On Disease of the Suprarenal Capsules

Abstract

tion of the first; and probably before the rheumatic attack came on, andwlhen he was in good health, it was quite as indistinct as the systolic mitral murmur. The amount of valvular lesion was so very sliglht, that it would have beeni no wonder if the natural sounds hial been heard throughout. With respect to peri- cardial friction sound, none was discovered. There was probably extensive pericarditis during his former attack of rheu- inatic fever, but only a very limited affection of the membrane this time; aind that not until a few hours before death.