File:A practical treatise on medical diagnosis for students and physicians (1904) (14571900957).jpg

Identifier: practicaltreatis1904muss (find matches)
Title: A practical treatise on medical diagnosis for students and physicians
Year: 1904 (1900s)
Authors: Musser, John Herr, 1856-1912 Pancoast, Henry
Subjects: Diagnosis Diagnosis, Radioscopic Diagnosis
Publisher: Philadelphia and New York : Lea
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ficance is theoccurrence of asthma, or sudden dyspncx?a, from reflex excitati(m of thepulmonary division of the pneumogastric nerve. Morbid Processes. The morbid processes are congestions ; inflamma-tions, which may be infectious, or toxic as from vapors ; infections, eitherprimary or symptomatic of some general disease; and morbid growths.Acute inflammations are significant of the exauthematous diseases, par-ticularly measles. As Meigs has pointed out, an acute inflammation withgreat obstruction of the nares and an abundant, puriform discharge, is acomplication or symptom of Brights disease which may portend the onsetof uraemia. Chronic inflammations may be due to syphilis or otherchronic infection. Diagnosis. The facts obtained by the klstorlcal diagnosis give butlittle information in the differential diagnosis of nasal diseases, except forthe lesions which simulate one another but which have a differeni origin.Often only in this manner can we recognize syphilitic lesions. Fig. 338.
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Vertical section through nasal cavities. (Diagrammatic.) (Seiler.) 1. Superior turbinated bone. 2. Middle turbinated bone, with posterior hypertrophy. 3. .Section of hypertrophied pharyngeal tonsil. 4. Inferior turbinated bone. 5. Orifice of Eustachian tube. The subjective diagnosis demands a study of the symptoms of pain,cough, and disturbance of the sense of smell. The first two have beenconsidered in the chapters devoted to these symptoms. Disturbance of the Sense of Smell. (See the Nerves.) Loss of smell,or anosmia, occurs to a moderate degree in all the inflammatory and ob-structive diseases of the nose. The intensity depends upon the degree ofchange in the mucous membrane. It mav also be due to disease of the 860 DISEASES OF THE NOSE AND LARYNX. nerves or tlie olfactory centre in the brain. ParoHmia is the ))erceptionof abnormal odors, and may be a neurosis or solely a psychical difticultvand hence purely subjective, or there may be inability to distinguish anodor when presented

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