TONSILLITIS AS AN INITIAL SYMPTOM OF ACUTE RHEUMATISM IN THE ADULT

JEFFERSON C. CROSSLAND
1892 Journal of the American Medical Association  
rior turbinâtes anteriorly, also a spot almost opposite the last mentioned, as the septum, with galvano-cautery has been followed with best results. Dr. Thrasher said that while in the main he perfectly agreed with the author, yet in some minor particulars he must differ. In cases of obstruction of naris he often found the deep antero-posterior cautery act well, binding down the bulging mucosa to the bony structures by cicatricial adhesive bands. The varicose lingual base he had 'rarely
more » ... had 'rarely associated with neurotic diseases, and he would rather con¬ sider the connection accidental than causal. He thought that the lower animals had been not sufficiently well observed as it was quite well known that many monkeys, birds, etc., blushed or exhibited analogous phenomena. Dr. Hubbard, of Toledo :-I want to add my testimony to the statement by Dr. Seiss that the use of astringents and galvano-cautery are, as a rule, to be avoided in cases of pure vaso-motor catarrhal conditions. His treatment as out¬ lined is excellent, and I have supplemented it with a special apparatus for securing the effect of heat and cold within the nasal cavity. A small, soft rubber bag about the size of the small finger of a glove is slipped over the end of a soft catheter and secured by winding thread around the open end of the bag and catheter. There should be a small stop¬ cock or cut-off between the catheter and syringe. Insert this dilator gently (having first used a solution of menthol in al. vas.) and then inflate with hot and cold water alter¬
doi:10.1001/jama.1892.02420180013001h fatcat:cybjzoiixvfepiq4xe44avjqzy