inflammation of the veins, surgical operations, childbirth, erysipelas, typhus, scarlatina, &c. The diseases which appear to have led to the formation of the deposits should be registered. Abscess is a frequent termination of local inflammations; to which and the abscess, the death, in such cases, must be ascribed. Psoas abscess, Lumbar abscess, and abscesses which form without the visible signs of inflammation, are generally scrofulous affections of the joints and glands. (Alison, Carswell, Lugol, Baudelocque, B. Phillips.) *The parts affected with the scrofulous disease should be added; and "Scrofula" alone should scarcely ever be used. b SCROFULOUS INFLAMMATION OF C SCROFULOUS ABSCESS OF d SCROFULOUS ULCER OF e PSOAS ABSCESS. fTABES MESENTERICA. g PHTHISIS. See No. 73. Mesenteric disease; Marasmus. In Phthisis the lungs are the most important seat of the deposit and the disease; which are not, however, confined to those organs, but also affect the mesenteric glands, the liver, the kidneys, the mucous and the serous membranes. Perforation of the intestine, or of the pleura, is sometimes the immediate cause of death in Phthisis. Such cases should be registered "Phthisis; perforation of the ileum," "Phthisis, Pneumothorax," &c. All the important secondary diseases in Phthisis should be registered in a similar manner. (Bayle, Laennec, Louis, Sir James Clark.) h RICKETS. i BRONCHOCELE. Rachitis. Wen; Goitre; Derbyshire neck. Rickets and Bronchocele have generally been referred to scrofula, but they are not perhaps essentially tuberculous diseases, though the persons in whom they occur are of a scrofulous habit. b CANCER (Scirrhus). C CANCER (Colloid). Fungus hæmatodes, Soft Cancer; Osteosarcoma. Stone Cancer; Scirrhoma. Gum Cancer; Carcinoma Alveolare. Add "Chimney Sweeps," after the Cancer of the Scrotum in this class of persons. Many other varieties of Cancer, or of carcinoma, have been described; and different names have been applied to each variety. The three species (Walshe) should be distinguished; and the parts affected be added thus; "Cancer (scirrhus) in the breast." When death follows an operation for the removal of cancer, it should be so registered. (Carswell, Mueller, Dr. Walshe.) 36 MELANOSIS. Tumours of black colouring matter. The spurious Melanosis occurring in colliers, &c., is a peculiar disease of the lungs, (Carswell.) 37 a HYPERTROPHY OF— (Add the respective organs.) b TUMOUR (ADIPOSE) OF— Hypertrophia; Enlargement. |