The throat and nose and their diseases / Lennox Browne ; with special assistance as follows: Anatomy, Mayo Collier ; Nervous diseases, James Cagney ; and Histo-pathology, Wyatt Wingrave.

  • Browne, Lennox (Isaac Lennox), 1841-1902.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: The throat and nose and their diseases / Lennox Browne ; with special assistance as follows: Anatomy, Mayo Collier ; Nervous diseases, James Cagney ; and Histo-pathology, Wyatt Wingrave. Source: Wellcome Collection.

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    TABLE II. DIFFERENTIAL DIAGNOSIS BY SITE OF PURULENT DISCHARGE. Pus in Middle Meatus.— r Antrum. Anterior cavities \ Anterior ethmoidal cells. I Frontal sinus. Pus in Olfactory Slit. — ^ . . . r Sphenoidal sinus. Posterior cavities \ -r^ ^ . -j i n I Posterior ethmoidal cells. TABLE III. SIGNS OF SUPPURATION OF MAXILLARY ANTRUM. Presumptive.— [a) Unilateral discharge. [b) Intermittence of discharge. {c) Infra-orbital pain (this is not constant). [d] Subjective foetor. {e) Upper molar or bicuspid caries. (/) Pus in middle meatus. {g) Mucous polypi. (/^) Lateral swelling of cheek. {i) ,, ,, nasal wall. Probable.— {a) Increase of discharge on bending forwards. ''^ {b) ,, inclination of head to opposite side. (c) Opacity on transillumination. Certain.— (a) Puncture and irrigation. (d) ,, aspiration. (<r) ,, trans-sufflation. 1. Inferior meatus. 2. Middle meatus—natural ostium. 3. Alveolus. 4. Canine fossa. (d) Catheterisation with inflation and irrigation, through one or other of these orifices. TABLE IV. SIGNS OF SUPPURATION OF FRONTAL CAVITIES. Presumptive.— (a) Persistency of discharge. fIrrespective of ) (d) Pam i ^ ^ h pressure. V. Consequent onJ Probable.— (a) No increase of flow on bending forwards. {d) Diminution on supine position. {c) Not affected by maxillary antral irrigation. , „ .„ . . TAntrum—negative 1, , , , [a) Transillumination \^ jrj.Q^|.g^j positive J positive.