Tracheotomy in laryngeal diphtheria : after-treatment and complications / by Robert William Parker.

  • Parker, Robert William.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Tracheotomy in laryngeal diphtheria : after-treatment and complications / by Robert William Parker. Source: Wellcome Collection.

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

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    CHAPTER II. DIPHTHERIA. Definition—Not a new disease—Synonyms—The materies morhi—Individual predisposition—Epidemic and spo- radic diphtheria—Intensity of poison variable—Patho- logical anatomy—Local differences—Symptoms—Mode of onset—Diphtheritic paralysis—Prognosis—Treat- ment—Dangers of antimony—Value of local treatment —Diet—Preventive measures—Duration of infectious- ness—Disinfection. I do not intend to discuss at any length the etiology or the pathology of diphtheria ; but I think that a summary of the chief points in its clinical history will make this essay more complete and will render the purpose of tracheotomy, and what it is able to accomplish, more obvious, while it will help to explain the rationale of the after-treatment advocated in the following pages. The disease has existed for centuries, and its vary- ing manifestations have been accurately described froin time to time by many authors under some one of the following (among other) terms : f membranous/ ' malig- nant/ ' erysipelatous/ ' gangrenous ' angina : 1 spotted throat/ ' putrid sore-throat/ and f croup/ Among these descriptions, one of the best is that by Dr. John Fother- gill, published in 1748 ; this book contains an admirable account of diphtheria: in it he anticipates B retonneau