File:Interstate medical journal (1917) (14597025290).jpg

Identifier: interstatemedica2419unse (find matches)
Title: Interstate medical journal
Year: 1917 (1910s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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the outline of the rectum and avoiding folds in the mucousmembrane—and there is little danger of the thermometers break-ing, in fact much less danger than when it is inserted in the mouth. Should it even happen that the thermometer does break off thedanger is not great. The child should be given some castor oil andthe fragment will be pushed out with the stool. No manual inter-ference is necessary. There are special rectal thermometers on the market, most ofthem with a protruding bulb at the lower end. The only valuablepurpose this serves is to make the rectal thermometer more easilydistinguishable from the thermometer intended for use by mouth. STETHOSCOPE. The stethoscope used by the pediatrician should be of a kind thatwill frighten the baby as little as possible. The rubber tubingshould be long enough to obviate too close contact with a contagiouscase. The mouthpiece should be made of hard rubber, and not ofsteel which is apt to be too cold for the baby and likely to call forth
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Fig:. 1.—Special stethoscope for laryngeal auscultation. objections from the mother on this score. Several years ago theauthor described a special stethoscope attachment for laryngealauscultation, for the purpose of differentiating laryngeal diph-theria from laryngitis (Fig. 1). This is, however, not an absolutelyessential instrument since there are so many other ways of reachinga diagnosis. TONGUE DEPRESSOR. There are so many diseases of the mouth and throat that occurduring infancy and childhood, that it would be criminal to neglectthe examination of these organs. Of the many tongue depressorsin use the most common and most popular is the flat wooden stick.This tongue depressor has the advantage of being cheap, and there-fore makes possible the use of a separate tongue depressor for eachchild. It has, however, several disadvantages. It becomes soiled anddirty when carried in the pocket. The shape of the wooden stick alsointerferes somewhat with its usefulness, for, being flat, it

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