Lectures on diseases of children / by Robert Hutchison.

Date:
1904
Catalogue details

Licence: In copyright

Credit: Lectures on diseases of children / by Robert Hutchison. 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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    old was brought on account of difficulty in swallowing, this difficulty having been observed for a long time. The trouble was found to be greatest in the case of liquids, and on that account the child experienced difficulty in taking the bottle, and had to be fed by means of a spoon, and then the fluid tended to run down the side of the mouth unless the head was held very much back. Examination showed that the tonsils were enlarged, and there was a mass of adenoids in the naso-pharynx. The throat was operated upon, and when the child was seen two months later the mother re- ported that there was very great improvement. Another child, three years and six months old, had the same diffi- culty in swallowing, which dated from an attack of measles one year previously. The patient suffered also from deafness. The naso-pharynx was full of adenoids, and there was some enlargement of the tonsils. That child has been operated upon, but I do not yet know to what extent the symptoms have improved. You will see from a recital of these cases that the symptoms of adenoid growths in infancy may be very various. They may be divided into three groups. First, there are those in which the chief complaint is snuff- ling and nasal discharge, occasionally accompanied by epistaxis. The second group is that in which the chief complaint is dyspnoea, often paroxysmal in character, and the breathing is definitely stridulous, frequently accom- panied by attacks of choking cough. The third group comprises those in which the difficulty complained of is associated with swallowing, and especially with the swallow- ing of iiquids. The presence of adenoids in each of these groups may simulate other medical diseases, and it is on