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October 1, 1887

COCKLE-BUR REMOVED BY TRACHEOTOMY FROM THE LARYNX.Read before the Medical Society of the District of Columbia, May 4, 1887.

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JAMA. 1887;IX(14):432-433. doi:10.1001/jama.1887.02400130016001e

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W. D., white, æt. 16, admitted to Children's Hospital, 8.30 P.M., April 20, 1887. He was brought to the Hospital by Dr. Stone, of Brightwood. He was playing ball, having a cockle-bur in his mouth, which he drew into his larynx by a deep inspiration following violent exertion. Violent coughing ensued, accompanied by bloody expectoration, total aphonia, and considerable dyspnœa. Dr. Stone saw him immedtately after the accident, but was unable to remove the bur with the instruments at hand. Concluding that tracheotomy was called for he brought the boy to the hospital, having telephoned me to be on hand to operate.

When I saw him he was breathing so quietly and easily that I doubted the presence of any foreign substance in the wind-pipe, although there was tenderness about the larynx and he would not make an effort to talk. I passed an œsopheal bougie down to the stomach

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