Diptheria, its nature and treatment . Fig. 1. Fig. 2.. Fig. 3.

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RM2AWM7YF–Diptheria, its nature and treatment . Fig. 15.—Ear-Syringe Padded. shown in figure 16. As this requires but a moment, the pad-ding- may be changed after each syringing. A glass syringe expressly designed for this purpose, the. Fig. 16.—Peerless Syringe, No. 4. nozzle of which is protected by a covering of soft rubber, ismanufactured by R. Van der Emde, 323 Bowery, New York, and is called Peerless Syringe, No. 4.

RM2AWM6WA–Diptheria, its nature and treatment . Fig. 18.—Vaporizing Atomizer. and in most cases whicli are serious or show a tendency tobecome so, the inhalation of steam should be resorted to. Themost efficient method of doing- this is the construction of atent over the crib or bed with blankets and barrel-hoops or. Fig. 19.—Steam Atomizer. other supports. There should be an opening- in one side of thetent for ventilation. The air within the tent may be keptsaturated with warm vapor by means of a tube from a croup-kettle, which should be placed outside of it. 240 diphtheria; its nature and treatment. T

RM2AWM6HH–Diptheria, its nature and treatment . Fig. 19.—Steam Atomizer. other supports. There should be an opening- in one side of thetent for ventilation. The air within the tent may be keptsaturated with warm vapor by means of a tube from a croup-kettle, which should be placed outside of it. 240 diphtheria; its nature and treatment. The air in the tent being- thus maintained at an equablewarmth, and draughts being excluded, the room can safely beventilated by opening the window or otherwise, and the evileffect of the impairment of the air by the burning of the alco-hol or other combustible employed,

RM2AWKK91–Diptheria, its nature and treatment . ^ in these casesin keeping the mouth sufficiently open with the finger, if car-ried far enough to the patients right to be out of range of thefront teeth. Allowing the child to compress the finger be-tween the gums for a few seconds until the jaws relax, beforecarrying it into the fauces, avoids the necessity for using force. FORMS OF STENOSIS OF THE LARYNX. 273 The Denharclt gag, which is the one shown in the cut, holdsbetter than the one originally devised by the author, thehandle of which projects downward and is liable to be knocked. Fig. 9, shows the

RM2AWKKJT–Diptheria, its nature and treatment . iable. Fig. 7 represents the normal lumen of the subglotticdivision of the larynx from a child of the same age, and Fig.8 a section from the trachea of the same showing the greatdifference in the caliber of the air passage at these points. I have used the 5-7 tube at two years of age either to ob-tain the benefit of the increased length or larger head, and FORMS OF STENOSIS OF THE LARYNX. 269 this can be adopted where there is pseudo-membrane produc-ing- obstruction at the lower extremity or swollen tissue over-lapping the head of the smaller tube. Greater

RM2AWMBDT–Diptheria, its nature and treatment . FN.. ££- .,„ -^ ?•-:-C--% v fBZ. Fig. 4.—The Extension of Bacteria into the Fi-brinous Exudation. (Oertel.) B. V., bacterial vege-tations; F.N., fibrinous network; L, leucocytes,their degeneration, division and disintegration be-ing indicated to a slight extent only; B.Z , chainsof rod-shaped bacteria with knobbed extremities. 42 DIPHTHERIA; ITS NATURE AST) TREATMENT. and by fermentation-changes in the decomposing- substances,and becomes more and more widely diffused. Diphtheria, as a general rule which is subject to relativelyvery few exceptions, occurs

RM2AWM8K2–Diptheria, its nature and treatment . CAVIDSON RUBBER CO. DAVIDSON RUBBER CO. Fig. 11.—Davidson Anatomizer, No. 59. Fig. 12.—Davidson Anatomizer, No. 6. stance, solutions of permanganate of potassium (3 to 5 grainsto the ounce), peroxide of hydrogen (one in four of water),bichloride of mercury (one in 4000 to 10,000), borax or boracicacid (one to three per cent, solution), salicylic acid (one in 500to 2000), etc. The special utilities and drawbacks of these andother valuable substances, and also the manner in which theymay be employed, have already been stated. When the solvent ferments are ap

RM2AWKMK7–Diptheria, its nature and treatment . Fig. 23.—Double Trachea Tube. Blovable Plate. Silver. The opening of the trachea is announced by the escape ofair. Fragments of false membrane sometimes present them-selves at the opening and are coughed out, or may be extractedby forceps. It is often advisable, before introducing the can-. Fig. 23.—Trousseaus Dilator. nula, to excite coughing by inserting a feather downward intothe trachea, that blood, mucus or fragments of false mem-brane may be expelled. ^r. J. A. Wyeth: A Text Book on Surgery.1 p. 453. 252 DIPHTHERIA; ITS NATURE AND TREATMENT. The cann

RM2AWKM9E–Diptheria, its nature and treatment . aphy of this subject under thetitles of catheterization of the larjmx, tubage of the glottis,and intubation will be found in a paper by Dr. Dillon Brownin the Transactions of the 9th International Medical Congress,section on Diseases of Children. DESCRIPTION OF INTUBATION INSTRUMENTS. A set of instruments for children, under the age of puberty,consists of six tubes (1) of different sizes and varying in lengthfrom one and a half to two and a half inches; an introducer,(fig. 2), an extractor, (fig. 3), a mouth gag (fig. 4), and scaleof years (fig. 5). Each t

RM2AWM7DW–Diptheria, its nature and treatment . Fig. 16.—Peerless Syringe, No. 4. nozzle of which is protected by a covering of soft rubber, ismanufactured by R. Van der Emde, 323 Bowery, New York, and is called Peerless Syringe, No. 4.. Fig. 17.—Universal Syringe. An instrument which will serve very well in most cases isthe universal syringe made by Tiemann & Co., which is en-tirely of soft rubber. 1 Fifth Memoir. 228 diphtheria; its nature and treatment. Warm salt-water (one drachm to the pint) is admirablysuited to the purpose. The addition to it of bichloride of mer-cury (one grain to the pint) or o

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RM2CE66E5–. Diptheria, its nature and treatment . Fig. 1. Fig. 2.

Diptheria, its nature and treatment . Fig. 1. Fig. 2.. Fig. 3.

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