Inaugural dissertation on the pathology of the laryngismus stridulus / [Andrew James Scott].

  • Scott, A. J. (Andrew James)
Date:
1838
Catalogue details

Licence: Public Domain Mark

Credit: Inaugural dissertation on the pathology of the laryngismus stridulus / [Andrew James Scott]. Source: Wellcome Collection.

    10/34 page 10
    no exhausted, it falls lifeless on the nurse's arm, and it is then that the child is generally said to have died in a fit.” The suddenness of the attack, the absence of cough, pain, and other indications of inflammation, but more particularly the absence of any traces of inflammation on examination after death, suffi¬ ciently distinguish it from the true croup. Per¬ tussis is the disease which most nearly resembles laryngismus; and the resemblance is so striking, that Dr Ley mentions an eminent physician, with whom he was in consultation, having mistaken the one for the other.* The principal diagnostic signs between the two diseases, according to the best authorities,*}* are the following : — Pertussis is contagious, laryngismus is not. Pertussis comes on gradually, while, on the contrary, laryngismus comes on without the slightest warning. Pertussis runs through a regular course, and is seldom inter¬ rupted in its course, which very often continues for three or four months. Laryngismus, on the other hand, frequently subsides, and again recurs with increased violence. From bronchitis, and the suffocative catarrh of Laennec, it may be dis¬ tinguished by the absence of pain, and the peculiar wheezing sound easily to be recognized in these affections. * Ley, p. 1@2. t Ibid. p. 162. Ryland on Diseases of the Larynx, p. 133.
    digitised image 1
    digitised image 2
    digitised image 3