A guide to the examination of the nose : with remarks on the diagnosis of diseases of the nasal cavities / by E. Cresswell Baber.
- Date:
- 1886
Licence: Public Domain Mark
Credit: A guide to the examination of the nose : with remarks on the diagnosis of diseases of the nasal cavities / by E. Cresswell Baber. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![CHAPTER IT. SYMPTOMS OF NASAL DISEASE. Before proceeding to the physical examination of the nose, it will be useful to consider briefly the chief symptoms of persons suffering from affections of this organ. Nasal obstruction and its consequences.— The nose being the natural air-way during repose, any interference with its patency is usually noticed by the patient. If marked, it necessitates the mouth being kept constantly open. The obstruction may affect one or both sides, and may be inspiratory or expiratory, but is usually both. It may also be temporary or con- stant, and is often increased by the patient’s assuming the horizontal posture. A common result of nasal obstruction is inability to sleep. The patient wakes up, as he will tell you, “ fighting for his breath.” A further consequence of nasal stenosis is noisy respira- tion. The patient’s friends notice that he makes much snoring noise when sleeping, and even at other times the breathing of such a person is sometimes plainly heard at a distance. This is particularly noticeable during meals from the interference with mouth-breath- ing caused by the act of eating. In infants, nasal obstruction has still more serious consequences; it not only prevents sleep, but also renders them unable to suck, thus seriously impairing their health.* Dryness * Compare the observations of Kussmaal and Honsell, made on new- born children, (Zieta, Monatsschrift f. Ohrenheilkundc, xiii. ]). D 2](https://iiif.wellcomecollection.org/image/b21905733_0051.jp2/full/800%2C/0/default.jpg)
