Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . funnel-shaped chest. (Sheffield.) mobile. The nose becomes pinched and pointed, the externalangle of the eye deeper than the internal, the lower lip droops, Idioticthe lower jaw sinks down, and the face assumes that dull, fixed aPPsarance-and irresolute expression which is so characteristic of addition to this, hearing is impaired as a result of secondarycatarrhal inflammation of the Eustachian tube, etc. The child Mcntalis absent-minded and dull of per
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . funnel-shaped chest. (Sheffield.) mobile. The nose becomes pinched and pointed, the externalangle of the eye deeper than the internal, the lower lip droops, Idioticthe lower jaw sinks down, and the face assumes that dull, fixed aPPsarance-and irresolute expression which is so characteristic of addition to this, hearing is impaired as a result of secondarycatarrhal inflammation of the Eustachian tube, etc. The child Mcntalis absent-minded and dull of perception, does poorly at school, £essWard~and becomes the target for abuse and corporal punishment by 246 DISK \SKS i il- KKSII R \T< iRY SYSTEM. teachers and parents—all for no fault of his. \\ hen brought tothe physician—often chiefly on account of impaired hearing—thediagnosis can readily he made by mere inspection. Such a super-ficial examination, however, should not be relied on, as similarsymptoms are produced by nasal obstruction from other causes(deformities, growths, foreign bodies, etc.). Inspection of the. Kig. 68.—Adenoids. Note spinal curvature. (Sheffield.) Deformityof palate. mouth reveals the bony palate high and narrow, leaving insuffi-cient space for the teeth and causing their displacement. Thefaucial tonsils are greatly enlarged (in about 25 per cent, of thecases), the posterior pharyngeal wall is granular, and, with thevelum palati raised, often shows the distal ends of the adenoidMiiimo- vegetations. Rhinoscopy confirms the presence in the naso-pharynx. pharyngeal space of a pale-red, smooth, soft tumor which some-times resembles a mass of earthworms. It bleeds readily. The DISEASES OF NOSE, THROAT AND EAR. 247 diagnosis is further corroborated by palpating with the finger thesoft masses blocking the rhinopharynx, or by nipping off a smallportion of the adenoid vegetations by means of an adenoid forcepsintroduced behind the velum palati. The dia
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
