Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . e to bring these little sufferers under propertreatment at this stage of the disease, quick and uneventful re-covery would be the rule. Unfortunately, however, the laity,nay, the physicians as well, rarely think these symptoms ofsufficient gravity to necessitate medical and particularly surgicalintervention. The deplorable condition is therefore allowed to 1 It should be remembered, however, that the presence of adenoidsdoes not necessarily produce the typical symp
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . e to bring these little sufferers under propertreatment at this stage of the disease, quick and uneventful re-covery would be the rule. Unfortunately, however, the laity,nay, the physicians as well, rarely think these symptoms ofsufficient gravity to necessitate medical and particularly surgicalintervention. The deplorable condition is therefore allowed to 1 It should be remembered, however, that the presence of adenoidsdoes not necessarily produce the typical symptoms of the disease. It alldepends upon the proportionate size of the tumor to that of the rhino-pharynx. DISEASES OF NOSE, THROAT AND EAR. 245 proceed and the tumor to spread and sprout. The sequelae ap-pear in rapid succession. The labored breathing sooner or later breathingproduces deformity of the thorax (pigeon breast) and oftencurvature of the spine. Owing to non-participation of thenose in respiration there is gradual atrophy of the levators alas ^{^ax7nasi et labii superiores, the depressors alas nasi, and the septum. Fig. 67.—Adenoids. Note 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, s
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
