A manual of diseases of the nose and throat / by Cornelius Godfrey Coakley.

Date:
1906
Catalogue details

Licence: In copyright

Credit: A manual of diseases of the nose and throat / by Cornelius Godfrey Coakley. 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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    taxis at this stage frequently occurs, even where there is no exudation upon the nasal mucous membrane. The glands at an angle of the jaw are usually slightly enlarged. When the child is old enough, headache and pain in the back and limbs may be complained of. The face may sometimes be flushed, and a rash, similar to that of scarlet fever, at other times some- what resembling that of measles, is occasionally seen on the body. These symptoms occurring in a child generally suffice to call the physician’s attention to the throat, and an examination of it is made. In the severe form the child is suddenly prostrated. The temperature is usually about the same as that in the milder form, but the pulse is more rapid, from 140 to 160 or more. The skin has a dusky, dingy hue ; the child may pass into a semi-comatose condition, from which it is aroused with great difficulty; there is a foul odor to the breath, which is recognized almost imme- diately on entering the room. The urine is scanty or may be entirely suppressed. Death usually takes place in from two to four days. Examination. If seen early, an examination of the throat reveals a thin, grayish membrane situated upon the tonsil, uvula, soft palate, or posterior pharyngeal wall. At first the membrane on the tonsil may be in spots, resembling somewhat the appearance of lacunar ton.sillitis; but later the membrane spreads, covering nearly, if not quite, all the free surface of the tonsil, and extends to the pillars of the fauces. The exudate is elevated above the surrounding mucous membrane, and is bordered by a narrow zone of deeply congested mucous membrane, the color of which is a dark maroon or purple. (See Plate IV., Fig. 2.) If attempts are