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When the tubercle forms, hypertrophy 

 of the ganglion accompanies it. If the 

 disease grows worse, breathing- becomes 

 difficult and produces a noise similar 

 to snorting. 



Considering the earliness of this tu- 

 berculous manifestations, so frequent in 

 the retro-pharingeus ganglions, it is 

 necessary to be thourougbly informed 

 of the manner of succesfully exploring 

 the said region. Our investigations on 

 this head, were based on the system of 

 operating of Godville. 



Tuberculosis of the medaistinic gan 

 glions generally produces chronic me- 

 teorism, and it is well known that 

 hypertrophy of the said ganglions (the 

 posterior ones) caused by no other disea- 

 se. Meteorism is therefore a sympton 

 which should not be passed unnoticed. 



The swelling of the pre-scapular. 

 pre-pectoral. and mammary ganglions, 

 are other symptoms almost dicisively 

 precise. 



