Whilst the greatest effort has been made to ensure the quality of this text, due to the historical nature of this content, in some rare cases there may be minor issues with legibility. November 2, 1826. Joseph Sinnott, a child of about nine years of age, in Lazarus’s ward, under the care of J. Morgan. His brother, his constant companion with whom he had habitually slept, died of phthisis a few months previously; he was much reduced by an illness of about nine months, during which time he had been subject to pain in the back, extending round to the abdomen. On his admission his belly was much distended with ascites. He had also effusion into the prepuce and scrotum. On the latter was a large ulcer induced by a puncture made to evacuate the fluid.<br><br>Head. – There was a considerable quantity of serous effusion under the arachnoid and within the ventricles. There were a few opake spots in the arachnoid, but this membrane was in other respects healthy. The pia mater appeared remarkably thin and free from vessels. The substance of the brain was generally soft and flabby, but no local morbid change was observable.<br><br>Chest. – The pleura on the right side had contracted many strong and old adhesions, in addition to which there were extensive marks of recent pleuritis. On the left the pleura was nearly or quite free from adhesion, but there was some fluid effused into the cavity.