Diseases of the nose and throat . 259 tis, etc., which are comparatively rare occurrences. R. Levy dividesthese cases into six classes. First, those attended merely by dis-comfort, or paresthesia. Symptoms may have been excited and themind of the patient fixed upon this locality by swallowing a foreignbody or a rough particle of food, and the patient seeks to be relievedof something which he imagines is still sticking in his throat. Someof these people consult a physician because they apprehend canceror tuberculosis. In a second class cough is a very persistent anddistressing symptom, which is
Diseases of the nose and throat . 259 tis, etc., which are comparatively rare occurrences. R. Levy dividesthese cases into six classes. First, those attended merely by dis-comfort, or paresthesia. Symptoms may have been excited and themind of the patient fixed upon this locality by swallowing a foreignbody or a rough particle of food, and the patient seeks to be relievedof something which he imagines is still sticking in his throat. Someof these people consult a physician because they apprehend canceror tuberculosis. In a second class cough is a very persistent anddistressing symptom, which is only temporarily controlled by seda-tives, but yields promptly after the use of the galvanocautery inadults and in children to swabbing with tincture of iodine and gly-cerine. Third, dysphonia, vocal fatigue, throatache and impure toneproduction may be especially noted in singers, to whom these condi-tions are of the utmost moment. Fourth, dyspnea, resembling thatcaused by spasm of the larynx and occurring chiefly at night, may. Fig. 99. Hypertrophy of Lingual Tonsil. (Griinwald.) be so extreme that the patient dreads going to bed, and eventuallythe general health may suffer from loss of sleep and mental , dysphagia may exist to a degree sufficient to impair nutrition,and sixth, hemorrhage may occur from an associated lingual last is certainly rare. Nevertheless in view of the extreme dis-quietude caused by the appearance of blood in the sputa it may bea satisfaction to be able to assure a patient that it comes from thebase of the tongue and not from the lungs. The diagnosis is usually made without difficulty by simple inspec-tion with the laryngeal mirror (Fig. 99). [rregular masses of 26o DISEASES OF THE NOSE AND THROAT. lymphoid hyperplasia, frequently covered with enlarged veins, maybe seen which sometimes incarcerate the tip of the epiglottis. Themasses are in some cases so large as to be distinctly pedunculatedand may be visible without the mirror
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Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectnose, bookyear1903
