. The medical and surgical history of the war of the rebellion. (1861-65). Prepared, in accordance with the acts of Congress, under the direction of Surgeon general Joseph K. Barnes, United States army . cular ulcers aboutthe size of pin-pricks. These instances may be taken as examples of the types mostfrequently encountered. If to the numerous group of similar cases the yet more extensive group be added inwhich the condition of the small intestine just described coexisted with the follicular ulcer-ation of the colon characteristic of the chronic forms of flux, or with the diphtheriticsloughs
. The medical and surgical history of the war of the rebellion. (1861-65). Prepared, in accordance with the acts of Congress, under the direction of Surgeon general Joseph K. Barnes, United States army . cular ulcers aboutthe size of pin-pricks. These instances may be taken as examples of the types mostfrequently encountered. If to the numerous group of similar cases the yet more extensive group be added inwhich the condition of the small intestine just described coexisted with the follicular ulcer-ation of the colon characteristic of the chronic forms of flux, or with the diphtheriticsloughs and ulcers of acute dysentery, it will be found that nearly all the cases of simpleacute inflammation of the mucous membrane of the small intestine which were actuallyobserved during the war have been included. Certainly, for myself, I must state thatneither at the Army Medical Museum, nor in any of the autopsies I witnessed in themilitary hospitals during the war, did I ever encounter a single case of diarrhoea, whetheracute or chronic, in which the small intestine alone was involved. It is true that a numberof autopsies are recorded in the last section in which congestion, inflammation, or even. Heliotype. James R. Osgood &• Co > Boston. ILEUM WITH ENLARGKD SOLITARY FOLLICLESAND HYPERTROPHIED VILLI. No. 600. MEDICAL SECTION. MORBID ANATOMY. 303 ulceration of the small intestine, or of some portion of it, is reported, without the state-ment that any morbid condition was observed in the large. But in the majority of thesecases there is no record whatever of the condition of the large intestine; and I am ofopinion that this circumstance almost always resulted, as I know by inquiry it did in someinstances, from the fact that the medical officer making the examination was so fullyimpressed with the belief, which was referred to on page 266, that the lesions of diarrhoeawere to be sought in the small intestine, that it was not thought worth while to examinethe large.
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