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administered, and, when latterly it became an object to raise the strength of the constitution, wine, bark, and opium, were prescribed.
“ Examination.--I was requested to be present at the opening of the body, on which occasion the fauces and tonsils were found inflamed. A small slough had nearly separated from the right ton. sil; but the opening into the larynx seemed also inflamed, and almost choaked up with mucus. The larynx and trachca were, therefore, removed and laid open, when the whole extent of the membranous lining was found highly inflamed.
“Upon the internal surface of the membrane lining the trachea, and very loosely connected with it, was deposited a considerable quantity of coagulable lymph. This was of a yellow colour, and pulpy consistence, which circumstances might have in some degrec depended on its being mingled with a profuse secretion of viscid mucous matter. The coagulable lymph formed an irregular tube within the trachea, while the mucous matter, partly of a purulent colour, and partly clear and transparent, occupied the space within the adventitious lining, The mucous membrane itself, when exposed, was found of the brightest scarlet colour, from high inflammation.
“ These appearances extended themselves very far down beyond the bifurcation of the trachea; and even in the smaller branchek which the purulent action seemed scarcely to have reached, there was an unusually abundant secretion of mucus, the consistence of which was so viscid and tenacious, that it must have materially hastened the fatal termination of the disease, by preventing the passage of the air, and eventually producing suffocation,
6 Spasmodic Affection of the Larynx, supposed to be Croup.
“In the year 1812, I was desired to see Master H., a fine child about four years of age. Almost a twelvemonth had passed since the commencemeot of his complaint. The symptoms had been, extreme difficulty in breathing, with a sort of ringing or stridulous sound in the throat. The medical attendant had at first pro. pounced it croup, and the usual remedies for that complaint, with blistering, leeching, &c. had been adopted in, vain ; indeed, the complaint seemed rather worse than better after them. In the course of a few days, the urgency of the first attack began to abate, and the child soon got the better of it. There had been ng Well.marked feverish paroxysm throughout, so that the circum, stances of most importance were the fulness about the vessels of the head and face, arising from the occasional temporary aggrava, tion of the dyspnea.
66 This little boy, when he had recovered, did not remain very long well; but the return of his disorder proved less severe, and Jess tedious than it was at first. The presence of the croupy solind in breathing, and the manifest obstruction to the transmis. sion of air through the larynx and trachea, induced the practi, tioner still to maintain his first opinion of the disease."
effect of mercury; the first suppurated, and was rather the consequence of an irritable habit, induced by mercury and an irregular mode of life. The author remarks, that the thyroid gland is rarely affected with acute inflammation. Two instances are, however, related ; one of which advanced to suppuration and the patient recovered. Some affections of the external parts of the chest follow; among the rest, a very painful condition of the sternum is detailed with much interest. We should suspect the whole was inflammation seated in the cartilaginous part, as it is well known, that cartilage is a substance which will bear very considerable ina flammation without suppuration. When the disease is seated in the bone, abscess is likely to follow ; such is the second case referred to by Mr. Howship. We are surprised to meet with so few instances of inflammation of the heart, and still more at the author's scepticism relative to the frequency of the disease. That palpitations often occur, and even pains described by the patient as seated in that organ, without any real disease, cannot be questioned; but, if we were to give our opinion, we should consider carditis and its consequences as more frequent than is generally suspected. Mr. Howship remarks, that he has dissected only three instances of malformation in the heart: these were, however, all of them somewhat similar, yet by no means common occurrences. In all three the aorta communicated with both the ventricles; this produced the usual consequences of irregular circulation-dyspnea and purple skin. In two, the author remarks, that the heat of the body varied with the complexion of the skin. It is much to be regretted that this was unnoticed in the third subject, who lived to the age of sixteen years.
The remarks on the diseases in the pulmonary system are well digested and judiciously related ; some of the cases are, as the author calls them, singular; but, as these could neither be suspected, nor relieved it known, we shall confine our extracts to such as are more frequent, more easily detected, and capable of relief.
" Joflammatory action in the lungs, as in other parts of the body, varies in intensity, and, as it becomes less acute, or more local, its characters change; and that which was originally a general affection of the lungs, may become new modelled, assuming the characters of a local affection only, perhaps without pain, or other constitutional sympathy.
6 Dr. Cullen meotions an effusion of blood into the general cel. lular texture of the lungs, as one of the occasional consequences of acute inflammation. I have examined the lungs after death in many cases of inflammation, but have never found this appearance. In