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
Sunlight, as well as the light from the oxyhydrogen and electric-arc
lamps, is white, and therefore shows us the parts in their natural
coloring, which is claimed as a great advantage over all other sources
of light. It is true that the yellow rays which are predominant in all
other artificial lights make the mucous membrane appear redder than it
really is, and the observer may be led to believe that a congestion
exists if the patient be examined by white light first, and then by
yellow light on different occasions. But as all our knowledge and
appreciation of shades of color depend upon a comparison with a
standard, it makes no difference whether this standard, as in the case
before us, is a little redder when viewed by yellow light or not so red
when seen by white light. This advantage of the white light is,
therefore, not of much practical value, and the expense and
difficulties connected with the use of the oxyhydrogen or electric
arc-light for laryngoscopy fully outweigh any advantage which can be
claimed for it.
THE ART OF LARYNGOSCOPY.--Before entering upon a description of the
details of the art it will be necessary to clearly understand the
optical principle upon which the use of the laryngoscope is based, and,
further, to remember that the object to be viewed is situated below the
straight path of light and vision. The optical law referred to is, that
"The angle of incidence is equal to the angle of reflection," and
consequently, in order to illuminate the cavity of the larynx and to
see its details, the laryngeal mirror must be placed in such a position
in the fauces that the light is reflected downward. The light rays
forming the laryngeal image will then be reflected from the surface of
the laryngeal mirror into the eye of the observer. It should always be
borne in mind that the image seen in the mirror is a reflected one,
like the image of one's self seen in a looking-glass, so that what
appears to be right is left, and vice versâ. On account of the
difference in height of the parts forming the image, and because the
mirror must be placed above and slightly behind the opening of the
larynx, the picture appears reversed in an antero-posterior direction.
The same holds good when viewing a drawing of a laryngeal image.
Public-domain text, read in full here on John Shaqi.
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