. A practical treatise on medical diagnosis for students and physicians . elarynx. Commencing ulceration at the most prominent part of the growth. Fig. 6. Tertiary syphilitic ulcer of the left ary-epiglottic fold and marginsof the vocal cords. The right ary-epiglottic fold is the seat of a gumma thathas begun to soften. The under portion of the epiglottis on the left side issuperficially ulcerated from contact with the secretions of the ulcer on theary-epiglottic folds. Fig. 7. A papilloma attached by a broad base to the left vocal cord. Itextends across the glottis and rests upon the right vo
. A practical treatise on medical diagnosis for students and physicians . elarynx. Commencing ulceration at the most prominent part of the growth. Fig. 6. Tertiary syphilitic ulcer of the left ary-epiglottic fold and marginsof the vocal cords. The right ary-epiglottic fold is the seat of a gumma thathas begun to soften. The under portion of the epiglottis on the left side issuperficially ulcerated from contact with the secretions of the ulcer on theary-epiglottic folds. Fig. 7. A papilloma attached by a broad base to the left vocal cord. Itextends across the glottis and rests upon the right vocal cord. Owing to theweight of the tumor the action of the left crico-arytenoideus posticus isimpaired and the left A^ocal cord is straighter and abducted less than theright one. Fig. 8. An epithelioma involving both vocal cords. The left is merelyinfiltrated, while the right is ulcerated slightly. The deep red or purplishcolor of the passive hypereemia should be contrasted with the appearance ofthe mucous membrane in other inflammatory conditions. PLATE Il-a. Fig. Fir(. 2. / Fig. 8.
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