jiutrucrud  snLplj  v^  ic'Wfe'i*-  i^.Tir^  i*^  &?ji«E>cfiis  42ii  icoee  ice  cofds
to  svkiic  fr«:iT  of^K-  Bv*  Vjr  cc'.iii.  aji  irrMC  <•:  lie  TzieraiiL  cc  tne  eords
M  the  hnUfJVJT  fsAi.  %:^^^0A;rzj^  «rjj:*7:^>nT  fn  tie  nimcr.  ^ie  effort  lo  pn>-
ducc  the  vo-preJ  v^c#t  *"€:"  n-jan  be  cMt^  TL5«  wiZ  «:•  cuETxse  ihe  Urrnx
and  chsiZiiK  iis  j^jd'Mn  iii  reLat^iion  Vj  tl^  e^cfki^  &zpi  c^cer  Sumctures
as  to  €!Zpose  ili&  vLcJ^  Mif^jrih.  cf  iLe  cores  and  t£e  vbiue  Verier  scrface
of  tbe  epigkniii  in  de  ••->ra',  ai.':  in  mon  cases,  afier  rr»rrg  the  tone  for
a  few  aeeoiid^.  li^  f/a*J^:^i  ir-aj  LreaiLe  free^v  mfibccit  lie  tocine  falling
back  to  it£  orijci^  p'j^^.ki::.  A  rood  plan  is  to  Lave  lie  zosiefit  Im^  the
note  for  a  doc^jex.':,  fouor^  by  free  respiration,  azii  re;?ea«  the  proceas  as
often  a£  re^^uire^  tHI  a  ui^irfa/r.ory  view  is  obtaiced  ci  aS  the  intralaryn-
geal  rtructures.  D  .rli^  m^plnrAon  the  anterior  wall  of  the  trachea  abo
may  be  seen,  in  tfjiL^  c2l«^s  as  far  down  as  the  bEfiircation.  thoogh  to  be
satisfactory  an  exairJi^a^.^on  of  tr.e  lower  part  of  tbe  trachea  and  bronchial
tubes  ehould  be  ^.^e  with  a  bronchoscope.  This  instrument  has  been
perfecte^l  in  re^rent  y^rars  to  i*uch  an  extent  as  to  be  of  ^reat  value  in  the
hands  of  a  ekilf-J  operavir  for  the  removal  of  forei^  bodies  or  for  the
inspection  of  any  dii^eaM^d  condition  of  the  lining  membrane.  If  during
the  examination  the  psitifrr.t  has  an  inclination  to  gag.  free  and  rapid
respiration  may  overcome  it ;  ehould  the  tendency  persist,  however,  with-
draw the  mirror  and  allow  the  throat  to  be  at  rest  for  a  shwt  time;  under
no  condition  trill  anything  be  gained  by  forcing  or  attempting  to  prolong
an  examination  when  the  patient  coughs,  gags,  or  the  muscles  of  the  throat
become  fatigued.
