A practical treatise on medical diagnosis : for students and physicians . ossible to see theposterior nares after repeated attempts, one must first seek to accustomthe patient to the presence of the instruments; if this fails it may benecessary to resort to the palate hook or the cords to hold the uvulaforward. The best hook is Whites. It is necessary to apply cocaineto the soft palate before inserting the hook. Another plan which ispreferred by some is to take the flat cords used for corset laces, soakthem in mucilage and dry them. These are then stiff enough to passthrough the nostril, yet f
A practical treatise on medical diagnosis : for students and physicians . ossible to see theposterior nares after repeated attempts, one must first seek to accustomthe patient to the presence of the instruments; if this fails it may benecessary to resort to the palate hook or the cords to hold the uvulaforward. The best hook is Whites. It is necessary to apply cocaineto the soft palate before inserting the hook. Another plan which ispreferred by some is to take the flat cords used for corset laces, soakthem in mucilage and dry them. These are then stiff enough to passthrough the nostril, yet flexible enough to pull down and out throughthe mouth with forceps. Then by drawing forward both ends the softpalate is pulled out of the way. This is almost always necessary whenapplications are to be made to any spot in the pharynx. Sometimes a view of the posterior nares may be obtained by makingthe patient breathe in short, quick gasps, by which the uvula is ordinary breathing it is often tightly pressed against the posteriorwall of the pharynx. Fig. Rhinoscopic Vomer or nasal septum. 2. Floor of nose. 3. Superior meatus. 4. Middle meatus. turbinated bone. 6. Middle turbinated bone. 7. Inferior turbinated bone. 8. Pharyn-geal orifice of Eustachian tube. 9. Upper portion of Rosenmtillers groove. 11. Glandular tissueat anterior portion of vault of pharynx. 12. Posterior surface of velum. (Seiler.) Through examination by the above methods the nature of the dis-charge is ascertained, and the presence of ulceration or perforation andthe condition of the entire nares determined. Deviations of septum,enlargement or contraction of turbinated bones, the presence of foreignbodies or abnormal growths, are also ascertained in this manner. Palpation. In palpation the finger or probe is used. By the latterthe character of enlargements or tumors, and the patulency of foraminamay be determined. The character of the mucous membrane as to indura-tion and t
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