Identifier: diseasesofchi00mcco (find matches)
Title: Diseases of children
Year: 1916 (1910s)
Authors: McCombs, Robert Shelmerdine, 1880- (from old catalog)
Subjects: Children Pediatric nurses
Publisher: Phialdelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Fig. 36.—Diagram (anteroposterior) illustrating by the shaded portion (A) the situationof adenoid vegetations in the nasopharynx (Kerr). The child sleeps poorly, is restless, and snores. Itbreathes through the mouth and there is constant catarrhof the nose and pharynx. From the fact that the catarrhcan easily extend into the Eustachian tube, which runsfrom the internal ear to the upper part of the pharynx,attacks of middle-ear disease (otitis media) are quitecommon, and deafness may result. The child is poorlynourished and is subject to acute attacks of tonsillitis.It also predisposes to diphtheria and scarlet fever. 122 DISEASES OF CHILDREN FOR NURSES Treatment.—The best plan is to have the tonsils andadenoids removed if the symptoms are sufficiently annoy-ing. Operation.—According to the size of the tonsils and the
Text Appearing After Image:
Fig. 37.—Examination of the nasopharynx for adenoid vegetations. (The examiner inthis instance is left-handed.) (Kerr.) preference of the operator, several methods may be em-ployed. The tonsils may be dissected out, removed witha snare, cut off by means of an instrument called a guillo-tine, or by means of biting forceps. The pharyngealtonsils or adenoids are removed at the same time. The DISEASES OF THE DIGESTIVE TRACT 123 operation is without danger. The complete removal ofthe faucial tonsils by dissection seems to be the bestmethod. The secondary hemorrhage can be controlledby pellets of ice, pressure, or cotton containing somestyptic, like Monsels solution. It is usually a per-manent cure.

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