A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Science
A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Medicine -- Practice
The second method is to mount the electric lamp on the head mirror in
such a way that it projects a little from the surface and is a little
to one side of the centre of the reflector (Fig. 3). The light is then
thrown forward in a cone, and can be directed with great ease into the
mouth of the patient. Since thus the source of the light moves with the
mirror, the observer can follow the motions of the patient more easily;
and if, in the first place, an easy position of the head has been
assumed when adjusting the light, much less {25} fatigue is experienced
by the examiner with this apparatus than when the light is reflected
from a stationary source. Still another mode of using the incandescent
lamp, which was suggested by Trouvé, is to mount the lamp within a tube
one end of which is closed by a plano-convex lense, while the other end
is covered by a metal cap carrying in its centre a ball-and-socket
joint, by means of which it is fastened to the frontal plate of the
head band. In this way the light with its condensing apparatus is
carried on the forehead like the head mirror.
Sunlight is certainly the best source of light for the illumination of
the interior of the larynx and nasal cavities, but, unfortunately, it
is not available at all times and in all localities. When it can be
obtained, however, the student should not neglect the opportunity, and
should not be deterred from using it for examination by the little
extra apparatus and trouble necessary.
The most convenient plan is to place a small plane mirror mounted upon
a stand in such a manner that it can be turned in any direction, such
as a small toilet-glass, in the direct rays of the sun coming through a
southern window. Then turn the mirror until the reflection falls upon a
second plane mirror supported by a jointed arm and placed in a distant
corner of the room, and in front of the chair upon which the patient is
seated, with his back to the first mirror. The light from the second
mirror is then thrown into the patient's mouth in the same manner as
when a light concentrator is used. The second mirror may also be
mounted on the head band and used as a head reflector, but this latter
plan is not as satisfactory, because the reflected light from the first
mirror is apt to strike the observer's eye and temporarily blind him.
Public-domain text, read in full here on John Shaqi.
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