Ludwig Grünwald
Published: 2013-09
Total Pages: 70
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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1898 edition. Excerpt: ...in large quantities. PLATE 7. Fig. i. A single woman, 31 years old, has been ill two days with fever, sorethroat, and hoarseness. No dyspnea. The soft palate and both tonsils are slightly red; the left tonsil slightly enlarged and flecked with pus. The posterior pillar on the right side is also slightly enlarged. Submaxillary glands on the left side palpable and painful. Laryngoscopy.--The entire left half of the epiglottis, as well as the left glosso-epiglottidean ligament, is converted into tense, shiny tumors of a yellowish-gray color. The left aryepiglottidean ligament is slightly thickened. The vocal cords, on the other hand, are white. Their mobility is, however, much impaired: both approximation and tension are incomplete in phonation. The picture is interpreted as that of Acute Infectious Edema originating in tonsillar infection. Fig. 2 is the postmortem picture of the larynx of a very fat man who died suddenly of asphyxia. The entire epiglottis and the mucous membrane covering the right half of the cricoid cartilage are puffed out and very red and swollen. In this case a more intense process was at work than in the last illustration--an Acute Infectious Phlegmon, probably erysipelatous in character. PLATE 8. Fig. I. A man with a weak, sighing, high-pitched voice comes with a history of acute catarrh which began ten days ago. In this case also the arytenoidean region is especially inflamed, although the rest of the laryngeal mucous membrane is likewise somewhat injected. During phonation the posterior part of the glottis remains open in the form of a triangle, while the anterior part is spasmodically closed. It is therefore an Inflammatory Paralysis of the Transverse Arytenoid Muscle. Fig. 2. A man, 38 years old, caught cold at a...