Diseases of the nose and throat; a text-book for students and practitioners . the disease is usually welloutlined. Sneezing is one of the first indications, but a dis-colored, even bloody discharge soon follows, which, in a fewhours, or at most a couple of days, becomes purulent. Later, 60 DISEASES OF THE NOSE AND THROAT. pseudomembrane may develop. Almost from the onset there-issome defect hi nasal resphation; this usually soon amounts tocomplete stenosis. Malaise is an early symptom, and fever soonreaches 101° to 104° F. Prostration is great, and the strugglefor breath is often agonizing. Pr
Diseases of the nose and throat; a text-book for students and practitioners . the disease is usually welloutlined. Sneezing is one of the first indications, but a dis-colored, even bloody discharge soon follows, which, in a fewhours, or at most a couple of days, becomes purulent. Later, 60 DISEASES OF THE NOSE AND THROAT. pseudomembrane may develop. Almost from the onset there-issome defect hi nasal resphation; this usually soon amounts tocomplete stenosis. Malaise is an early symptom, and fever soonreaches 101° to 104° F. Prostration is great, and the strugglefor breath is often agonizing. Prognosis.—The prognosis should be guarded; some au-thorities place the mortality at two-thirds, others at one-half,while Nichol ( The Larynx and Trachea in Childhood ) givesa more favorable estimate, and from his experience it wouldseem that a large percentage of the otherwise doomed halfshould be saved. In favorable cases the symptoms graduallysubside, leaving the nasal passages more or less clear. Inani-tion due to inability to nurse is frequently followed by coma and. Fig. 33.—De Villbis Atomizer. death. Other things equal, the younger the child, the graverthe prognosis. Treatment.—The treatment is chiefly medicinal, but its im-portant aid is cleanliness. For the latter purpose, it may beadvisable to use a spray of an aqueous solution of permanganateof potassium, 1 grain to 1 ounce; or peroxide of hydrogen, 4drachms to 1 ounce. This is to be repeated as soon as nasalrespiration becomes labored. In the absence of a spray, thenose may be gently syringed with the same solutions. Duringthese manipulations the child should be held upright, in orderto prevent the entrance of the liquid into the larynx. For thepurpose of removing tenacious discharge, coiled blotting-paperor absorbent cotton should be passed into the nose. If the CHRONIC PURULENT RHINITIS OF CHILDREN. 61 child be unable to breathe while nursing, a small rubber tubeshould be carefully passed through one inferi
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Keywords: ., bookcentury1800, bookdecade1890, bookpublisherph, booksubjectnose
