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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    of the tonsils are inspected for evidence of inflammation, exudation, ulceration, or tumor formation, and the tonsillar crypts—if dilated—should be examined with a probe. Any swelling in the region above the tonsil (supra tonsillar fossa) should be examined by careful palpation. For this purpose the index finger or a blunt probe is used. The position and condition of the uvula and the faucial pillars are noted, and Avlien the tongue is pressed well downward and the uvula drawn upward the posterior pharyngeal wall is plainly visible. In examining children for the presence of adenoids it is often not necessary to introduce the finger into the naso-pharynx, for the evidence of these growths is often found on the posterior pharyngeal Avail as hypertrophied masses of lymphoid tissue extending upward into the naso-pharynx and beyond the line of vision. The pres- ence of discharge or scabs on this Avail should also be noted. EXAMINATION OF THE EUSTACHIAN TUBES. The Eustachian tubes may be examined by 1, Inspec- tion; 2, Compressed Air; 3, The Aural Bougie; 4, The Probe. The probe can only be used through the exter- nal auditory canal when the membrana tympani is absent. 1. Inspection.—The pharyngeal orifice of the Eusta- chian tube is the only part that can be examined by inspection. It will be recalled that in describing the anterior rhinoscopic examination, mention AATas made of the fact that in some cases Avhen the mucosa of the nose has been shrunken by cocaine the pharyngeal orifice of the tube is plainly visible. The orifice may be iden-