A Treatise on the Practice of Medicine for the Use of Students and Practitioners of Medicine

A Treatise on the Practice of Medicine for the Use of Students and Practitioners of Medicine

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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. 1890 edition. Excerpt: ...each inspiration has the same character, the expirations being wheezy and somewhat stridulous. This peculiarity of the inspiration is due to sudden and high tension of the vocal cords, they being approximated, and consequently narrowing the xehink through which the air passes. So difficult is the entrance of air, that the accessory muscles of respiration are brought into use, the alae of the nose work convulsively, the face and lips are somewhat bluish, the countenance is anxious, and the inferior portion of the chest is drawn in instead of being expanded during inspiration. Such is an ordinary case of pseudo-croup. Undoubtedly, there are examples of the disease in which the point of irritation is the stomach. An indigestible supper, or some improper article eaten during the evening, may set up an irritation of the end-organs of the pneumogastric, which may be reflected over the laryngeal motor nerves, producing the symptoms of laryngismus strid-ulus. In which mode soever produced, spasm of the glottis quickly subsides under appropriate treatment, and in an hour or two after being awakened by the oppression the child is usually sufficiently relieved to become drowsy, barking in its sleep, occasionally, until the morning. This experience may be repeated on the following night, and indeed for several nights. When this recurrence of the paroxysms takes place, the case awakens renewed anxiety, lest an exudation may be forming in the larynx. If the paroxysms recur for two nights, there will be attacks during the day also. The author has observed a few-cases in which the spasms continued for several days; without being violent at any time, the cough had always the " croupy " character, and a strong inspiration developed stridor. Course, Duration, and...show more

Product details

  • Paperback | 482 pages
  • 189 x 246 x 25mm | 853g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236660455
  • 9781236660459