were very markedly clubbed ; and the nails were adunque, very large, and very livid.
Dr. T. saw her two weeks before her death, for the first time, and on the occasion of a hsemoptisis, the amount of blood lost being at least a pint. She had once or twice before raised a few bloody sputa ; and the day before the hemorrhage she had played out of doors, and rather more actively than usual. Being very irritable, the chest was only examined upon the left side, when she was asleep. The respirations were 80, and strongly puerile ; action of the heart tumultuous ; the radial pulse being too feeble to be counted. The sounds seemed to be sufficiently well- marked, but accompanied with a hissing or blowing sound. 1868. Dr. C. C. Tower, of S. Weymouth.
376. Inter ventricular opening. The pulmonary artery also
arose from the aorta ; but this, unfortunately, was not pre- served. From a lad, set. 18. There was blueness of the surface from birth ; increasing for the first ten or twelve years, and greatly increased by mental excitement. Ex- treme dyspnoea on active exercise, with palpitation. Pulse very variable, irregular, and intermitting. Died from phthisis ; having had frequent attacks of hsemoptisis for more than two years. The parietes of the organ, and size of the cavities are not remarkable. 1869.
Dr. H. I. Bowditch.
377. A foatal heart, showing one common auricle, and no open-
ing into the left ventricle. Right ventricle rather large, and the left rather small, with very free opening between the two. The aorta is quite small just before it joins the ductus arteriosus.
Several of these specimens are from malformed foetuses. 1850. Dr. J. B. S. Jackson.
378. Malformed heart, from a child eight months old. Parox-
ysms of dyspnoea from birth, once or twice every twenty- four hours, and for an hour or two, with lividity, though at other times the color was natural. The two auricles are of the usual size ; foramen ovale open. The left ventricle is
�� �
