Clinical notes on diseases of the larynx ... / by William Marcet.

  • Marcet, W. (William), 1828-1900.
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: Clinical notes on diseases of the larynx ... / by William Marcet. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    with hoarseness, which lasted for three months before he lost the power of uttering sounds. He had noticed his voice to be hoarse two years ago, when he was seized with haemoptisis, since then it never was so clear as before ; he could, however, continue to sing till last May. He had an attack of inflammation of the lungs when about six years old. A brother of his died from some pulmonary affection. Father, mother, and rest of the family in good health. Since he suffered from hEemop- tisis, two years ago, has had a cough, accompanied with expectoration. The examination of his chest shows the existence of caverns in both lungs, with some degree of softening. With the Laryngoscope, his epiglottis was observed to be pendulous, much thickened with tubercular mat- ter, and notched at its upper margin. The larynx could not be seen, but a white mucous secretion was observed oozing out from between and over the arytenoid car- tilages. The back of the tongue was very red and folli- cular. Suffers much pain in the act of swallowing, and occasionally feels as if suffocated when lying down at night. Can walk two miles without fatigue, and could do a day's work a fortnight ago. Pulse, 118. Has decreased in weight from 9 st. 4 lbs. to 8 st. 7? lbs. during the last few mouths. Solution of iodine in oil was applied to the larynx ; and he was directed to in- hale the vapour of iodine, and to take three grains of iodide of potassium three times a day and cod-liver oil. January 25th.—I puncture the epiglottis in three places, and let out a few drops of blood. This relieved the swallowing considerably. January 27th.—Less redness of epiglottis, which is not so much swollen, but very granulous; deglutition