Atlas and epitome of diseases of the mouth, pharynx, and nose / by L. Grunwald; authorized translation from the German, edited with additions by James E. Newcomb.

  • Grپnwald Ludwig, 1863-
Date:
1903
Catalogue details

Licence: In copyright

Credit: Atlas and epitome of diseases of the mouth, pharynx, and nose / by L. Grunwald; authorized translation from the German, edited with additions by James E. Newcomb. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Fig. 1.—The patient, a man of forty-one, has been under observation for the past three and one-half years. At first he had ulcers at the right angle of the mouth and on the tongue, which healed after repeated caustic applications. Later he developed a fistula in ano and chronic infiltration of the posterior wall of the larynx. Recently he had several slight hemorrhages from the lungs. Lungs: Over the anterior upper portion of the right lung there is slight impairment of resonance, with accentuated vesicular breathing. Larynx: Marked infiltration and tumor formation in the posterior wall, in the right ventricular hand, and in the left true vocal cord. _ At the junction of the lower lip with the gums there is a deep, grayish-green ulcer, with lumpy, thickened, undermined edges, the immediate surroundings of which are covered by isolated yellowish nodules the size of the head of a pin. The middle, of the right half of the tongue presents a smooth, triangular scar with greatly retracted center. , . A single tubercle bacillus was found in the discharge obtained from the ulcer; but even without the finding of this bacillus, decisive as it is, the picture itself, and especially its association with the other affec- tions, would assure the diagnosis of Tubercular Ulcer of the Mouth. Fro. 2.—The patient, a young lady of thirty-two years, is reduced in health owing to repeated attacks of pleurisy with effusion; she com- plains about her teeth, which, she says, are becoming loose. After a somewhat purulent exudate has been removed from the gums of the upper jaw. it appears that the gums are enlarged, espe- cially on the left side, flic swelling becoming more distinct toward the molar teeth, with the formation of small, rounded, bluish-red nodules encroaching on the surfaces of the teeth and the interdental spaces. The gums over the roots of the teeth, on the other hand, arc retracted upward, so that in the canine teeth, for instance, half of the root is exposed. The teeth themselves, especially the canine tooth, show greenish-gray discoloration from the deposition of tartar I his condi- tion, referable to neglect of oral hygiene and to bodily weakness, is that of , ,, , . Pyorrhoea Alveolans.