Sudden Death from Asphyxia in a Phthisical Boy

constant cough and pain in the chest had been present for five months. On my first visit to the wards after the boy's admission, I found him sitting up in bed, breathing rather rapidly, but not seeming much distressed, and in the act of expectorating purulent sputum into a receptacle already nearly full. On physical examination there appeared to be no flattening or falling in of the chest on either side, but the respiration was shallow. There was marked dulness at the right apex, both in front and behind, and large moist sounds were heard over the upper portion of the same lung, accompanied by small crepitations. There was increased vocal resonance all over the remainder of the