File:An American text-book of the diseases of children (1895) (14595883317).jpg

Identifier: amerbook00star (find matches)
Title: An American text-book of the diseases of children ..
Year: 1895 (1890s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson Seiser, 1862-
Subjects: Children
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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tition duringprofound anaesthesia is suspended. Rapid and per-sistent cotton-swabbing may suffice, but is not socompletely effective, and it prevents the reapplica-tion of the anaesthetic during the bleeding interval.so prolonging the operation. The patient shouldbe kept in bed until the following day. and during healing the parts should becleansed by syringing through the anterior nares with an antiseptic alkalinesolution. Fig. 14 represents the adenoid masses removed from a typical case at asingle operation. When the adenoids are small and soft, sufficient palliation perhaps, but notan absolute cure, can be effected by thorough and rapid scraping with thecleansed finger-nail, used as a curette, without the administration of ether.Gottsteins knife and Hartmanns curette, when deftly plied, can also be madeeffective without anaesthesia, but are apt to terrorize both the child and itsparents. Syrup of iodide of iron, internally, tends to correct the underlying dyscrasia—lymphatism. 29
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Representing Adenoid Vegeta-tions removed from one patient. 45 AMEBICAX TEXT-BOOK OF DISEASES OF CHILDREX. IX. Cleft Pat.atr, True cleft palate is a congenital fissure in the roof of the mouth, of variableextent. The so-called acquired cases differ therefrom in presenting an unequal,ragged, or incomplete cleft, such as -would be produced by the destructive ulcer-ations of syphilis. The extent of congenital cleft may vary from the slightestmanifestation, that of a bifid uvula, to the grossest form of conjoined cleftpalate and hare-lip, in which the fissure involves not only the velum palati andhard palate, but penetrates one or both sides of the alveolar arch and upperlip. with the presence of a separate intermaxillary structure. This article,however, will not embrace the subject of hare-lip except incidentallv (Figs. 15,16. 17;. Fig. i; Pro. 15 Fig. 16.

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