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St. Louis Courier of Medicine and Collateral Sciences (1880)
St Louis Courier of Medicine and Collateral Sciences - 1880 Author:Unknown Author Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: the canula he could speak aloud. The canula was not fenes- trated. Examining the larynx by means of the laryngoscope, a cul de sac could be seen just below the t... more »rue cords. Movement of the cords was accompanied by no phonation; there was also no appearance of mucus, which generally makes its way up past a canula, even when there is laryngeal stenosis of the highest grade. Diagnosis was consequently made of complete closure of the larynx at the level of-the cricoid cartilage. A mirror introduced through the tracheal wound, demonstrated a complete diaphragm between larynx and trachea. Probably the mucous surfaces, soon after the local inflammation, had grown together, the unfenestrated canula cutting off the passage of air and secretions that would have prevented this unfortunate result. With a specially contrived knife the adherent tissues were divided, whereupon, after dilation of the constricted space, and elosnre of the tracheal fistula, the boy was able to speak. A dilating contrivance was affixed to a canula, and kept in the trachea. The patient wore the apparatus several weeks without discomfort, and was allowed to return home under medical supervision.—(Vienna Med. Wochensclirift, No. 46.) CASE OP CANCER OF SACRUM. By Dr. N. Weiss, Assistant Physician in the Medical Ward of Dr. Scholz, General Hospital of Vienna. Patient male; 32 years of age; admitted August 6th, 1879; of powerful frame and well nourished. For seven weeks he had eufl.ered from excessively severe pain in the sacral region which radiated into both lower extremities, especially the left. Latterly, obstinate constipation and colicky pains in the abdomen. At the time of his entrance into the hospital, no abnormities of the viscera were discovered. There were no cephalic disturbances whatever. Pupil...« less