The Pathology of the Membrane of the Larynx and Bronchi

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: Section III. Of the Diagnosis. I Have seen several children so affected, that I at first imagined they were suffering under the second stage of Croup; but, upon examination, I discovered sloughs on the tonsils and uvula. In these cases, the attack was less violent than an attack of Croup. They ended...
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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: Section III. Of the Diagnosis. I Have seen several children so affected, that I at first imagined they were suffering under the second stage of Croup; but, upon examination, I discovered sloughs on the tonsils and uvula. In these cases, the attack was less violent than an attack of Croup. They ended unfavourably, and I should suppose, as there could scarce be any thickening of the larynx, that it would have been found lined, as the fauces were. The cough, voice, and breathing, were those of the second stage of Croup. I had not permission to examine any of the bodies. These cases occurred singly, in different seasons. A similar affection is sometimes general. In one of the volumes of the American Philosophical Transactions, there is a disease, attended with sloughs in the uvula and tonsils, described under the title of Angina suffocativa, in which, if I recollect, a membrane, lining the larynx, appeared on dissection. 1 strongly suspect, that a similar complaint in our own country has been mistaken for genuine Croup. Cynanche maligna and scarlatina are often attended with a croupy cough and breathing. As an instance of this, I shall relate the following short case: On the 6'th November 1805, I was called to a boy, four years of age, who had obstructed respiration, stridulous cough, and pale complexion. I thought him in the second stage of Croup, until I observed a sick girl in the same bed with scarlatina. Upon inquiry, I found this the fourth day of his illness. He had not had any rash; more than once he had ate with a degree of appetite, and he was sometimes cheerful; he was always worse in the evening, and beginning of the night. Upon examination, . I found the fauces sloughy. I ordered leeches to his neck, an emetic, a mercurial purge, a blister over the sternum, and ...