r five times its normal thickness, reddish in color, with
hemorrhages on the free surface. Edema of the lungs leaves these organs
distended. The secondary alterations vary according to the
complications. There are frequently the lesions of asphyxia; externally
we find ulcers, abscesses, and gangrenous spots and the deep ulcers
resulting from the latter. The lymphatic cords and glands are found with
all the lesions of lymphangitis. Again are found the traces of excessive
emaciation, or the lesions of septicemia. Except from the complications
the blood is not altered in anasarca.

_Diagnosis._--The diagnosis of anasarca must principally be made from
farcy or glanders. In anasarca the swelling is nonsensitive, while
sensitive in the acute swelling of farcy. The nodes of farcy are
distinct and hard and never circumscribed, as in the other disease. The
eruption of glanders on the mucous membranes is nodular, hard, and
pelletlike. The redness disappears on pressure. In case of excessive
swelling of the head in anasarca, there may occur an extensive
sero-fibrinous exudation from the mucous membranes of the nose, poured
out as a semifluid mass or as a cast of the nasal fossae, never having
the appearance or typical oily character which it has in glanders. The
inflammation of the lymphatic cords and glands in anasarca does not
produce the indurated character which is found in farcy.

_Prognosis._--While anasarca is not an excessively fatal disease, the
prognosis must always be guarded. The majority of cases run a simple
course and terminate favorably at the end of 8 or 10 days, or possibly,
after one to two relapses, requiring several weeks for complete
recovery. Effusion into the head renders the prognosis much more grave
from the possible danger of mechanical asphyxia. Threatened mechanical
asphyxia is especially dangerous on account of the risk of blood
poisoning after an operation of tracheotomy. Edema of the viscera is a
most serious complication. The prognosis is based on the complications,
their extent, and their individual gravity, existing, as they do here,
in an already debilitated subject.

_Treatment._--The treatment of anasarca may be as variable as are the
lesions. The indications are at once shown by the alterations and
mechanism of the disease, which we have just studied.

Hygiene comes into play as the most important factor. Oats, oat-and-hay
tea, milk, eggs--anything which the stomach or rectum can be coaxed