70 tobacco: its use and abuse. 



deposit, and the ulceration extending on tlie left side tc 

 the OS hyoides, accompanied with a most ofifensive dis- 

 charge. There was a spasmodic difficulty in swallowing^* 

 a troublesome cough, with difficult expectoration, great 

 mental depression, and hallucination of mind. 



On the 25th of this month, for the first time, an oozing 

 of arterial blood took place, but not to any extent. His 

 pulse was 130, and very weak — some aberration of mind. 

 Cough very incessant during the night, and he appeared 

 in great agony. 



In the beginning of September he became very weak, 

 so that he was confined to bed, passing restless nights, 

 with profuse perspirations. His mind much afi"ected, 

 breathing very difficult, with constant expectoration of 

 viscid phlegm mixed with blood. When he attempted 

 to swallow fluids, they were returned by the nostrils. 

 The dressing the extensively-ulcerated surface caused 

 severe pain, and the foetor was excessively offensive. The 

 sub-maxillary glands were now greatly enlarged. Pulse 

 generally above 120. 



By the 25th September, the whole of the uvula, velum, 

 and tonsils were destroyed by the ulceration. The 

 glands at the angle of the lower jaw larger and more 

 painful. He was then unable to swallow, and hence 

 could take no nourishment. 



From this to the 2d October, all his symptoms be- 

 came aggravated, the salivation more profuse, the per- 

 spirations more abundant, and the difficulty of breathing 

 insupportable ', and after three hours of intense suffering 

 he expired. "All the death-bed scenes and death-bed 

 «»ufferjngs I had ever witnessed," says his medical 



