Medical News

Abstract

1. Dr James D. Gillespie exhibited a preparation of tracheal disease uncomplicated with any affection of the larynx. There was a circular patch of ulceration, with necrosis of the cartilages, about two inches below the cricoid cartilage ; other smaller ulcerations existed at the bifurcation and in both bronchi. The right bronchus, at its origin, was very much contracted. Dr James W. Begbie and Dr G. had been hurriedly summoned to see the patient in the middle of the night, and had found him in imminent danger from impending asphyxia. They could discover no disease in the chest, so Dr G. at once performed tracheotomy, which afforded great relief to the patient. He lived for two days afterwards, but died somewhat suddenly on the morning of the third day of pleuro-pneumonia. The autopsy showed recent pleurisy on the left side, with hepatisation of the greater part of the lower, and a small portion of the upper, lobe of the left lung. The right lung was in a very congested state.