Mt Sinai Hospital Reports . nderness over spleen with friction always contained albumin and casts. Red blood cells not al-ways present, bul showing a tendency to reappear after chills. TheHgb. varied from 60 to 35%. Whiteblood cells to 7,800. Sud-den death preceded by bradycardia (48) with severe precordial painnot previously noted except once before during a chill. These agonalsymptoms lasted about four hours. (Embolism of the coronaryartery?) Case VI.—Mitral stenosis and insufficiency. M. female, thirty-one vears, single, domestic. Admitted October 1, 1902. Died October
Mt Sinai Hospital Reports . nderness over spleen with friction always contained albumin and casts. Red blood cells not al-ways present, bul showing a tendency to reappear after chills. TheHgb. varied from 60 to 35%. Whiteblood cells to 7,800. Sud-den death preceded by bradycardia (48) with severe precordial painnot previously noted except once before during a chill. These agonalsymptoms lasted about four hours. (Embolism of the coronaryartery?) Case VI.—Mitral stenosis and insufficiency. M. female, thirty-one vears, single, domestic. Admitted October 1, 1902. Died October J4, 1902. Measles in childhood. Acute articular rheumatism one year of left wrist and left leg by falling down a flight of stairsabout same time. Present Illness.—Of indefinite duration. Chief complaints short-ness of breath, cough, palpitation, bloody expectoration, swelling oflegs, vomiting and chills. Physical Examination: Heart.—Thrill at apex, presystolie-sysfolicmurmur at apex and in pulmonic
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