Lighted

Lighted. ; l I with with and about about about century «Mediko-Biologich. Magazine», 1927, . 5 (it is given new lighted. ); E bs t e in, Deutsch. Arch. kl. Med. LXXXIX, 1907 (the index of lits. ). Lukomsky. BARRELS FOR DEGERMINATION (a dressing, operational linen, dressing gowns, gloves and so forth), are produced from the nickeled tin on the sample, released the German, firm Lautenshleger, according to proposition (Schimmelbusch) is supplied by double sides: intrinsic-motionless and outside-mobile. On an intrinsic side there are the fields supplied with numerous shallow foramens according to which on an outside side windows (see drawing) are cut out. By means of the special spring dense is reached an outside side to the intrinsic. Before ‘ the side moves, and are discovered in an intrinsic side through which the steam inpours in Upon termination of degermination for short time abandon with open foramens of a side to yield pair to escape from then, having moved an outside side, hermetically occlude. For vulcanizers of the square shape it is better to use in a view metal boxes. With a view of economy apply also from the dense canvas or change them, under Brown’s proposition (Braun), wattled anthodiums in linen covers. For the control of degermination (Mikulicz) has suggested to put in atop a stuff a stria of the filter paper imbued in colour by interaction of starch and solution of potassium iodide (staining reaction). Under the influence of steam sterilising at t ° 100 ° within 1 hour there is a stria decolouration.

. The DRUM LUMEN, see the Middle ear. DRUM And L , dactyls with kolbovidno-utolshchennoj a nail phalanx and truncated, often deprived lunulae, sharply protuberant nails getting the blessing giving „to it looking alike clock glasses (fig. 1 see). By whom it is yielded for the first time, to the featured change, the name , is not positioned; used sometimes for notation of such dactyls the name « dactyls» is wrong, changes only nails are featured. Meet at the pulmonary diseases conducting to a suppuration and decay of a fabric, preferentially at (also at , tbc than lungs with landfills, a gangrene, malignant neoplasms of lungs), at congenital heart diseases, , is more rare at nek-ryh other diseases (, a cirrhosis and so forth). Changes of trailer phalanxes educe normally within months, sometimes within several weeks, and can sometimes undergo to return development at treatment of the basic disease. Are normally observed equally from both sides (standing more feeblly and less often, than on arms), sometimes irregularly; secund development (an aneurysm subclaviae dex is on occasion featured. , Etc. ). As show X-ray diagrammes, the thickening of the extremities of dactyls descends only at the expense of soft parts (fig. 2 see). The parentage speaks or activity on fabrics of toxines, a Fig. of a Fig. of the aspirated from purulent and putrefactive locuses, or venous stagnation. Other theories (, a lesion, etc. ) have been offered also. The thickening of soft parts of trailer phalanxes, according to the majority of authors, is initial tubular bones («osteoarthropathie hypertrophiante pneumique» Marie).

It is observed in shape exclusively seldom which

It is observed in shape (exclusively seldom ) which at decay forms plural punching (see the Middle ear). M y r i n g i t i s v i l l o s a-very rare disease; at almost utter annihilation strati proprii, descends a thickening and turbidity and papillary growth on an outer surface. – about l with and about meets in the form of is nitidous-white, magnitude in a pin head or it is little bit more, granules which are on a membrane and consist of the flat epithelium which has been had like bulbuses; contains cholesterol crystals ( ). descends from stratum cutaneum and it is concluded in a sheath, by a cylindrical epithelium and containing hematin. With to at with with in (the Middle ear see). Application of the artificial is shown only when there is a sharp two-sided relative deafness, it is less than half-metre on speech. It is possible to apply them at major and small defects partis tensae, especially back quadrant balances, but only at lack . The small wadded pellet moistened with boric glycerine is applied as an artificial membrane. Selling from a different stuff are less convenient. 789 790 Lits. : . , . And . . Tympanic membrane, , 1907; D e n t e r K a h l e r, Handbuch Hals – Nasen – Ohrenheilkunde, VI,-Miinchen, 1926; S with h an ef e r G r i e s s w e i n, Physiologic Ohres, I, 380 (the detailed literature); P o l i t z e r, Lehrbuch der Ohrenheilkunde, Stuttgart, 1908; and 1p i s e t L i b e r m a n n, Etude anatomique et radiographique de la structure de 1′apophyse mastoide, Revue de laryngoscopie et d’otologie, 1927, ¹ 21; W i t t m and and with k (Henke, Lubarsch, Handbuch der speziellen pathologischen Anatomie und Histologie, XII, 1926); To a t z, In 1 u m e nf e 1 d, Handbuch speziellen Chirurgie Ohres, I, Wurzburg, 1922.

