=MILD SORE THROAT= (_Acute Pharyngitis_).--The milder sore throat is
commonly the beginning of an ordinary cold, although sometimes it is
caused by digestive disorders. Exposure to cold and wet is, however,
the most frequent source of this form of sore throat. Soreness,
dryness, and tickling first call attention to the trouble, together
with a feeling of chilliness and, perhaps, slight fever. There may be
some stiffness and soreness about the neck, owing to swelling of the
glands. If the back of the tongue is held down by a spoon handle, the
throat will be seen to be generally reddened, including the back, the
bands at the side forming the entrance to the throat at the back of
the mouth, and the uvula or small, soft body hanging down from the
middle of the soft palate at the very back of the roof of the mouth.
The tonsils are not large and red nor covered with white dots, as in
tonsilitis. Neither is there much pain in swallowing. The surface of
the throat is first dry, glistening, and streaked with stringy, sticky
mucus.
=Treatment.=--The disorder rarely lasts more than a few days. The
bowels should be moved in the beginning of the attack by some purge,
as two compound cathartic pills or three grains of calomel, and the
throat gargled, six times daily, with potassium chlorate solution
(one-quarter teaspoonful to the cup of water), or with Dobell's
solution. In gargling, simply throw back the head and allow the
fluid to flow back as far as possible into the throat without
swallowing it. The frequent use of one of these fluids in an atomizer
is even preferable to gargling. As an additional treatment, the
employment of a soothing and pleasant substance, as peppermints,
hoarhound or lemon drops, or marshmallows or gelatin lozenges, is
efficacious, and will prove an agreeable remedy to the patient in sad
contrast with many of our prescriptions. The use of tobacco must be
stopped while the throat is sore.
[Illustration: PLATE IV
=Plate IV=
=THE LARYNX=
The illustration on the opposite page shows the upper part of the
larynx and the base of the tongue.
During the inspiration of a full breath, or when singing a low note,
the =Epiglottis= lies forward and points upward, as shown in the cut,
with the glottis (the passage leading into the windpipe between the
vocal cords) wide open.
During the act of swallowing, the epiglottis is turned downward and
backward until it touches the =Cricoid Cartilage=, thus closing the
glottis. The cricoid cartilage, which forms the upper part of the
framework of the larynx, rests on the "Adam's apple."
The =False Vocal Cords= are bands of ligament, and take no part in the
production of sound.
The =True Vocal Cords= move during talking or singing, and relax or
contract when sounding, respectively, a low or high note. Hoarseness
and cough occurring during laryngitis, diphtheria, and croup, are the
result of inflammation of the mucous membrane lining the larynx.]
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