sound, with blueness of the lips and signs of impending
suffocation, the condition is very suggestive of membranous croup (a
form of diphtheria), which certainly is the case if any white,
membranous deposit can be either seen in the throat or is coughed up.
Whenever there is difficulty of breathing and continuous hoarseness,
in children or adults, the services of a competent physician are
urgently demanded.

=Treatment.=--The use of cold is of advantage. Cracked ice may be held
in the mouth, ice cream can be employed as part of the diet, and an
ice bag may be applied to the outside of the throat. The application
of a linen or flannel cloth to the throat wrung out of cold water and
covered with oil silk or waterproof material, is also beneficial, and
often more convenient than an ice bag. The patient must absolutely
stop talking and smoking. If the attack is at all severe, he should
remain in bed. If not so, he must stay indoors. At the beginning of
the disorder a teaspoonful of paregoric and twenty grains of sodium
bromide are to be taken in water every three hours, by an adult, until
three doses are swallowed.

Inhalation of steam from a pitcher containing boiling water is to be
recommended. Fifteen drops of compound tincture of benzoin poured on
the surface of a cup of boiling water increases the efficacy of the
steam inhalation. The head is held above the pitcher, a towel covering
both the head and pitcher to retain the vapor.

The employment, every two hours, of a spray containing menthol and
camphor (of each, ten grains) dissolved in alboline (two ounces)
should be continued throughout the disease. If the hoarseness persists
and tends to become chronic, it is most advisable for the patient to
consult a physician skilled in such diseases for local examination and
special treatment.

=CROUP.=--Croup is an acute laryngitis of childhood, usually occurring
between the ages of two and six years. The nervous element is more
marked than in adults, so that the symptoms appear more alarming. The
trouble frequently arises as part of a cold, or as a forerunner of a
cold, and often is heralded by some hoarseness during the day,
increasing toward night. The child may then be slightly feverish
(temperature not over 102 deg. F., usually). The child goes to bed and to
sleep, but awakens, generally between 9 and 12 P.M., with a hard,
harsh, barking cough (croupy cough) and difficulty in breathing. The
breathing is noisy, and