. A practical treatise on medical diagnosis for students and physicians . fection comes on gradually after repeated acute attacks of only symptoms may be slight fulness in the nose and a little hoarse-ness of the voice. In more-advanced stages the symptoms of stenosis aremarked, the patient snores and breathes through the mouth, and the voicebecomes nasal. There is a constant discharge of mucopus backward intothe pharynx, causing hawking. The hearing is frequently impaired, aswell as the taste and smell. The discharge often affects the larynx, caus-ing an irritating cough. The hyper
. A practical treatise on medical diagnosis for students and physicians . fection comes on gradually after repeated acute attacks of only symptoms may be slight fulness in the nose and a little hoarse-ness of the voice. In more-advanced stages the symptoms of stenosis aremarked, the patient snores and breathes through the mouth, and the voicebecomes nasal. There is a constant discharge of mucopus backward intothe pharynx, causing hawking. The hearing is frequently impaired, aswell as the taste and smell. The discharge often affects the larynx, caus-ing an irritating cough. The hypertrophied tissue on the turbinated bones, 862 DISEASES OF THE NOSE AND LARYNX. aud the pressure of the bone on the septum may lead to reflex attacks ofasthma. Chronic Post-nasal Catarrh. Chronic post-nasal catarrh is an extension of the rhinitis into thepharynx. It is distinguished by discomfort or pain in the soft palateand posterior nares. There are tingling and a sense of fulness at theroot of the nose, with frontal headache ; the patient complains of a bad Fig. Rliinoscopic image from a case of posterior hypertrophy on the middle turbinated bone. (Seiler.) taste in the back of the mouth, and of constant flow of thick secretioninto the pharynx, causing snoring and hawking. The same perversionof the senses of taste, smell, hearing, and of the voice occurs as in acuterhinitis. Headache seems to be due to the condition of the pharynx.(See Atrophic Rhinitis.) Dry Catarrh, or Rhinitis Sicca. Dry catarrh, or rhinitis sicca, is also chronic in its course, and is accom-panied by tingling and dryness of the nostrils. A faint, musty odor isdetected, but there is no discharge or sense of obstruction. In severecases there may be sharp pain in the nose extending to the forehead. Syphilitic Coryza. Syphilitic coryza is seen in infants and young children affected withhereditary syphilis. The nostrils are swollen and red at the edges, some-times completely occluded, causing oral respir
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