2 
TWO CASES OF 
TWO CASES OF MALIGNANT SORE THROAT. 
(By the same.) 
Case 1. — On the 25th of April, 1845, Mr. Skitt, of Corra, 
brought a cart-mare to me (a distance of four miles) that was 
ill, and could not feed. He thought her not well the previous 
day, and got her bled. 
Symptoms. — Slavers, and cannot eat or swallow anything. 
I tried her with some water, but being unable to swallow it, 
it all came back through the nostrils. I now examined her 
mouth and throat. There was no external swelling about the 
throat, nor was it sore. With very great difficulty I could 
open her mouth with the balling-iron ; but it evidently gave 
her much pain. I could not detect anything amiss with the 
inside of the mouth, but I was certainly convinced that there 
was something wrong about the jaws; and, on examining the 
exterior of the cheeks, I discovered that there was, on the left 
side, a diffused swelling there, but which was little or not at 
all “ pointed.” To me it had more the feel and appearance as 
if he had received a blow on the cheek, since the fluid con- 
tained therein could be moved about ; but there was not the 
least abrasion on the part. I ordered it to be well fomented, 
and sent some aperient medicine. 
27th. — A great deal worse. The cheek is about the same; 
but her throat is now so very sore, that she cannot swallow 
anything, and we dare not drench her. Slavers a great deal, 
and liquids come back through the nostrils. The breath is 
now offensive, and there is some little discharge from the 
nostrils. 
29th. — Cast her, but could detect no obstruction nor any 
material enlargement about the mouth or larynx. Blistered 
the throat with Ung. Hyd. Bin. Breath stinks most awfully, 
and there is a great discharge of putrid matter from the 
nostrils. The tumour on the cheek is still diffused, but can 
be moved about and heard gurgling. Lanced it, and found it 
to contain a little putrid matter, and strings of the fascia 
could be drawn out. The abscess extended quite to the 
flat side of the lower jaw, and occupied a great extent. I 
see very clearly that little can be done, since she cannot 
swallow the least thing to support life, and since the dis- 
ease has assumed from the beginning a putrid and typhoid 
character. Continue to steam the nostrils, and apply fo- 
mentations and poultices to the throat, and give oatmeal 
enemas. 
