=Method of Examination.=—For use in nasal examinations and treatment,
a suitable chair with adjustable headrest is of much value because if
the patient is not comfortable and in a convenient position, the work
is very difficult. A few instruments, such as the following, are very
essential: A sterilizer for instruments, head mirror and reflecting
lamp, nasal speculum, tongue depressor, tonsil pillar-retractor, a
nasal packing forceps and a few aluminum cotton applicators. These
instruments are few and comparatively inexpensive, but are of more
practical value than a lifetime collection of electrical apparatus.
Any physician can readily learn the use of these instruments and the
methods of examination by attending the clinical sessions of our
conventions. Methods and technic of treatment, however, require much
practice and experience to develop efficiency.
Acute Rhinitis
This disease, commonly known as a “cold in the head” is one of the most
common, and because of the complications which so commonly result, a
disease which really requires careful consideration.
=Etiology.=—The predisposing cause is reduced resistance and individual
susceptibility to air-borne irritants and infective organisms.
Direct exposure of some insufficiently protected part of the body such
as the feet in cold, damp weather, exposure of some unprotected part
of the body to draughts or exposure of the whole body to slightly
reduced temperature for a considerable time, are the common causes. In
cold weather, it is very important that the proper indoor humidity be
maintained, because the drying of the mucous membranes renders them
susceptible to infection. This disease is not only contagious at times
but may even become endemic from some specific and virulent organism.
The complications which may and often do follow such infections
are laryngitis, bronchitis, pneumonia, etc. and any one or more of
the focal infections, such as sinuitis, tonsillitis, or middle ear
infection. A focal infection thus caused may become chronic and render
the patient constantly susceptible to head colds. In fact in those
persons who suffer from chronic head colds, there may nearly always
be found some focal infection, such as the above named, and it is
often impossible to get permanent relief until such sources of focal
infection have been properly treated.
The influence of gross structural lesions, osteopathic lesions of
the cervical and upper thoracic region, vertebræ and ribs must not
be overlooked because they exert a powerful influence upon the blood
supply, particularly the venous and lymphatic drainage and upon the
autonomic nervous mechanism, which regulates the physiologic control of
such functions.
Gross structural abnormalities of the intranasal chambers, such as
deflected septum, enlarged turbinates or cellular turbinates, which
cause deficient or abnormal breathing space, may cause and maintain
head colds.
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