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Progressive Medicine, Vol. 3
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Excerpt from Progressive Medicine, Vol. 3: A Quarterly Digest of Advances, Discoveries and Improvements in the Medical and Surgical Sciences; Diseases of the Thorax and Its Viscera, Including the Heart, Lungs and Bloodvessels, Dermatology and Syphilis, Obstetrics; September, 1918 The Early Detection of Tubercle Bacilli in the Sputum. Valuable sug gestions are Offered by Dundas Grant in a letter to the British Medical Journal, vol. I, p. 100. In doubtful cases of laryngitis he has frequently been able to procure immediately a satisfactory specimen of sputum by syringing a small quantity of a weak solution of sodium bicarbonate into the larynx and trachea with an intralaryngeal syringe. This may pass muster as merely washing out the larynx. The patient then coughs vigorously and in many cases can be induced to eject the liquid, with a pellet of sputum, into a basin. This procedure is advantageous when the secretion is inconsiderable and habitually swallowed by the patient instead of being coughed out. Again, in very anxious patients the sputum may be obtained in this manner without their being alarmed by the suggestion of the possibility of tuberculosis. A yet simpler method consists in causing the patient to inhale the vapor of mustard oil. A few drops of strong aromatic oil of mustard are poured into an empty 6 or 8-ounce bottle. This may be corked up for about a minute to allow the vapor to fill the bottle, or be held for a few moments over a lamp. It is then uncorked and the patient is ih structed to take a good snie of it. After one or more good sniffs he generally begins to cough and expectorates any secretion that may be present in the larynx or trachea. If no cough takes place the probability of the existence of tubercle, at any rate of the larynx, is slight. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
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