Diseases of children for nurses . Fig. 35.—Examination of the nasopharynx for adenoid vegetations. (The examiner inthis instance is left-handed.) (Kerr.) preference of the operator, several methods may be em-ployed. The tonsils may be dissected out, removed witha snare, cut off by means of an instrument called a guillo-tine, or by means of biting forceps. The tonsils arecut off wherever desired, and. the pharyngeal tonsils or 112 DISEASES OF CHILDREN FOR NURSES adenoids removed at the same time. The operation iswithout danger. The secondary hemorrhage can be con-trolled by pellets of ice, pres
Diseases of children for nurses . Fig. 35.—Examination of the nasopharynx for adenoid vegetations. (The examiner inthis instance is left-handed.) (Kerr.) preference of the operator, several methods may be em-ployed. The tonsils may be dissected out, removed witha snare, cut off by means of an instrument called a guillo-tine, or by means of biting forceps. The tonsils arecut off wherever desired, and. the pharyngeal tonsils or 112 DISEASES OF CHILDREN FOR NURSES adenoids removed at the same time. The operation iswithout danger. The secondary hemorrhage can be con-trolled by pellets of ice, pressure, or cotton containingsome styptic, like Monsels solution. It is usually a per-manent cure. In a few instances the tonsils again hyper-trophy after Fig. 36.—Typical appearance in adenoid vegetations: Boy ten years old (Fruhwaldand Westcott). The nasopharynx is usually irrigated with normal saltsolution after the operation, and cold things to eat, likeice-cream, are most acceptable. PSEUDODIPHTHERIA OR VINCENTS ANGINA This is the name given to an ulceromembranous form ofinflammation which attacks the mucous membrane of the DISEASES OF THE DIGESTIVE TRACT II3 mouth and tonsils. It is characterized by the formationof a membrane, yellowish-gray in appearance, and veryoffensive. When this membrane is stripped off it leavesa raw, bleeding surface behind. In twenty-four or forty-eight hours a deep, punched-out ulcer forms, with injectededges. The constitutional symptoms are mild. The tem-perature ranges between 100 ° F. and 102 ° F. In threeor four days the ulcer gradually heals. Differential Diagnosis.—The appearance of this con-dition is very similar to diphtheria, especially when thefauces and tonsils are the seats of the infla
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Keywords: ., bookcentury1900, bookdecade1910, bookiddisea, booksubjectchildren
