Sore throat : its nature, varieties, and treatment : including the use of the laryngoscope as an aid to diagnosis / by M. Prosser James.

  • James, Moses Prosser, 1836-1918.
Date:
1861
Catalogue details

Licence: Public Domain Mark

Credit: Sore throat : its nature, varieties, and treatment : including the use of the laryngoscope as an aid to diagnosis / by M. Prosser James. 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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    fauces. The uvula is enlarged^ its increase of size being most manifest by its elongation. When its length is considerable^ the desire to swallow is aggra- vated^ and by tickling the epiglottis it gives rise to a very annoying cough. The tonsils are much swollen, and the finger readily detects their hot, hard, congested state. When the moist stage comes on, the secretion, which is not so abundant as in other parts, is hawked up with pain and difficulty, being rather thick and extremely tenacious. Difficult breathing will be present when the swelling impedes the passage of air, or the upper part of the larynx is involved. The above form of disease is often brought on by cold, and is that to which the term inflamed sore throat is most applicable. When it is severe, inflammatory fever is set Up, and even in subacute cases there is generally some constitutional disturbance. In connection with the exanthemata, very intense fever is present. When it puts on the worst form, typhoid symptoms supervene, and morti- fication may ensue, constituting malignant or putrid sore throat. In healthy constitutions it rapidly resolves itself, or at most subsides into the chronic state. This, whether coming on gradually, or being the remnant of an acute attack, presents the same symptoms in a less degree, but more obstinate. Congestion is no longer active; soreness is not intense, often it is not complained of; swallowing may be easy, or only unpleasant; a feeling of dryness or heat is present, and a continual hawking of tenacious phlegm or a tickling cough harasses the patient. The throat is no longer fiery red—often it is pale, but there is evidently a want of tone, the tonsils are perhaps large, the velum low down, the uvula a good deal elongated. The veins are seen of