A Text-Book of Practical Medicine; With Particular Reference to Physiology and Pathological Anatomy
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A Text-Book of Practical Medicine; With Particular Reference to Physiology and Pathological Anatomy

A Text-Book of Practical Medicine; With Particular Reference to Physiology and Pathological Anatomy


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: The diagnosis of palsy of the glottis is of course only possible by means of the laryngoscope. In palsy of the glottis-closers, laryngoscopic observation reveals that, during attempted phonation, the rima glottidis remains open, and the chords do not tremble as they should do. In palsy of one side of the glottis, the point of the arytenoid cartilage stands out in a remarkable manner, reaching to the median line, or even overstepping it toward the other side. The inner edge of the palsied chord comes almost to the middle line. Upon drawing breath, or upon an attempt to speak or cough, there is little or no motion in the arytenoid cartilage and the vocal chord of the affected side. In palsy of the tbyro-arytenoid muscle, according to Gerhardt, the glottis vocalis forms a somewhat wide ellipse when the patient attempts to speak. Treatment.?In treatment of palsy of the glottis, it is important above all things to meet the causal indication. When the palsy has arisen in the course of a catarrhal attack, energetic local treatment of the main affection, particularly by use of solution of nitrate of silver, promises the best results. In paralysis attributable to derangements in the course of the nervous trunks, a treatment of the cause is in many instances impracticable; in others, the reabsorption of a strumous deposit, the resolution of an enlarged lymphatic, judicious management of metallic poisoning, perhaps the administration of quinine, by allaying the cause, cure the palsy. In centric paralysis, therapeutics are always powerless. On the other hand, in hysterical cases, a systematic and cautious management of the primary complaint most frequently has a permanent effect. We can seldom meet the indications of the disease itself, as most of them proceed from irreparable nutritive...


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Product Details
  • ISBN-13: 9780217436670
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 246 mm
  • No of Pages: 338
  • Spine Width: 18 mm
  • Width: 189 mm
  • ISBN-10: 0217436676
  • Publisher Date: 05 Feb 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 603 gr


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A Text-Book of Practical Medicine; With Particular Reference to Physiology and Pathological Anatomy
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