The normal mucosa of the nasal tract is light grayish-red. Note
character of contents of the cavities (mucus, blood, pus, dry
clots or scabs), congestion, hemorrhage, erosions, ulcerations,
diphtheritic membrane, diffuse or localized thickenings of the mucosa
(polypi), adenoids, exostoses, caries, foreign bodies, parasites
(maggots) and neoplasms (sarcoma, fibroma, carcinoma). The most
important conditions are acute and chronic catarrhal inflammations,
ozæna, croupous or diphtheritic inflammations, syphilis, atrophy or
hyperplasia of the mucosa, polypi, and more rarely tuberculosis.
Syphilis causes inflammations and gummatous infiltrations of the
mucosa, gummatous periostitis, foul-smelling necrosis of the bony
portions (ozæna syphilitica). Dense hard fibromata developing from
base of skull may fill up the nasopharynx or erode the cranial base
and press upon the brain. Softer sarcomatous growths may arise
from the hypophysis, or from the lymphoid tissue of the mucosa.
Squamous-celled carcinoma is not infrequently primary in the antrum
and thence invades the nose. Primary malignant tumors of nasal tract
not common. Leprosy, glanders, blastomycosis, and rhinoscleroma are
more rarely seen.
CHAPTER VII.
MAIN INCISION: THORAX AND ABDOMEN.
I. METHOD OF OPENING TRUNK.
1. =The Main Incision.= After the examination of the cranium has been
completed, the skull-cap is replaced and the anterior flap of the
scalp drawn up over it, to hold it in place until the close of the
autopsy. The head is then wrapped in a towel to protect the face and
hair.
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