File:A manual of diseases of the nose and throat (1908) (14783971395).jpg

Identifier: manualofdiseases1908coak (find matches)
Title: A manual of diseases of the nose and throat
Year: 1908 (1900s)
Authors: Coakley, Cornelius Godfrey, 1862-
Subjects: Nose Throat Otorhinolaryngologic Diseases
Publisher: New York and Philadelphia : Lea & Febiger
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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uitable fora given patient is a difficult one to answer, for it hasbeen our experience that what is suitable for one is notfor another. The diet of these individuals should be the mostnutritious possible. Milk, either plain or peptonized,according to the patients taste, buttermilk, and kumyssare all easily digested and assimilated, and should forman important part of the patients diet. The patient should be warned in regard to the dis-position of his sputum. The best method of disin-fecting this is to keep in his room the small card-board boxes made for this purpose, and once or twicedaily to burn them and their contents. Promiscuousexpectoration, especially about the house, is rigidlyto be cautioned against. There is great danger thatother members of the family may thus contract thedisease. The constitutional treatment should be the same asthat given for pulmonary tuberculosis—namely, theadministration of cod-liver oil, hypophosphites, phos- TUBERCULOSIS OF THE LARYNX.Fig. 112. 471
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Authors handle and double curette for removing intralaryngeal growths. 472 DISEASES OF THE LARYNX. phorus, and either beechwood creosote or guaiacol car-bonate in large doses, whichever agrees the better withthe patient. As yet no antitoxin for tuberculosis has been discov-ered which Ave think is either safe to employ, or, havingbeen employed, is of any value in the treatment of thisdisease. The local treatment depends upon the stage of in-volvement of the larynx. Tubercular infiltrations, ifsmall and not growing very rapidly, are best left alone.When large enough to produce dyspnea they should bethoroughly cocainized with a 20 per cent, solution of thisdrug, and after waiting five minutes a second applica-tion is to be made. A double curette, such as thatshown in Fig. 112, is to be introduced into the larynx,care being taken that in this procedure the blades arenot allowed to touch either the tongue, epiglottis, poste-rior wall of the pharynx, or ary-epiglottic folds, forfear of prod

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