Atlas and abstract of the diseases of the larynx / by L. Grünwald ; authorized translation from the German edition by Charles P. Grayson.

  • Ludwig Grünwald
Date:
1898
Catalogue details

Licence: Public Domain Mark

Credit: Atlas and abstract of the diseases of the larynx / by L. Grünwald ; authorized translation from the German edition by Charles P. Grayson. Source: Wellcome Collection.

    106/300 page 100
    VI. DISTURBANCES OF THE CIRCULATION. They occur in the hirynx as accompaniments or sequel» of disease in other situations, or as idiopathic affections. Among the former we have edema from stasis, which occurs with chronic or acute ne])hritis, cirrhosis of the liver, or cardiac insufficiency; sometimes, too, in conse- quence of pressure on a vein by an exudate or a tumor, in which case the edema is locah The nephritic edema may precede all the other symptoms, and thus determine the diagnosis comparatively early in the disease. Edema due to vasomotor disturbances, angioneurotic edema, has been observed to occur spontaneously in con- nection with similar cutaneous edema and to disappear again as rapidly. Sometimes a similar form of toxie edema appears after the exhibition of potassium iodid. We do not know why this, as well as the apparently purely nervous form, occurs only in certain individuals, nor to what the edema is due. The treatment in all these forms is primarily concerned with the removal of life-threatening symptoms, if neces- sary, by tracheotomy. In some cases cathartic remedies and cold applications or scarification may suffice. VII. SOLUTIONS OF CONTINUITY may be produced by insignificant causes if the vulnerabil- ity is abnormal, or by ordinary traumatism. The former occur in hemophilia, general arteriosclero- sis, syphilis, tumors, tedious catarrhs of long duration, and in secondary macerations (see p. 60). Comparatively slight injuries, such as forcing the voice, violent cough, painting the larynx, may suffice in such cases to bring on hemorrhages in or on the surface of the tissues, or even
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