A practical treatise on medical diagnosis : for students and physicians . st and the examination proceeds. The first examination may not result satisfactorily, but little beingobserved on account of the spasm of the pharyngeal muscles. Repeatedsittings may remove apprehension and accustom the mucous membraneto the presence of the instrument. This object may be attained byadministering the bromides, or by applying cocaine to the pharynx. The probe is needed only to ascertain the consistency of tumors andgrowths. Cocaine must be applied before it is used. Sputum. The sputum from the larynx is ge


A practical treatise on medical diagnosis : for students and physicians . st and the examination proceeds. The first examination may not result satisfactorily, but little beingobserved on account of the spasm of the pharyngeal muscles. Repeatedsittings may remove apprehension and accustom the mucous membraneto the presence of the instrument. This object may be attained byadministering the bromides, or by applying cocaine to the pharynx. The probe is needed only to ascertain the consistency of tumors andgrowths. Cocaine must be applied before it is used. Sputum. The sputum from the larynx is generally scanty; it isnot frothy, and is colorless and transparent; it is often discharged insmall globules; it may be streaked with blood. Sometimes pseudo-membranes are coughed up. It is doubtful if purulent sputum evercomes from the larynx, excepting in cases of perichondritis in which theabscess bursts into the larynx. Laryngeal sputum is found in catarrhsand malignant tumors. It is blood-streaked when the catarrh is veryintense, or after injuries. Fig. 27. Fig.


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