Chapter 17 - Surgical Diseases
Modern Surgery
Inflammation
Suppuration and Abscess
Mortification
Pyaemia
Ulceration and Ulcers
Boils
Carbuncle
Malignant Pustule
Burns and Scalds
Frost Bite
Chilblains
Mechanical,Injuries
Septic Wounds
Incised Wounds
Rules for Examining and Dressing Wounds
Antiseptic Dressings
Way Wounds Unite
Punctured Wounds
Lacerated Wounds
Granulation and Scarification
Gunshot Wounds
Poisoned Wounds
Fractures
Way Broken Bones Unite
Dislocations
Different Diseases of Bones
Pereostitis
Necrosis
Coxalgia
White Swelling
Bunions
Whitlow
Stiff Joint
Tumors
Cancer
Polypus
Piles
Wens
Aneurisms
Bronchocele
Water in the Scrotum
Blood in the Scrotum
Phlebitis
Varicose Veins
Hernia
Varicocele
Deformities and Irritations of the Spine
Wry Neck
Foreign Bodies in the Eye
Stye
Inflammation of the Edge of the Eyelids
Disorder of the Lashes
Ptosis
Chronic Inflammation of the Lachrymal Sac
Opthalmia
Inflammation of the Cornea
Inflammation of the Iris
Weakness of Sight
Imperfect Vision
Short and Long Sight
Squinting
Affections of the Ear
Inflammation of the Meatus
Wax in the Ear
Earache
Inflammation of the Tympanum, Deafness
Bleeding from the Nose
Ingrowing Toe Nail
Chafing and Excoriation
Foreign Substances
Bleeding from Wounds
Proud Flesh
Ambrine
Compression of Arteries to Stop the Flow of Blood
Anesthetics
Care of the Teeth
Rotting of the Teeth
Tooth-Ache
Filling Teeth
The First Teeth
Cleaning the Teeth
Ulcer of the Stomach
Glanders
X-Ray
Radium
Trachoma
Arterio-Sclerosis
Flatfoot
Riggs' Disease
Bandages

17.63 Affections of the Ear

Affections of the Ear.

These, are so common, that, in almost every family, they require attention, at one time or another. And deafness, which so often results from these disorders, is so serious a misfortune that every affection of the ear should receive early attention.


Examination of the Meatus. For examining the meatus, or external passage of the ear, there is perhaps no better instrument than a simple silver or glass tube, of the size and shape represented in Fig. 185.
To make the examination properly, place the patient either in a sitting, kneeling, or standing posture, as may be most convenient, with the ear directly under a good stream of gas or lamp or sun light. Then take hold of the ear with the thumb and finger, and gently draw it outward and backward, and with the other hand introduce the small end of the tube or speculum, and carry it forward as far as it will go without producing pain. Then by gently swaying the large end of the tube back and forth, a stream of light may be made to illuminate all sides of the passage. If the lining of this passage is smooth, dry, pearly white, and shining, and is without wax, it may be regarded as healthy. At the close of the passage, the tympanum may be seen, and should be semi transparent, dry, and grayish white. Within this may be seen the handle of the malleus, coming from above downward and forward. This bone runs about half way across the tympanum, and divides it into an upper front, and a lower back part. This lower back portion, when viewed through the speculum, is more glistening than the upper and front part, and a bright spot of light is seen on its most rounded portion, which is just below and behind the point of the malleus. Inflammation causes this innermost part of the meatus to become thickened, vascular, or granular, like the conjunctiva of the eye when it is inflamed; it also causes it to secrete and discharge matter. INSERTIMAGE

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