Lectures on the theory and practice of physic (Volume 2).

  • William Stokes
Date:
1842
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Licence: Public Domain Mark

Credit: Lectures on the theory and practice of physic (Volume 2). Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    LECTURE LVIII. DR. BELL. Laryngitis Memeranacea—Croup.—Anatomical trait characteristic of the dis- ease; lymphatic exudation in a membranous form in laryngeal inflammation— Phlogosis extends to trachea and bronchia; sometimes to the lungs—The chief seat of croup is in the larynx—Proof from dissections and the leading symptoms— Character of the breathing and the voice in croup—Dyspnoea evincing affection of the lungs at the same time.—Causes—referrible to locality, states of atmo- sphere, and age of the patient—Seasons in which it prevails—Mortality from croup in New York, Philadelphia, and Boston—Epidemic croup—Age at which croup is most common—Proportion of the sexes.—Symptoms—Precursory or common ; and imminent and special—First and second stages.—Duration.— Mortality.—Varieties of croup—Spasmodic croup—Dr. Ley's theory—Differen- tial diagnosis—Difference between primary and secondary or consecutive croup—Membranous exudation from air-passages forms in some other diseases.— Treatment—Intentions of cure—First remedy, an emetic—Tartar emetic to be preferred—Venesection—The warm bath—Leeching or cupping—Calomel with tartar emetic—In approaching collapse, perseverance in the use of calomel and stimulating and antispasmodic expectorants; blisters, epithems, etc. page 112 LECTURE LIX. DR. BELL. True therapeutical action of tartar emetic and of calomel in croup—Practitioners who have employed calomel—Venesection—its advocates—Leeching—Expec- torants ; those of the antiphlogistic kind to be first used—Tartar emetic and opium; calomel and opium—Squills—The alkalies—Polygala senega; its alleged powers and true value—Diaphoresis; is sometimes critical; when use- ful, aad how procured—Tartar emetic, as a diaphoretic, to be given in the smallest doses—Warm pediluvia and counter-irritants to the lower extremities —Vapour bath—Warm bath not to be confounded with the hot bath—The arm bath—Antispasmodics; the best antispasmodics, venesection, tartar emetic, calomel, and the warm bath; opium, and afterwards assafcetida, camphor, &c.— Topical remedies; blisters—when and where to be applied—Stimulating- liniments—Cauterization of the fauces and pharynx—Tracheotomy.—Laryn- gismus Stridulus; not identical with spasmodic croup as often met with —Description of L. stridulus—With affection of the glottis are associated spasms in other parts—Causes of the disease; the children most liable to it.— Treatment; commonly mild—mixed, hygienic, and medical.—Pre- Tention 132 LECTURE LX. DR. BELL. Chronic Laryngitis—Itssynonymes—Seat of the disease—Structural changes— Applicableness of the title, laryngeal phthisis.—Large proportion of ulcerations in the epiglottis, larynx,and trachea, in phthisical subjects—Symptoms: sensa- tions, voice, aphonia, cough, breathing—Different species of# chronic laryn- gitis,—a knowledge of, necessary for prognosis and treatment—Examination of the fauces and pharynx—To determine the state of the lungs: auscultation, percussion, and expectorated matter—Duration of the disease—Causes: age, sex, prior disease, vocal strain, atmospherical vicissitudes, habits . . . 148 LECTURE LXI. DR. BELL. Treatment op Chronic Laryngitis.—Rest of the vocal apparatus,—antiphlo- gistics,—counter-irritants,—narcotics, mercurials, iodine, sarsaparilla, balsam of copaiva, blue masirand syrup of sarsaparilla, sulphurous waters Topical VOL. II. 1
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