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At the medical clinic in the Mercy Hospital, on March 28, 1884, the attention of the clinical class was chiefly occupied with a case of broncho-pneumonia in the sixth day of its progress. The patient was an adult male, about 30 years of age; short in statture, but broad across the chest and shoulders, presentin a well-marked sanguine temperament, with some corpulency. His habits had not been strictly temperate, and his occupation that of a laborer, but mostly within doors. He had been subject to attacks of bronchitis for some winters past, and once to an attack of pneumonia, three or four years since. Six days since, while scrubbing floors, and exposed to cold draughts with wet feet, he was attacked with severe pain in the sub-axillary region of the left side of the chest, accompanied by difficulty of breathing, disposition to cough, and such feelings of indisposition as compelled