RETORTS OF CASES. 
915 
REPORTS OF CASES. 
“ Careful observation makes a skillful practitioner , but his skill dies with him. By re¬ 
cording his observations , he adds to the knowledge of his profession , and assists by his facts 
in building up the solid edifice of pathological science. ’ ’ 
CLINICAL NOTES ON INHALATION BRONCHITIS AND PNEU¬ 
MONIA. 
By W. E. Williams, New York State Veterinary College. 
I. (3081 ).—Inhalation Pneumonia due to Fixation of the 
Tongue by an Osseous Tumor. 
Patient a small common-bred bay mare, aged 10 years, in 
bad general condition. The owner had noted from time to 
time during 2 or 3 years some fetor of the breath and disturb¬ 
ance of respiration, which were attributed to some dental affec¬ 
tion. There was also some nasal discharge and dribbling of 
saliva from the mouth. On March 20, 1901, the patient was 
driven 15 miles over a bad road in a sleet storm, and on the 
21st was presented at the clinic showing the following symp¬ 
toms. Pulse 60, temperature 102 0 P"., respiration labored, aus¬ 
cultation revealed crepitation in the lower fourth of the right 
lung, the same part being dull on percussion. The patient re¬ 
sponded promptly to ordinary treatment and on April 3d had 
sufficiently recovered to warrant an examination tor the trouble 
preceding the pneumonia. 
The teeth and alveoli were found normal. The tongue was 
rigidly fixed in the intermaxillary space, the tip was slightly 
movable from side to side and somewhat extensible, but this 
mobility was anterior to the frsenum linguae. Palpation of 
the tbngue revealed the presence of a hard body, elongated in 
form and parallel to the long axis of the organ. Its superior 
border was located some distance beneath the dorsal surface of 
the tongue, while the inferior disappeared deeply between the 
rami of the inferior maxilla. The anterior border was co-exten- 
sive with the frsenum linguse, and by raising the tongue apex 
and turning it backward the hard body projected forward promi¬ 
nently, so much so that it was suggested that it was a foreign 
body which had entered the lingual tissues at this point and 
had become encysted. The anterior end reminded one, in its 
outline, of a butcher’s skewer, and projected very prominently, 
though the mucosa was intact. The hard body could be 
traced back several inches and seemed immovably fixed in the 
