Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride.

  • Jacob Gottstein
Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    87/290 (page 75)
    rest, and if it be exposed to injurious influences, e.g. cold, spirituous beverages, etc., acute catarrh may become chronic. In persons who have once suffered from catarrh there exists a tendency to recurrence, and children, once attacked with pseudo-croup, suffer from it with every fresh cold. The prognosis is very good, and even in children a fatal termination is very rare, if indeed it occurs at all. TREATMENT. Acute laryngeal catarrh requires, like every inflammation of mucous membrane, an expectant line of treatment together with careful dieting. As during every act of phonation the mucous membrane is pressed upon and irritated, it is necessary to insist that all, or at least continued, con- versation be so far as possible abstained from. In mild cases confinement to a room, especially in unfavourable weather, is necessary; in severe cases the patient should be confined to bed, and the temperature of the room regulated (14° to 15° R. or approximately 65° F.). We know of no certain remedy which shortens or aborts catarrh. In feverish cases slightly diaphoretic treatment is to be recommended (drinking warm decoctions, warm lemonade or an infusion of jaborandi 5-100), and at the same time the neck should be covered with cotton wool or with a Priessnitz compress (i.e. cold water compress covered with oil silk). If internal medication be considered desirable, alkalies (chloride of ammon- ium, carbonate of sodium), which, according to Rossbach's experiments, seem to diminish hyperemia of the mucous membrane and to decrease the secretion of mucus, may be administered. It is of more importance to modify and diminish the tendency to cough which is often very annoying. According to experience, drinking warm milk or hot milk, with equal parts of seltzer or sweetened water, is of some value in this respect. More certain in their action, however, are opiates, e.g.— I Morphia muriat. 0-05 Aq. AmygdaL amar. 10. I Ten to fifteen drops three or four times a day. ' (Approximately morphia) mur. gr. 2| Aq. Amyg. amar. §i). or Ammon. muriat. Slice. Liquirit. aa 3-0-6-0 (30-60 grs. or min.). Morphiffl muriat. 0-03 (gr. ].). |Aq. destillat. 180-0 §iv.). A table8poonful to be taken every one or two hours. The patient must at the same time be taught not to yield to the desire t<» COUgh, and to suppress it OS much as possible. The treatment of pseudo-croup in childh I is slightly different Children who show the first Symptoms of pseudo-croup should be kept in the house, and it is better, even in mild cases, to oonfine them to bed. The temperature of the room should be from II to 15 Et. (65 F.). In order to keep the air damp, wide vessels containing clean hot water