The other case occurred in a young woman whose appearance "before and after" is shown in the accompanying illustration, and was congenital, but she always trembled at the thought of an operation. She was admitted into the Salford Hospital and I treated her case in exactly the same way as the previous one. The only difference in the progress of the case being that slight erysipelatous inflammation over the forehead and temple, showed itself on the fourth day, but this quickly subsided on the removal of the worsted.

This method of procedure seems to me so highly satisfactory in its results, so entirely free from any kind of danger and at the same time so eminently simple, that it will probably meet with general approval.

NOTES ON THE PATHOLOGY OF PLASTIC

BRONCHITIS.

By RICHARD CATON, M.D.,

Lecturer on Physiology, Liverpool Royal Infirmary School of Medicine. Physician to the Liverpool Northern Hospital.

THERE is a form of Bronchitis in which, in addition to the changes in structure and secretion characteristic of ordinary cases of the disease, a delicate membrane is formed upon the epithelial surface of the bronchial tubes.

The disease has been described by various writers under the names of plastic, pseudo-membranous, fibrinous, or croupous, bronchitis; but owing to its comparative rarity, no very careful investigation has yet been undertaken of its pathology.

The last important paper which has appeared on the subject in English journals, is one published by Dr. Peacock, in the Pathological Transactions in 1854. He had collected notes of thirtyfour well authenticated cases, in addition to nineteen incidentally noticed by various writers. Since the date of Dr. Peacock's paper several cases have been reported in the Pathological Transactions and in various English journals, and a large number have been collected from Foreign journals, and Treatises by Prof. Biermer, and are noticed by him in Virchow's Handbuch.