File:The diseases of infancy and childhood (1910) (14741088186).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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r spontaneous rupture oi the. tympa-num, or paracentesis, the discharge may continue, beino- in sonic casesserous or serosanguinolent, and later becoming purulent. The puru-lent discharge may be profuse and the disease mav advance into the 762 DISEASES OF TEE EAB. mastoid or labyrinth. This frequently occurs in cases of the ex-anthemata or in pneumonia or influenza. In severe cases, thedischarge may continue and become chronic, resulting in destructionof the structures of the ear. Complications may intervene, such asfacial erysipelas, meningitis, cerebral abscess, thrombosis of thecerebral sinuses, and finally in suppurative cases pyaemia may inter-vene. On the other hand, after spontaneous rupture or paracentesisof one or both drums, the serous or purulent discharge may graduallycease and the ears be restored without any defect of hearing. Inmany cases incision of the drum in the early stages of the disease isnot followed by the discharge of pus; the symptoms cease, and the Fig. 173.
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Examination of the ear with head mirror and reflector. patient recovers. In other cases there is no rupture of the tym-panum, although the tympanic cavity is filled with exudate, whichdischarges through the Eustachian tube. The pus may be swallowedand cause diarrhoea or pneumonia. In the cases of marasmus withotitis described by Heermann, the pus is believed 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-poi

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