when she sits still for a long time. She has no
suspicion of her hopeless situation, and confidently expects relief
from medicine, yet labours under a melancholy which is unnatural to
her.

CASE OF HYDROTHORAX.

The following case of hydrothorax will shew, that water may
exist in the chest without the symptoms, which we have
attributed to organic diseases of the heart.

Mrs. T----, aged 56 years, of an excessively corpulent habit, had been
affected for a great number of years with a scirrhus of the right
breast. Finding her health decline, she at last disclosed it, and in
coincidence with the opinion of Dr. WARREN, sen. I amputated it on the
30th of May, of the present year. We however informed her friends,
that the probability of eradicating the disease was extremely small.
The skin was in many places hardened and drawn in, and in others
discoloured, and ulcerated at the nipple, so that it was found
necessary to remove, not only what covered the breast, but some
portion of that which surrounded it. A long chain of diseased glands,
extending quite to the axillary vessels, was also extirpated. She bore
the operation well, lost no great quantity of blood, and recovered her
appetite and strength surprisingly in a few days, while the wound
healed rapidly. At the end of twenty days a difficulty of breathing
commenced, and soon became so oppressive, that she could no longer lie
in bed; partly, no doubt, on account of her extraordinary obesity. The
pulse was small, quick, and commonly feeble, but sometimes a little
hard, when any degree of fever was present. The countenance became
pale, the lips of a leaden hue, the eyes dim. We were surprised at the
change, and conjectured that the cancerous action had suddenly
extended to the lungs. Yet she had not the slightest cough; and it was
remarked by Dr. WARREN, sen. that he had never observed that diseased
action to increase, while the wound remained open. At last the lower
extremities swelled, which might be attributed to the upright posture,
and the pressure on the absorbent vessels in that posture. The
appetite failed; she complained of a constant sense of depression at
the stomach, and, without any remission of the difficulty of
breathing, died on the 1st of July.

On the next morning the body was examined. The pleura in both cavities
of the thorax was studded with small, white, and apparently
homogeneous tubercles; the lungs conta