Diseases of the mouth, throat, and nose : including rhinoscopy and methods of local treatment / by Philip Schech ; translated by R.H. Blaikie.

  • Blaikie R. H.
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the mouth, throat, and nose : including rhinoscopy and methods of local treatment / by Philip Schech ; translated by R.H. Blaikie. 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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    solution (R Pot. iod. grs. 30, iod. pur. grs. 5, glycerine Ji., acid, carbol. grs. 5) is recommended, or dusting them over with iodoform. When the _^edges] of ulcers become hypertrophied, they should be touched with solid caustic, while papillomatous excrescences should be cut olf. TUBERCULOSIS. Tuberculosis of the mouth occurs both primarily and secondarily. It generally begins in the soft palate; the posterior parts of the mouth, and especially the cheeks and hard palate, are usually affected. The tongue is often the only part involved. On it tuberculosis appears in two forms, viz., circumscribed tumours, and diffuse miUary tubercles. In the case of the former, Nedopil maintains that immediately under the mucous membrane, or in the deeper parts of the tongue, are formed multiple tubercles as large as peas, or even hazel nuts, which gradually force their way towards the surface, and which are found particularly at the edges, dorsum, and base of the tongue, but also on its under surface and near the frenum. The mucous mem- brane over these tubercles ulcerates sooner or later, and there remain characteristically formed ulcers, with slit-like openings and slightly gaping edges, which are often covered with little white nodules. On separating the edges, one sees that the destruction of the deeper parts is very much greater than of the superficial. Of more frequent occurrence, however, is disseminated tuber- culosis. On the edges of the tongue, and on other parts of the mouth in persons affected with pulmonary phthisis, but also occa- sionally occurring as a primary manifestation of phthisis, are seen prominent nodules as large as a pin-head scattered about or in groups, which, through the scarcely altered epithelium, appear of a greyish yellow colour. As the disease advances, the epithelium peels off from the miliary tubercles, the cheesy contents become removed, and there remain behind superficial ulcers of the size of a lentil, or more diffuse losses of tissue, which are covered with yellowish, often foetid, thin pus, and frequently enclose small bright or pale red granulations. These ulcers during their whole course retain their atonic char-