The diagnosis and treatment of chronic nasal catarrh : three clinical lectures delivered at the College of Physicians and Surgeons, New York / by George Morewood Lefferts.

  • Lefferts, George Morewood, 1846-1920.
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: The diagnosis and treatment of chronic nasal catarrh : three clinical lectures delivered at the College of Physicians and Surgeons, New York / by George Morewood Lefferts. 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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    LECTURE I. EXAMINATION. Gentlemen: Accurate diagnosis being the corner-stone of all successful treatment, my first lecture to you of this series must neces- sarily deal with the methods of making a direct anterior and posterior 'examination of the nasal passages — in other words, the performance of anterior rhinoscopy and of posterior rhinoscopy, or, more properly, pharyngo-rhinoscopy. The importance of such an examination, as a preliminary step to all attempts at treatment, will be alluded to more than once in the following lectures. I have been sometimes reminded that there is an idea in the minds of very many of our profession that these methods of -physical exam- ination, procedures which necessarily involve the use of special instru- ments, such as the rhinoscope, specula, etc., and require some practice to make perfect, demand such a high degree of skill on the part of the i physician, such an amount of toleration on the part of the patient, and the use of such costly apparatus, that they are of necessity confined to the hands of a few, who have by special training learned dexterity iin manipulation, and by opportunity and special study acquired the right to denominate themselves Specialists. But, gentlemen, this is hardly true, for I know that by the exercise ^f a moderate amount of diligent practice — in other words, learning practically where and why he fails in examinations, and not relying jpon his books alone for his knowledge, by perseverance in the use of :he necessary instruments, directed by an intelligent appreciation of