138 



84, and soft; patient complained of soreness of the scarified parts. 

 Antimony was stopped. 



On the 17th he was much improved in all respects, pulse 68. 



On the 23d he was discharged cured. 



Case II. — On the 13th of January, 1848, I saw, at Dr. Swett's 

 request, Daniel McGraw, aged 30 years, a farmer, born in Ireland, 

 (in Ward No. 8, North Building New York Hospital,) who was at- 

 tacked the evening previous with sore throat, difficulty of swallowing 

 and dyspnoea. 



Inhalation of vapour of warm water, poultices to the neck, and a 

 blister over the sternum had afforded him no relief. Patient's coun- 

 tenance was pale and had an anxious expression, his lips were livid. 

 Inspiration was difficult and laboured, expiration easy. 



The voice was altered and hoarse. The velum, uvula and tonsils 

 were moderately swollen, red, and coated with a grayish-yelloAV viscid 

 secretion. With the forefinger the epiglottis was distinctly felt to 

 be swollen, and its margin thickened and folded together. The 

 pouches between it and the base of the tongue were filled up by a 

 soft pulpy swelling. Dr. Swett also explored the parts and found 

 them as described. At 10 J o'clock, A.M. I scarified the edges of 

 the glottis as well as the epiglottis, and the swelling anterior to it, 

 with a sharp pointed curved bistoury and curved scissors, as in case 1. 



Slight hemorrhage followed, and was encouraged by a warm water 

 gargle. The exploration of the parts, as well as the operation itself, 

 did not cause much disturbance, and patient expressed decided relief. 

 A solution of nitrate of silver, twenty grains to the ounce, was ap- 

 plied to the fauces one hour after the operation and once the fol- 

 lowing morning. 



At 2 J o'clock, P.M., the same day, patient breathed more 

 calmly and felt still further relief. He passed the following night 

 very comfortably, and the next morning expressed himself quite 

 well. The swollen parts were ascertained by the touch to have very 

 much diminished. His further progress continued favourable with- 

 out any repetition of the scarifications. 



This patient had been in the ward since the 29th of the preceding 

 month with ship fever of a mild type, and was considered as making 

 favourable progress at the time of the above attack. 



Case III. — On Tuesday, the 29th of February, I saw Edward 

 Bird, a farmer of rather slender frame, aged 50 years, born in Eng- 



