Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . h may take placeby asphyxia, hemorrhage, exhaustion, collapse, or pyaemia. Diagnosis.—The diagnosis is obscure at first, though theage of the patient, in some instances, and the absence of directevidence of other diseased conditions of part or system mightexcite suspicion as to the true nature ofthe malady. The earlier appearances arethose of moderate catarrhal inflammation,with subsequent circumscribed hypertro-phy of the mucous membrane. After
Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . h may take placeby asphyxia, hemorrhage, exhaustion, collapse, or pyaemia. Diagnosis.—The diagnosis is obscure at first, though theage of the patient, in some instances, and the absence of directevidence of other diseased conditions of part or system mightexcite suspicion as to the true nature ofthe malady. The earlier appearances arethose of moderate catarrhal inflammation,with subsequent circumscribed hypertro-phy of the mucous membrane. After awhile a more or less regular and uncir-cumscribed tumor (Fig. 182) will be seenoccupying some portion of the structures «^^^12J2%Er!;beneath the mucous membrane, without P*ientaBt-70«material alteration in the color of the overlying membrane, andwith little, if any, evidence of inflammatory action around a while the overlying membrane becomes nodulated,dark, sometimes irregularly vascular, and finally iilcerated atone or more points. When the larynx has become involvedfrom extension of cancer already existing in its neighborhood,. 584 AFFECTIONS OF THE LARYNX AND TRACHEA. there will be little difficulty in diagnosis. There is little diffi-culty, either, in diagnosing primitive laryngeal cancer in itsadvanced stages when the characteristic irregular, nodulated,variegated, vascular, and sometimes ragged, aspect of its sur-face, the tumefaction or actual cancerous involvement ofneighboring lymphatic glands, the occasional hemorrhages,the cachectic expression of countenance, perhaps the existenceof the characteristic shuttle-like pains of carcinoma, and thehistory of the case could hardly leave any doubt as to its na-ture. Even this doubt could be cleared away by microscopicexamination of fragments of the growth detached and coughedup, or pulled off for the purpose. The laryngoscopic appear-ances vary from time to time with the extension of disease, theexpectoration
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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879
