File:Diseases of infancy and childhood (1914) (14791962153).jpg

Identifier: diseasesofinfan00fisc (find matches)
Title: Diseases of infancy and childhood
Year: 1914 (1910s)
Authors: Fischer, Louis, 1864- (from old catalog)
Subjects: Children
Publisher: Philadelphia, F. A. Davis company (etc., etc.)
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Section of the Vessel of the Mucous ^^embrano Coutainiui; StioptococousIVogonos. ^ A tier S. Weiss.) ACJIJTE CATAURIIAI. OJITIS MKJJlA. 813 cardiac^ renal, naso, or iiaso-pliaryngoal disease, must be considered apotent factor in tlie production of a suppurative otitis. Staphylococci,diplococci, and streptococci have been found in the naso-pharyngeal space,and it is reasonable to suppose that these micro-organisms are apt to findtheir way into the Eustachian tube and tympanitic cavity even under nor-mal conditions.
Text Appearing After Image:
Fi.u-. 2<S2.—Complication of Scarlet Fever seen in my service at Riverside Hospital. (Original.) A study of this case, in which both ears were discharging, is interesting. Thetemperature was only 99 y° F. in the rectum. This proves that we must always beon the lookout for suppuration of the middle ear in the acute infectious diseases. Pathology.—We must bear in mind that the ossicular chain is sur-rounded or enveloped by folds of mucous membrane, and when this tissuebecomes engorged drainage from the attic is difficult. Consequently ourincisions through the upper and jiosterior ))ortion of the momhrane in acuteotitis should be deliberate and somewhat heroic, otherwise we will notaccomplish the object in view, i.e., drainage from that portion of the middleear which is most likely to be followed by disease of the mastoid antrumand cells. Symptoms.—i\vo ))roininent synipionis are always present: one is■I)ain and ilu^ other fever. The infant is usually very restless, rolliuij

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