. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . flammatory conditions of thefauces, irritability of the pharynx or stomach, use of al-cohol, and many other causes. The use of a smaller mir-ror maj avail when the tonsils and uvula are large; theholding of pieces of ice in the mouth where irritable con-ditions of the fauces exist is a decided help. The mostefficacious remedy is a solution of cocaine painted on thepharjnx and soft palate. In most cases, however, pa-tience and a little manajuvring will result in a
. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . flammatory conditions of thefauces, irritability of the pharynx or stomach, use of al-cohol, and many other causes. The use of a smaller mir-ror maj avail when the tonsils and uvula are large; theholding of pieces of ice in the mouth where irritable con-ditions of the fauces exist is a decided help. The mostefficacious remedy is a solution of cocaine painted on thepharjnx and soft palate. In most cases, however, pa-tience and a little manajuvring will result in a satisfac-tory view of the larynx. If the tongue is short andthick, it may be impossible to pull it far enough forwardto gain room enough for the mirror, in which case wecan make use of the tongue depressor and pull forwardthe base of the tongue sutficiently to allow space for themirror. This procedure is often of advantage also whenthe epiglottis bends backward. The image seen on the mirror shows the posterior partof the larynx on the lower part of the mirror, while thebase of the tongue, the epiglottis, and the anterior part. Fig. 3121.—Sliows Manner of Holding Tongue and Mirror. of the larynx are at the top of the glass. The right sideof the larynx is on the side of the mirror opposite the ex-aminers left eye and the left side is opposite the exami-ners right eye, just as in the ordinary hand glass. The epiglottis has a yellowish-red color and varies inshape and position, sometimes being quite erect and atother times quite pendulous, formingan obstacle to a viewbehind it. Various hooks, forceps, and probes wereformerly used to lift up the epiglottis, but they usuallymake matters worse. If the patient is asked to take aquick, deep inspiration and say the vowel short e (like e 421 I^arynx,Iiarynx. REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. ill met), after a little iiractice the epiglottis is generallyraised enough to jiermit a view of tlio cords. The direc-tion, which is usu
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