Volume 1

A manual of medical treatment, or, Clinical therapeutics / by I. Burney Yeo.

Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: A manual of medical treatment, or, Clinical therapeutics / by I. Burney Yeo. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    I Part I. and fluid nourishment thus administered. When this disease occurs in connection with some general cachexia, tonics and stimulants appropriate to the treatment of the constitutional aliection must be given. 4. Ulcerative stomatitis, or pseudo-membran- ous stomatitis.—This form of stomatitis is usually unilateral, and affects most commonly the left side. 'J'he ulcers generally appear first on the outer border of the gums, especially of the lower jaw, and on the corresponding surface of the cheek and lip. They may extend to the tongue and palate, and the roots of the teeth are often laid bare by the ulcerative process. The ulcers ai'e covered, as a rule, by whitish or dirty grey necrosed patches of mucous membrane, and sur- rounded by a red, swollen rim; they bleed easily. The tongue is swollen and thickly furred, indented by the teeth, and ulcerated at its ed ^es. There are usually much fcetor of the breath, salivation, slight fever, and great sensitiveness of the mouth and consequent diffi- culty in eating and swallowing. The submaxillar}'-, sublingual, and retro-maxillary glands on the affected side are swollen. If neglected, this disease may cause necrosis of the alveolar processes and disruption of teeth; but when properly treated tlie ulcei's clean and heal rapidly, but leave cicatrices. This affection is usually found to arise in connec- tion with insanitai'y dwellings and habits, insufficient and improper food, and other depressing agencies. It is often e])idemic in hospitals, schools, prisons, camps, etc. It is especially prone to attack children, particu- larly feeble ones, between four and ten years of age, after measles. Carious teeth may act as an exciting cause. It is probably contagious. The indications for treatment are to remove unhealthy surroundings, improve the general health, and to restore a healthy condition of the buccal cavity, and promote healing of the ulcers by soothing, cleansing, and antiseptic applications. Potassium chlorate a])pears to exert almost a specific influence over this disease, and it should be given internally