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GASES ILLUSTRATING THE TREATMENT. 115
appeared. Expectoration easier ; he closes the mouth, and says
he feels better.
Dec. IZth. Morning temperature, 37-’7° C. The swelling of
the tonsil on the right side diminished, and the membranous
covering smaller ; the left side is also clearer.
Dec. lUli. Membranous covering continues to diminish. Tem-
perature, 3
7 ’3° C.
Bcc. 16th. Deglutition easier, but the fluids still pass out of his
nose on drinking.
Eec. 11th. On left tonsil the covering loosens; the tonsils
much smaller ;
lymphatic glands normal.
Dec. 20th. Pharyngeal surfaces normal. Patient well and
convalescent.
On the 30th, the patient left the hospital, and went on three
weeks’ leave. He came back from this with paralytic symptoms.
These spread, bulbar paralysis set in, and on the afternoon of the
2nd of February 1889 the patient died from paralysis of the heart
—the very day I returned to Pola after a five weeks’ absence.
V. DIPHTHEEIA.
The girl Papic, 8 years old. On the 9th of December 1888,
the tonsils were red and swollen, and had a membranous
covering.
Dec. 10th. Membrane on both tonsils. Fever; glands
swollen.
Dec. 11th. The membranous covering spreading.
Progress.—Dec. 1 2th. She came under my hands. The tempera-
ture, 37-7° C. ;
pulse, 110. She keeps the mouth open ;
breathing
snoring, expression of face quiet. The tonsils very swollen, espe-
cially the left one, so that they nearly meet. The membranous
covering passes on to the soft palate. The nose is free. On the
left side the lymphatic glands are as large as hazel-nuts, on
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