The Practitioner Volume 49

The Practitioner Volume 49

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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. 1892 edition. Excerpt: ... fortunately remain negative, but if wellmarked evidences of inflammation are discovered, the proper remedial measures should be immediately instituted. If this be done and perforation of the drum should follow, or if indeed, without perforation, the hearing becomes later on permanently impaired from middle ear disease or an affection of the labyrinth, we can feel, as careful physicians, that we have done our best to ward off or prevent such an unfortunate occurrence. According to Louis, pain in the ear may last a long while, as much as fifteen days, he says, without suppuration taking place This, I presume, is a correct observation in some cases and in some epidemics. But in many instances, I am confident that, long before this time had elapsed, perforation of the membrane will take place unless remedial treatment be begun. In any case, I should regard the practitioner as highly culpable who neglects his patient to the point of resorting to any such happy-go-lucky method as trusting hopefully to the possibility of suppuration being delayed such a length of time, and for this reason failing to make a searching investigation and subsequent careful treatment of any case in which, during typhoid fever, notable pain is felt in one or both ears. Deafness to a certain degree, at least, is certainly very common during typhoid fever, and when it occurs is apt to be very persistent. In this respect we must recognise a difference between the effect of typhoid fever upon the eyes and upon the ears, for the former are not often or seriously injured by this malady. Whenever deafness occurs, it may affect one or both ears; in the latter case particularly it is due either to the propagation to the Eustachian tubes of the pharyngeal catarrh, or is more

Product details

  • Paperback | 174 pages
  • 189 x 246 x 9mm | 322g
  • United States
  • English
  • black & white illustrations
  • 1236750624
  • 9781236750624