The Diseases of the Nose and Its Accessory Sinuses

The Diseases of the Nose and Its Accessory Sinuses

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1906 edition. Excerpt: ...days, at the end of which time local inflammation appears, soon to be followed by general symptoms, headache, fever, malaise, pains in the joints and muscles, etc. According to Landgraf the nose is affected in about three-fourths of the cases. There is a profuse, yellowish-brown or blood-stained discharge, with swelling, redness, and tenderness of the nose and the surrounding parts. In acute cases nodules or small tumours appear in the nose, with an erysipelas-like swelling of the face. This is followed by ulceration and destruction of the nose, of the adjoining parts of the face, and even of the upper jaw, with suppuration in the cervical glands. Death usually takes place in about three weeks, but the affection may run a much more chronic course. Ulcers may also occur on other parts of the skin, in the mouth, in the alimentary tract, etc. When the lungs are affected the symptoms resemble those of acute bronchitis. Under the microscope the nodules rather resemble tubercles, but are more vascular, contain no giant cells, and the characteristic bacillus is present. Diagnosis. From tuberculosis and syphilis the disease may be distinguished by careful attention to the symptoms as above described, and by the more severe constitutional disturbance. The history and the occupation of the patient will often furnish a valuable clue, and inoculation of the discharge from an ulcer into a guinea-pig will quickly clear up any doubt. The general symptoms may resemble those of acute rheumatism, typhoid fever or pyaemia. Prognosis. The more chronic the affection the better the chance of recovery. Acute cases all die, and the apparently chronic sometimes end acutely. Of 33 cases collected by Landgraf only four recovered. Treatment. The preventive more

Product details

  • Paperback | 182 pages
  • 189 x 246 x 10mm | 336g
  • United States
  • English
  • black & white illustrations
  • 1236990595
  • 9781236990594