a. (medal): Circular bronzed copper commemorative medal. On Front: Raised profile of James Buchanan in center. Around edge: "James Buchanan, President of the United States" "Paquet F." under profile. On reverse: Standing toga-clad man with snake around his right wrist. To left is seated female; young man on knees with arm around standing man/physician; bearded man with scythe behind and to right. "To Dr. Frederick Rose, Assistant Surgeon, Royal Navy, G.B." At base: "For kindness and humanity/ to officers and crew/ of the U.S. Steamer/ Susquehanna."
b.(case): Book-like red leather case. On both outside covers, an eagle within a circle surrounded by 13 stars. A square floral border with spray of flowers in each corner is inside an outer border of 3 solid lines. All impressions in gold. A brass clasp in center on front and back covers. Circular opening/holder for medallion is surround by a metallic thread cord. Dark blue velvet with impressed floral sprays in each corner cover the front and back. Metallic cord around outer edges. Narrow red leather edges are stamped with a gold chain pattern.
