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land, and patient of Dr. R. K. Hoffman, in ward No. 10, Main 

 Building, with symptoms of oedematous laryngitis. 



The same morning he had first complained of sore throat attended 

 with hoarseness and difficult breathing, especially during inspiration. 



The epiglottis was felt with the finger to be swollen, thickened 

 especially at its margin, pulpy and convoluted upon itself. The 

 pulse was full and strong, though sixteen ounces of blood had, within 

 two hours, been drawn from the arm, and vomiting produced by 

 means of compound syrup of scpiills. Twenty grains of calomel had 

 also been administered, and the throat fomented with warm appli- 

 cations. At 2 o'clock, P. M., no relief had been afforded by the 

 above measures. 



Before resorting to scarifications, two or three of my colleagues 

 present explored the parts and satisfied themselves of the existence 

 of the swelling as described. 



The patient being seated upon a chair and his head supported, I 

 scarified the edges of the glottis as well as of the epiglottis, with a 

 curved knife, such as is represented in Plate II. Fig. 1, and re- 

 peated it two or three times at a few moments' interval. Slight 

 hemorrhage followed. But little disturbance of the parts was pro- 

 duced by the operation, and the patient expressed himself as feeling 

 relieved. 



While the end of the finger was pressing the epiglottis against the 

 base of the tongue, the soft pulpy swollen edges of the glottis were 

 felt rising up against it. 



My colleagues, Drs. Hoffman, Post, Watson and Swett, besides 

 the assistants and fifteen or twenty pupils, were present at this 

 operation. 



The same evening six leeches were applied over the larynx, and 

 nitrate of silver on either side of the neck externally. 



The following day, at 1 o'clock P.M., the patient replied to the 

 inquiry how he was, that he felt " fifty pounds better;" the dys- 

 pnoea, however, was still considerable and the voice the same. He 

 was ordered two grain doses of calomel every two hours, and one- 

 eighth of a grain of tartar emetic at the same interval, alternating 

 them with each other. 



Second day. — Patient is no worse, his respiration is much the 

 same, and no paroxysms of dyspnoea have as yet supervened; his 

 pulse is 120, full and strong. Calomel and tartarized antimony are 

 continued. 



At 6 o'clock P. M., the same day, the dyspnoea having rather 



