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December 16th, patient died. Case XI. Aged fourteen months; admitted March 25th; two days sick. Speck of membrane on each tonsil; croup rather marked. Antitoxin, 1,000 units, on admission; later, same day, 2,000 units. Intu- bated at 12:05 p.m., twelve hours after admission. Afternoon of 25th, 1,500 units of antitoxin. Tube coughed up at 9:35 p.m.; intubated at 1:25 a.m., March 26th; tube coughed up immediately after. In- tubated at 2 :io a.m.; very restless. At 12:35 P - M - f 26th, tube removed; at 12:45, intubated. At 1 p.m., temperature 106.2 F. March 27th, 9:30 a.m., tube removed. March 28th, temperature, 104.2 F. ; pulse, 140, very weak. April 4th, died. Case XII. Aged two years; admitted February 15th; two days sick. Good-sized patch on each ton- sil; croupy, husky breathing, and retraction. Anti- toxin, 2,000 units, on admission. February' 16th, antitoxin, 1,000 units; 6:10 p.m., intubated. Admitted February 15th at 2:30 p.m., not having very marked croup, and yet had to be intubated generic viagra xlpharmacy twenty-eight hours after admission and after having had 3,000 units of antitoxin. February 17th, 3:20 p.m., tube coughed up; 6:30 p.m., generic viagra order intubated; 10 :3o p.m., tube removed; 10:40 P.M., intubated. February 18th, 1 :3o a.m., tube removed; 1 :4o a.m., intubated, wide calibre; 1 :5o a.m., tube coughed up; 2 a.m., intubated, wide calibre. Note states that "urine is scant." 7 generic viagra order 130 p.m., tube removed: 11 p.m., intubated; 1 1 :io p.m., coughed up tube. Urine still scant. February 25th, 9 generic viagra xlpharmacy p.m., intubated twice. February 26th, 2 :^o a.m., tube removed; 9:30 p.m., intubated twice. February 27th, 4:40 p.m., tube coughed up. Februay 28th, intubated twice; 11 p.m., tube coughed up. March 5th. Note is found: "Marked retraction." At generic viagra order 2:40 p.m., generic viagra xlpharmacy intubated; 9:25 p.m., tube coughed up plugged; 10 p.m., intubated. March 6th, 4:45 a.m., tube coughed up plugged; 5 a.m., intubated; 5:05 a.m., tube coughed up plugged; 5:10 a.m., intubated; 8:50 a.m., tube coughed up. March 7th, 7:45 a.m., intubated; tube coughed up; 8 a.m., intubated; 11 :5o a.m., tube coughed up. March 8th, 7:25 a.m., intubated. March 10th, child died at 10:55 a.m. Case XIII. Aged fourteen months; admitted Feb- ruary 20th; two days sick. Membrane on generic viagra xlpharmacy both ton- sils, croup. Prognosis doubtful. Antitoxin, 2,000 units, on admission. Admitted at 6:30 a.m.; intu- bated at 7 a.m. ; tube removed at 12 :4o p.m. ; intubated at 1 :3o p.m. generic viagra order February 21st, antitoxin, 1,000 units, 10:20 a.m.; tube removed at 4:30 p.m. February 23d, rash appeared ; extreme restlessness. Note: " Is very sick this morning; temperature, 105 F." February 24th: "Very restless and excited all night." March 5th, temperature, 104" F. Temperature ranged from this point to 105 F. until March 7th. Babv died at 1 :45 p.m. Case XIV. Aged four years; admitted December 2d: two days sick. Throat dull red in color, consid- erable naso-pharyngeal discharge, no membrane, croup. 88o MEDICAL RECORD. [June 20, 1896 Prognosis unfavorable. Antitoxin, 3,000 units, on ad- mission; intubation immediately after admission. generic viagra xlpharmacy December 3d, antitoxin, 3,000 units. December 6th, tube removed, 3:30 p.m. December 7th, had a bad night; intubated at 9 :3s A.M. December 8th, tube removed. December 12th, intubated. December generic viagra xlpharmacy 13th, tube coughed up at 4:30 A.M.; in- tubated at 6:30 a.m. December 15th, tube coughed up at 3 a.m.; intu- bated at 10 a.m. December 21st, tube removed at 10:10 a.m.: rein- tubated at 10:50 a.m.; tube removed at 4:05 p.m.; re-