File:The diseases of infancy and childhood (1910) (14577629447).jpg

Identifier: diseasesofinfa00kopl (find matches)
Title: The diseases of infancy and childhood
Year: 1910 (1910s)
Authors: Koplik, Henry, 1858- (from old catalog)
Subjects: Children
Publisher: New York and Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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to have found itsway from the middle ear through the tube to the nasopharynx. Method of Examination of the Ear in Infants and Children.—Theexamination of these young patients must often be made at the bed-side, where the examiner does not have all the conveniences of theoffice equipment, so that he should be prepared for the use of thehead-mirror with the light from a candle or a kerosene lamp which isstill better. If the examiner is myopic, this is in his favor, but if he has OTITIS IN INFANCY AND CHILDHOOD. 763 hjpermetropia or is presbyopic, the necessary correcting glasshould be worn, for without good vision for the near-point, it will bedifficult to make out any details. If there are no contra-indications such as weak cardiac action,the young patient should be placed in an upright position on the lapof an assistant and the entire body from the neck downwards shouldbe wrapped in a blanket or sheet, with the arms down and fullyextended alongside of the body (Fig. 173). Fig. 174.
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Examination of the ear with the electric headlight. The assistant holding the child should be seated on a firm chairwith a back. In the examination of the right car, the assistantpresses the back of the childs head against the chest, by holding thepatients forehead with the left hand, and for the left ear. vice versa,—care being taken that the other arm firmly encircles the childsbody and arms. (f the electric head-light is used, or the electro-otoscope or anearby gas or electric light, no further assistance will be required.but if a candle or kerosene lamp is brought into requisition, a thirdparty may be needed to hold the lighl a little above and behind thepatients head (Fig. 174). Furunculosis and impacted cerumen are very infrequenl amongchildren, but foreign bodies such as peas and pebbles and smallinsects must be considered as likely to obstruct vision. 764 DISEASES OF THE EAR. One of the greatest obstacles to a proper examination of the mem-brana tympani in children is the pr

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