Diagnostic and Therapeutic Technic

Diagnostic and Therapeutic Technic

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1921 edition. Excerpt: ...and the surgeon should be seated lower. The examiner should first note the color of the various parts brought to view for signs of congestion or inflammation, bearing in mind that if cocain has been employed the parts will appear anemic, and that gagging or retching may be responsible for congestion He should look for the presence of exudations, foreign bodies, and any structural changes, such as ulcerations, swellings, abscesses, edema, new growths, malformations, and dislocations of the arytenoid cartilages, etc. Finally, the condition and mobility of the vocal cords during respiration and phonation are observed. They should approximate symmetrically in the mid-line during phonation, and separate equally with inspiration. The whole examination should be made as rapidly as possible, not more than half a minute or so being consumed, to avoid tiring the patient and inducing an irritable state of the parts. Since often only a glimpse of the various structures may be thus obtained, it may be necessary to make more than one inspection before the whole examination is completed in a satisfactory manner. Difficulties in Laryngoscopy.--It is sometimes a difficult matter for a beginner to inspect the parts, owing to faulty technic or to structural peculiarities-. A view of the larynx may be missed entirely through an improper adjustment of the light, faulty position of the patient's head, or holding the mirror at a wrong angle. Clumsy and hasty introduction of the mirror, the use of a mirror too hot or too cold, or rough traction on the tongue, all militate against success. In some cases an excessive irritability of the pharynx precludes a successful examiation without preliminary cocainization. In other cases the presence of enlarged tonsils may prevent...show more

Product details

  • Paperback | 258 pages
  • 189 x 246 x 14mm | 467g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 123658581X
  • 9781236585813