DYSPNCEA I^ARYNGEA. ROARING. HEMIPI^EGIA 

 I.ARYNGEA. 



Generic name for common symptom. I<ow and high notes. Grunter, 

 roarer, whistler, piper, highblower. Pace or effort develops. Causes : 

 of temporary roaring, inflammations, abscess, phlebitis, choking, dropsy, 

 petechial fever, phlegmons along vagus. Causes of inveterate roaring, 

 paresis of left recurrent laryngeal nerve, fatty degeneration of left arytenoid 

 muscles, fracture of facial bones, polypi in air passages, chronic thickening 

 of mucosa, foreign bodies in passages, tumors of lymph glands, abscess of 

 guttural pouches, pseudo membrane, laryngeal ulceration, ossification, dis- 

 tortion, fracture of cartilages, action of forcible inspiration, leading on left 

 side, deep origin of reccurrent nerve, effect of chest diseases and violent 

 heart action, examples of morbid conditions impairing innervation. Le- 

 sions in muscles, and nerves. Facial palsy, poison (chick vetch, winter 

 vetch, lead, .fungi, moulds). Intermittent roaring. Hereditary roaring. 

 Symptoms, grunting when coughed or threatened, heavy draft, galop, noise, 

 larnygeal tremor, cold as a complication, roaring with expiration, lesions. 

 Treatment, its use. Prevention, avoid breeding roarers, bearing reins, 

 chick vetch, lead. Tonic medication, caustic to mucosa, firing, setons, 

 iodine, pad nostrils, tracheotomy, arytenectomy, electricity. 



This is the name of a symptom rather than a disease. It im- 

 plies a sound made in breathing in connection with some contrac- 

 tion of the air passages. The term is however usually reserved 

 for those conditions in which the sound results, from chronic dis- 

 ease or malformation, the noise attendant on laryngitis and other 

 acute diseases being rarely spoken of as roaring. In neither case 

 does the noise indicate more than that there is some impediment 

 to the ingress and egress of air through larynx or trachea. 



The pitch of the note varies exceedingly with the causes that 

 produce it and with the hurried nature of the breathing. There 

 have thus arisen the epithets of grunter, roarer, whistler, high- 

 blower, piper, trumpeter, wheeser, etc. The most common dis- 

 tinctions are those of roaring a.n6. whistling. The war^r produces 

 a loud deep basso sound in inspiration, the larynx or windpipe 

 being only slightly narrowed while the whistler or piper produces 

 a shrill blowing or sibilant noise because of the greater constric- 

 tion of the passage. The term grunter is derived from the facts 

 that a roarer usually makes a grunting noise when struck or 

 threatened with a cane, and that when the upper cartilages of the 

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