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However, the patient gave a tubercular history, and admitted the presence of glandular enlargement for several months. Inspection of the oral cavity and pharyngeal vault revealed absolutely no evidence of inflammation anywhere, and for a moment I was nonplussed. But, as the patient repeatedly touched herself about the inferior border of the thyroid cartilage, and insisted that movements of the tongue were very painful, and that she could still swallow nothing, I made a laryngoscopic examination, and found the epiglottis very much inflamed, of a uniform scarlet hue, also considerably enlarged. There was slight extension of the inflammation to the vocal cords, and also to the aryteno-epiglottic folds. Rectal temperature was 101.5., the tongue slightly coated, gray but moist. The pulse was 88, regular, and tension normal. Parenthetically, I was informed she had been treated for a valvular cardiac lesion, for a year; but it was not discoverable to me.
Association News. JAMA. 1901;XXXVI(6):393–394. doi:10.1001/jama.1901.02470060037016
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