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Denonvilliers has described a perforation of the esophagus and aorta by a five-franc piece. A preserved preparation of this case, showing the coin in situ, is in the Musee Dupuytren. Blaxland relates the instance of a woman of forty-five who swallowed a fish bone, was seized with violent hematemesis, and died in eight hours.

If all the food that one needs to take at a single meal can be thoroughly masticated in fifteen minutes, why is it better to spend a longer time at the table? What is meant by the overlapping of meals? What bad results follow? How avoided? Find the connection of the esophagus with the stomach, of the stomach with the small intestine, and of the small intestine with the large intestine.

The emaciation and exhaustion are extreme, and the patient is as miserable as one with carcinoma of the esophagus, food either not being taken at all or only upon urgent compulsion.

The muscular coat of the pharynx is made up of a series of overlapping muscles which, by their contractions, draw the sides together and diminish the cavity. The mucous membrane lining the pharynx is smooth, like that of the mouth, being covered with a layer of flat epithelial cells. *The Esophagus*, or gullet, is a tube eight or nine inches long, connecting the pharynx with the stomach.

On the under side, find the gall bladder, from which a small tube leads to the small intestine. Observe the portal vein as it passes into the liver. As the liver is filled with blood, neither it nor its connecting blood vessels should be cut at this time. Trace out the continuity of the canal. Find the esophagus where it penetrates the diaphragm and joins the stomach.

German physicians hamper Morell Mackenzie, but approve suggestion operation trache Otomy esophagus without delay. But he believed that there were two world-famous Italian doctors named Tracchi and Tomy. 'Esophagus' was, he also remarked, no doubt meant for 'sarcophagus' the Latin name for the gullet.

After his death his esophagus was found normal, but his stomach was so distended as to reach almost to the spine of the ilium, and knives were found in the stomach weighing one pound or more. In his exhibitions he allowed his spectators to hear the click of the knives and feel them as low down as the anterior superior spine of the ilium.

Laryngotomy was done with the hope of removing a foreign body, but the man died on the tenth day. A postmortem examination disclosed the existence of an aberrant right subclavian artery in the posterior mediastinum, and this was the seat of a traumatic aneurysm that had ruptured into the esophagus.

Oxygenation of the chick in the egg, of feeds. III. The liquor amnii is not excrementitious. It is nutritious. It is found in the esophagus and stomach, and forms the meconium. Monstrous births without heads. Question of Dr. Harvey.

Porro describes a case of congenital obliteration of the esophagus which ended in a cecal pouch about one inch below the inferior portion of the glottidean aperture and from this point to the stomach only measured an inch; there was also tracheal communication.