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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    gerous.^ At least three minutes should be allowed for the anesthetic to take effect: if it fails to act, it is usually because there has not been time enough. The choking depends more on subjective resistance than on objective impossibility to overcome the irritation : many patients will only become quiet after a touch Avith a probe has convinced them that anesthesia is complete. The reflector should always be held in front of the eyes, not merely on the forehead, else a part of the light is sure to be intercepted by the upper lip. Use both eyes, not only the one behind the hole. It is not enough to examine the phonatory image only; the condition in respiration should also be studied, although it is harder to see than the former. If the case is at all doubtful, do not neglect to ascertain the sensibility by testing with a probe. Remember that the larynx forms only a part of the air-tube, and that the lungs and trachea, as well as the upper passages, the nose and throat, may furnish as important data for the diagno- sis as the heart, the abdomen, the nervous system, and the urine. Above all, bear in mind that disease of one organ is not always isolated, and that you are first a physician and then a laryngologist. As regards treatment, I would add a warning against annoying tlie patient more than the whole trouble is worth. Often the patient cares less about getting rid of a slight annoyance than the physician, who feels himself in duty bound either by ambition or the love of science. Let us be kind and noble as well as helpful! GENERAL REMARKS ON THE CAUSES AND TREAT- MENT OF DISEASES OF THE LARYNX. Painting the throat and gargling will not cure a dis- eased larynx, but suitable general treatment, even without ^ [Putting aside the question of danger, we do not think it necessary to use a sohition of such percentage. One of 4 per cent, strength will produce all the anesthesia necessary to make the examination success- fully.—Ed.]
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