A text-book on diseases of the ear, nose and throat . and through it into the mediastinum or the pleural cavities, withfatal result. In view of such possibilities it is surprising that someauthorities still counsel against opening quinsies, preferring to wait forspontaneous evacuation. Symptoms.—If the suppuration is secondary to a preceding tonsil-litis there may be engrafted on the symptoms of the latter an additionalrigor with high fever and i)rofuse sweating. The whole side of theanterior pharynx becomes tense and brawny, while the soft palate ispushed forward or may be invaded by the puru
A text-book on diseases of the ear, nose and throat . and through it into the mediastinum or the pleural cavities, withfatal result. In view of such possibilities it is surprising that someauthorities still counsel against opening quinsies, preferring to wait forspontaneous evacuation. Symptoms.—If the suppuration is secondary to a preceding tonsil-litis there may be engrafted on the symptoms of the latter an additionalrigor with high fever and i)rofuse sweating. The whole side of theanterior pharynx becomes tense and brawny, while the soft palate ispushed forward or may be invaded by the purulent process. A tumorcan often be felt on the outside of the neck. It is difficult or even im-possible for the patient to open the mouth wide enough to introduce atongue depressor, swallowing is agonizingly painful, the uvula may be-come cedematous and obstruct free respiration, taste and smell are blunted,the voice has a peculiar sound suggestive of the condition, the fauces areclogged up with thick, tenacious mucus, and the breath becomes horri-. Circumtonsillar suppuration,wald.) (Griin- DISEASES OF THE UVULA AXD TOXSILS. 553 bly offensive. The patient is in a miserable condition, with saliva con-stantly dribbling from the mouth, and after a siege of three or four days,with its enforced starvation owing to inability to swallow, is often re-duced to a condition of very low vitality. If left to itself, and if only one tonsil is attacked, the disease generallyrun its course in from one to ten days. If an abscess forms, it will prob-ably burst by the end of a week. All cases do not result in actual idusformation, the swelling subsiding after a lapse of several days. The in-volvement of the second tonsil means, of course, a prolongation of thedisease. Occasionally a case will continue indefinitelj, the i^rocess neithersubsiding nor going on to suj^puration. The febrile movement is of vary-ing intensity, and its subsidence does not necessarily mean that no i)usis present, for th
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