. Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . e inflamma-tion than its intensity; pain being-severer in inflammation of tonsilsand epiglottis than in that of thepharynx ; swallowing being mostdifficult in involvements of theepiglottis, and in ulcerations ofthe parts engaged in deglutition;hoarseness existing when the in-terior of the larynx is involved ;and the salivation, cough, andcharacter of the expectoration de-pending upon the sensitiveness ofthe parts, and the activity andextent of
. Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . e inflamma-tion than its intensity; pain being-severer in inflammation of tonsilsand epiglottis than in that of thepharynx ; swallowing being mostdifficult in involvements of theepiglottis, and in ulcerations ofthe parts engaged in deglutition;hoarseness existing when the in-terior of the larynx is involved ;and the salivation, cough, andcharacter of the expectoration de-pending upon the sensitiveness ofthe parts, and the activity andextent of the secretory and suppurative processes, and theiradmixture with blood from hemorrhage of the small is often a peculiar fetor of the breath. The voice ac-quires a peculiar clang when the soft palate is tumid, the ton-sils swollen, and the palate perforated. The accidents liable to take place in other forms of sorethroat—suffocation, hemorrhage from ulceration into large ves- 1 See, in this connection, remarks on a case of inherited syphilis of the nose simu-lating epithelioma. Prof. Gross Clinic, Phila. Med. Times, July 15, Fig. 50.—Syphilitic ravages in epiglottis,and lateral laryngeal wall (in same case asFig. 49). 126 SYPHILITIC SORE THROAT. sels, etc.—are imminent in similar grades of syphilitic sorethroat also. Diagnosis.—The diagnosis, except, perhaps, when mucouspatches exist upon the tonsils and palate, will depend upon thespecific history of the case and the coexistence of external evi-dences of the disease. The disease may be mistaken for scrofu-lous sore throat or for epitheliomatous sore throat. Specifictreatment does not always clear up the doubt in these cases,because many non-syphilitic sore throats are benefited byiodide of potassium, and some syphilitic sore throats are ren-dered worse by its use. Prognosis.—The prognosis is good as to integrity of partsin secondary sore throat, except where extensive ulceration hastaken place, i
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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879