The bleeding at a trauma happens negligible

The bleeding at a trauma happens negligible. Membrane traumas are normally accompanied subjectively by a rattle, morbidity, dizziness, depressing of audition and aural noise. If the wound is not infected and does not become complicated a middle ear inflammation healing descends promptly. . Membranes heal sluggishly. Indirect traumas are observed more often, than straight lines. As an example of such traumas serve – a breakage of shells, impact in an ear, too sharp or blowing off, especially at hems of a membrane and Subjective symptoms-as well as at direct traumas. Membrane breakages happen more often in the frontbottom quadrant balance, differ the rough edges coated with hemorrhages. Special treatment, somehow a lavage, a wipe, blowing off, is counter-indicative at all views of traumas; it is recommended preventive cotton wool in outside acoustical passage. Damages can join middle ear crises at traumas of a base of skull (the Middle ear see). If business in such events does not reach damages, and there is a hemorrhage on the average to an ear (haematotympanum) the tympanic membrane gets reddish shade thanks to a blood exposure to radiation. From rare diseases are scored: h e r p e s, in connection with similar disease of the person and a pharynx. Special treatment it is not required. N an e v u s c u t a n e u s it was observed as continuation of similar disease of acoustical passage. (Kohrer) observed v and g i with e s in the form of strongly acting blister imbued in bloody colour, with thin on M y r i n g i t i s t u b e r culosa-tbc-.

If blisters on a membrane are considerable on the

If blisters on a membrane are considerable on the dimension they are pierced by a needle, and then the lung Ac is effected. boricum pulveratum subtillissimum from . Within several days process is normally liquidated. -X . (myringitis chronica) is normally only a part of blanket disease of outside acoustical passage or it can educe from tightened sharp . Is , sharply reddened in those places where it is deprived an epithelium. Sometimes there are small pelletisings. At . , like sharp, unlike processes on the average to an ear, the audition does not suffer. At presence on a membrane of pelletisings, it is necessary with small punching of a membrane on which edges pelletisings are had. For the diagnosis blowing off is used. -Treatment. Separate pelletisings aural pincers (Hartmann) after pre-award 10 % cocaine solution; at presence cauterising of 5-10 % by solution Arg is effected. nitrici, also after , and then injection of a boric powder. and I, with in I and from the prof. in about with I m and. In the metal industry of a particle of metal can invoke damages To the chemical industry burns Operation in the caissons, bound to breaking of normal aerial pressure are observed, invokes the considerable injection, and sometimes bloody ; can receive even breakages. -Traumas can be parted on three bunches: 1) arising from direct mechanical action; 2) bound to sharp oscillations of aerial pressure; 3) bound to middle ear crises. At I the m traumas on happens normally punching ungeometrical deckle-edged, depending on magnitude and the shape a subject; Round punching blood clots are had.

Or it is absolutely destroyed at presence process

Or it is absolutely destroyed at presence () process on the average to an ear when between and middle ear sides hems are formed. In the presence of punching, assay by an air-operated funnel does not yield effects. The punching diagnosis is positioned still a trace, a mean: blowing off through the Eustachian tube by balloon by means of nasal or without it is effected, and simultaneously rubber tube () bridges an ear of b th probing to an ear; In the presence of punching the clear whistling note of air transiting through a punched foramen is audible. Reception is applied to punching diagnostics still. If to force b th at the occluded mouth and clamped to naze to inflate cheeks and at small punching whistle 787 788 air transiting through a foramen will be clearly audible. However, this reception does not yield effects at the Eustachian tube occlusion. Primary diseases Naturally diseases, at k-ryh it is amazed initially, meet rather seldom. – sharp (myringitis acuta) in most cases. Accompanies blanket diffuse disease of outside acoustical passage, but can meet and separately. Subjective symptoms happen are feeblly expressed, but at an inflammation, as for example, at , there come strongly wimbling pains in an ear and noise. The membrane in a various degree, is coated or the small blisters containing serous or purulent fluid. Unlike middle ear disease, the audition is not variated or slightly variated, that is characteristic for . In sharp inflammatory stages are applied compresses To reduction of pains.

