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190 Case of Emphi/scma, d:c. 



as lie termed it, a blubbering noise at every breath, exactly 

 rcscmblinir such as arises from the rushinoj of air throudi a 



small orifice. This orifice appeared to be just under the 

 left chiidej but nearer to the shoulder than the stei'nmn. 

 Upon viewing the part attentively, a small dilation and 

 contraction was perceptible upon expiration and inspira- 

 tion ; and the part was evidently pnffy and flatulent to the 

 touch. At this time the cough was urgent^ and the ex- 

 pectoration very copious. 



From this time^ the tumour, inflammation, and hardness, 



subsided ; the noise in breathing gradually lessened, till it 



ceased ; and by the assistance of pectoral medicineS; the - 



bark, &c. the hectick and cough after a -while left him; and 



Tvitli them the sweats,^ &c. his appetite returned, and he 



recovered his strength, though slowly; and is at this time 

 in tolerable health. 



In this case I think it certain that the inflammation pene- 

 trated to the lungs, which no doubt adhered to the ^^/ei^m 

 in this part; and the abscess bursting inwardly, the matter 

 was discharged through the trachea by the assistance of the 

 cough, which was at this time very constant : but the cavi 



X 



of the lungs having now a. communication with the cavity 

 of the abscess, some of the air from the lungs would pass 

 at every expiration into this cavity; but would not diffuse 



itself 



in the cellular membrane and produce general emphy- 

 'sema in this case, as in the case first mentioned, probably 

 "because, the inflammation of the cellular membrane, which 

 surrounds all abscesses, and limits their extent, must have 



formed 



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