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

  • Ludwig Grünwald
Date:
1902
Catalogue details

Licence: Public Domain Mark

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

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    VI. DISTURBANCES OF THE CIRCULATION. They occur in tlie larynx as accompaniments or sequelae of disease in other situations, or as idiopathic affections. Among the former we have edema from stasis, Avhich occurs with chronic or acute nephritis, cirrhosis of the liver, or cardiac insufficiency; sometimes, too, in conse- quence of jiressure on a vein by an exudate or a tumor, in which case the edema is local. The nephritic edema may precede all the other symptoms, and thus determine the diagnosis comj)aratively 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 toxic edema aj^pears after the exhibition of potassium iodid. We do not know why this, as well as the apparently ])urely 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). Com]iaratively 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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