Practical remarks on throat and ear diseases. II. Treatment of goitre. III. Treatment of post-nasal catarrh in relation to deafness / by Lennox Browne.

  • Browne, Lennox, 1841-1902.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Practical remarks on throat and ear diseases. II. Treatment of goitre. III. Treatment of post-nasal catarrh in relation to deafness / by Lennox Browne. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    liquid. She had acquired the greatest distaste for animal food. She suffered from constant flushings, preceded or followed by cold. She felt generally cold, and found great trouble in getting warm in bed or by any artificial aid, as hot-water bottles, etc. Recently, she appeared to have lost power in the upper limbs, and could hardly lift her arms; had constant frontal headache, with great weight and pressure in the occipital region. She suffered much from flatulence with acid eructa- tions. The bowels were constipated. The menstruation was regular in appearance, but always painful, deficient in quantity, of very pale colour, and passing in clots. I need not say that, under Dr. Thorow- good’s hands, general therapeutic treatment had been active and judi- cious ; but the patient had got worse rather than better. On examination of the neck, I found a hard, firm, uniform swelling of the isthmus and left lobe of the thyroid body, in all as large as a Tangerine orange. While the central swelling dipped low down, so as to lie partially between the sternum and windpipe, the left lobe extended quite around the trachea and gullet. The voice was very feeble and at times almost lost. On laryngoscopic examination, the adductive power of the vocal cords was seen to be much weakened; but there was no visible narrowing of the trachea. On October 9th, the central tumour was injected with iodine from above downwards, so as to endeavour to relieve at first the substernal pressure. Thirty drops of the pharmacopceial tincture were used. The next day, the patient came with considerable increase of the dys- pnoea, and having passed a very bad night. On the nth, I repeated the injection, with the result of seeing, on the 13th, that the skin over the point where the syringe had entered was red and tender. I re- peated the injection on this date, and ordered the patient to commence poulticing and fomenting on the 14th. In a few days, suppuration took place. I did not open the abscess, but on the 24th injected the side-swelling, a procedure which was repeated a week later. In the meantime, the small abscess had pointed and commenced to discharge. It was kept open by small pledgets of lint for four weeks, when it gradually filled up. Only five injections in all were made, the amount each time being about thirty drops. The following is taken from my notebook on December 18th, about ten weeks after commencement of treatment. “ The tumour is reduced to a very small hard lump the size of a small common nut-kernel. The patient sleeps well. She has lost all sensation of strangling since the first six weeks of treatment; suffers no longer from globus hystericus. The swallowing is still weak, but there is no longer a feeling as of stoppage of the food from a sense of