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Vol. 60, 1909 - University of North Carolina at Chapel Hill

Vol. 60, 1909 - University of North Carolina at Chapel Hill

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ABSTRACT. 7^5<br />

sore thro<strong>at</strong> th<strong>at</strong> are met with. (1) The In adults, <strong>at</strong> anv r<strong>at</strong>e, this method is <strong>at</strong>tons.ls,<br />

fauc.al pillars pal<strong>at</strong>e, uvula, and tended with less risk than opening through<br />

oropharynx are swollen and <strong>of</strong> a deep red the pharyngeal wall. The only condition<br />

color, bometnncs there is inflamm<strong>at</strong>ory th<strong>at</strong> could be mistaken for a retropharynedema<br />

Fhe appearance ( ) presented may geal abscess in an adult is a large gumma.<br />

be th<strong>at</strong> o follicular tonsillitis. ( M<br />

A defi- Chronic retropharyngeal abscess in children<br />

nite membranous inflamm<strong>at</strong>ion may occur: is not <strong>at</strong> all uncommon, and the author althe<br />

membrane is s<strong>of</strong>t and leaves superficial ways performs the external oper<strong>at</strong>ion and<br />

ulcer<strong>at</strong>ion as It d.sintegre<strong>at</strong>es. (4) Marked up to the present, has not lost a ca.e In<br />

and deep ulcer<strong>at</strong>ion occurs in the septic tonsillitis a careful examin<strong>at</strong>ion <strong>of</strong> the heart<br />

variety; the ulcer<strong>at</strong>ion may spread upward should be made, and if cardiac trouble is<br />

to the nasopharynx and downward to the discovered small blisters should be applied<br />

epiglotis and larynx; the s<strong>of</strong>t pal<strong>at</strong>e may over the cardiac area. Gargles are worse<br />

be perfor<strong>at</strong>ed or the uvula may slough <strong>of</strong>f. than useless in these cases; it is better to<br />

The tre<strong>at</strong>ment <strong>of</strong> sore thro<strong>at</strong> in these dis- give the p<strong>at</strong>ient guiacum lozenges to suck<br />

eases deserves more <strong>at</strong>tention than is usu- freely and to apply a warm alkaline lotion<br />

ally paid to them. The applic<strong>at</strong>ion <strong>of</strong> wh<strong>at</strong>- to the thro<strong>at</strong> with a brush several times a<br />

ever fluid IS chosen with a brush is prefer- day. He prescribes sodium salicyl<strong>at</strong>e<br />

able to the <strong>at</strong>tempt to use a gargle, espec- sodium bicarbon<strong>at</strong>e, and ammonium brolally<br />

in children. The physician should mide; if there is a high temper<strong>at</strong>ure tincluake<br />

the applic<strong>at</strong>ion <strong>at</strong> least once a day ture <strong>of</strong> aconite is added. There could be<br />

himself. In these cases it is advisable to no doubt about the expediency <strong>of</strong> removing<br />

douche the nasal cavities, and for this pur- tonsils which are the se<strong>at</strong> <strong>of</strong> chronic tonsilpose<br />

the glass douche is preferable to the litis or which have been subject to recurspray.<br />

As regards diphtheria, the diagnosis rent <strong>at</strong>tacks <strong>of</strong> acute inflamm<strong>at</strong>ion He<br />

IS <strong>of</strong>ten <strong>at</strong>tended with difficulty, especially has made a pair <strong>of</strong> forceps with the blades<br />

when the membrane is confined to one or cutting up and down so th<strong>at</strong> they mi

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