Light reflectance on a pulsing droplet of the abjointed

Light reflectance on a pulsing droplet of the abjointed yields pulsing jerk. At the concluded or calmed down process on the average the fish soup can see and dry punching. In events inconvenient to the diagnosis it is necessary to resort to a trace. To means: magnifying lens Application, k-ruju hold before an aural funnel. For this purpose it is possible to use an ordinary magnifying lens about 13 dioptries or expressly designed magnifying lens (Brunings). Sounding. The thin sonde is for this purpose applied, it is better silver or from , with a button on the extremity which use with guard. Application of air-operated funnel . Last is outside occluded by a glass, and on a side side has a branched small tubule for bond with a rubber tube and a small balloon. By means of it it is possible to effect alternately an inspissation and air rarefaction in acoustical passage. Normal ‘ the item at assay by funnel finds motility: The greatest locomotion descends in the field of a verhne-back quadrant balance and membranae Shrapne l, light jerk right drum And With – outside:/-dlinSuDiKi INITSIRUJUT – a bumping hammer process; R heels 2-plica malleolaris blood, jelly drops. s t e r i o r; 3-short atrofiche – a sprout ( places About – cessus lateralis); 4-pars ^ «accida membranae tym ool – p a n i (at to on edge Shuya MOTILITY incisurae Rivinii); 5-ruI ballot, as ; 6-6/G Ttpttet-jatprgt, b o membranae tympani. A sail. MOTILITY by a dotted line it is designated . Happens zna – on quadrant balances (on it is reduced corning’y).

Both hems and atrophies differ motility in comparison

Both hems, and atrophies differ motility in comparison with a healthy part of a membrane at assay by air-operated funnel (see more low). Under theory BHTMaKa (Wittmaack), encapsulated infantile otitises of early children’s age influence also on. A view (atrophies, , opacifications), affecting and on a developmental character a process. , on , often by the form it is possible to infer about character a process. and Liberman studied communication between a view and frame a process and have positioned a known interrelation between them. At . about and and I it is necessary to distinguish them on a situation: 1) central, 2) regional and 3) punching of a membrane. The punching location plays the considerable role in diagnostics . Purulent lesions of a middle ear and their forecast (the Middle ear see). Major punching are easily appreciable on their clear edges delimiting defect from a healthy fabric. At small edges are not clear, and their diagnostics is more difficult; sometimes and major to punching introduce difficulties when slimy a middle ear it is variated, has reddened, and merges with reddened In such events it is necessary to search for any remnants or bonelets, or to resort to sounding. In not clear events it is necessary to wait sometimes for attenuation inflammatory the phenomenon. Small scraps of the sulphur, the died secret or blood on can in doubtful events be confused insufficiently skilled eye with small . Sometimes at inflammatory changes on the average to an ear an inflammatory secret , leaving through small punching.

descends in the field of a verhne back quadrant balance

descends in the field of a verhne-back quadrant balance which can sometimes hang in the form of a papilla over membrane bottom more often. If process has reached to appreciable normally comes having dug through last and the TYMPANIC MEMBRANE 785 TYMPANIC MEMBRANE 738 is received a foramen in, punching (the tab. , fig. 4 5 see). If process in . To an ear has not come very far, . It can be liquidated and without punching. – at inflammations, its red discoloration gradually disappears. When the inflammatory phenomena transit, the membrane is represented grey colour, a little transparent. The injection of pots along the handhold long keeps. At the full liquidation of process, can or take completely that form what it had before disease, or if in stratum cutaneum or mucosum there was a connective tissue neoplasm in a membrane or there are grayish opacifications, or thanks to deposit of crystals of lime clearly delimited white maculae, (the tab. see, fig. 3) are received. -Formed during sharp inflammations of punching can or cicatrise or get . Character. In hem formation share only outside and inside layers owing to what the hem is more thin and it is transparent, than other membrane. To hems are similar a drum membrane-atrophy which so-> are more transparent and seem more dark in comparison with other part of a membrane. the membrane part cannot stand up to in such degree to aerial pressure as not variated part, and is normally dented inside. Atrophies can be distinguished from hems that they is more on the dimension and are is better delimited.

At the intrinsic side of a middle ear can attach reddish

At the intrinsic side of a middle ear can attach reddish shade in the field of the zadne-top quadrant balance. Inflammatory changes of a membrane can educe both from outside acoustical passage, and from a middle ear. Whether from patterns always it is possible to be solved-is available business with disease only or the lesion of last is a process consequence on the average to an ear. Sharp in about with and l and l changes and I affect in an injection of the pots going along the handhold (the tab. , fig. 6 see). Soon the injection of a peripheric vascular net joins it; further red discoloration traps everything, since the zadne-top quadrant balance and membranes (the tab. , fig. see 7). The short process, but, in the extremity-extremities is long visible, and it disappears. The hyperemia is followed by a serous impregnation and its infiltration. At it is difficult to delimit a membrane from outside passage, owing to transferring of an inflammation to last (the tab. , fig. 8 see). At some shapes of an otitis () bladders on, charged with blood or serous fluid can be formed various magnitude. These blisters can break and then grey scurf an epithelium is received. On or in the heart of acoustical passage. If it is necessary to deal not with one disease of a membrane, but also with a middle ear inflammation as it often happens, on the average to an ear which effects pressure on a little-on-malu, and last . If has collected on the average to an ear promptly, and averages and membrane periblasts still have a little undergone to an inflammation, the exposure to radiation through healthy layers is received, and the membrane has nitidous metal shade.