. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. te, with or without anaesthesia,such as occurs after diphtheria, issometimes seen after suppurative,follicular, and even after simple,tonsillitis. It is by no means as rarea condition as has been supposed(vide article on Uvula and VelumPalati), and when present may belimited or not to the side upon whichthe tonsil has been affected. Theexistence of such a paresis may bedemonstrated with ease by observingthe nasal, metallic intonation of thevoice, the relaxed cond
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. te, with or without anaesthesia,such as occurs after diphtheria, issometimes seen after suppurative,follicular, and even after simple,tonsillitis. It is by no means as rarea condition as has been supposed(vide article on Uvula and VelumPalati), and when present may belimited or not to the side upon whichthe tonsil has been affected. Theexistence of such a paresis may bedemonstrated with ease by observingthe nasal, metallic intonation of thevoice, the relaxed condition of thevelum, its lack of sensibility, and the difficulty met withby the patient in swallowing ; the act of deglutition be-ing apt to force particles of food or fluids into the upperpharynx and nasal passages. Obstinate constipation almost invariably precedes andaccompanies tonsillitis. The urine is highly colored,loaded with urates, contains an excess of urea, and isdeficient in chlorides ; albumen is sometimes Brown has observed that the existence of albu-men in the urine seems to be indirectly dependent upon. Fig. 3942.—Lateral Sec-tion, a, Coalescence ofcontents of two crypts. 132 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. the height of the temperature. When this is over 103°F., a trace of albumen is often present; but there areno casts, and the albumen always disappears when thetemperature begins to fall. Its presence is of no moreimportance than the transient albuminuria of pneumoniaand erysipelas, although upon first finding it one is aptto feel uncertain as to whether the affection of the throatmay not be diphtheritic. Pathology.—Simple tonsillitis can hardly prove fatalunless complicated with some intercurrent affection, sothat few opportunities have been offered to study theeffect of simple inflammation upon the gland. Thepathology of this class of affections of the tonsil, however,is of surpassing interest and importance, embrac
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