A text book of the diseases of the ear, nose and pharynx / by D. B. St. John Roosa and Beaman Douglass.

Date:
1905
Catalogue details

Licence: In copyright

Credit: A text book of the diseases of the ear, nose and pharynx / by D. B. St. John Roosa and Beaman Douglass. 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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    the size of the posterior choannse, touch the posterior ends of the turbinate, feel the Eustachian tubes, and ascertain if adenoids or other growth, or any foreign body be present. EXAMINATION OP THE PHARYNX. For this examination the light, patient, and physician should be arranged as described in anterior rhinoscopy. The mouth of the patient is opened, the light thrown into it and the condition of the teeth and tongue are first noted. The character of the coating upon the tongue, the conditions of the alveolar mucous membrane, the color and the appearance of the roof of the mouth can all be observed at a glance. The tongue should be de- pressed with any convenient form of tongue depressor— the best forms are those having rather narrow blades. It is sometimes difficult to control rebellious tongues which refuse to lie quietly on the floor of the mouth, but much can be done to manage the unruly member by quietly assuring the patient that the examination pre- sents no difficulty and by making very gentle pressure upon the anterior two thirds of the tongue. Sometimes it is necessary to distract the patient’s attention by re- questing him to take deep respirations, when the tongue will often sink quietly to the floor of the mouth. When the pharynx is exposed for examination the faucial tonsils should be observed and any attachment to the pillars noted. Sometimes the tonsils which are considerably enlarged will not be in evidence until the patient swallows. This action may be performed while the tongue is depressed, when the hypertrophied part of the tonsil will project into the pharynx. The surface