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The extremely fœtid odour which pervades the room or even the house the patient occupies, is usually sufficient to suggest the diagnosis of cancrum oris. The odour must not be mistaken for that due to decomposition of sordes on the teeth and gums of a debilitated patient. The prognosis is always grave in the extreme, the main risks being general toxæmia and septic pneumonia.
The preface to the original edition of the 'Cornucopia' is worth reading for the lively impression which it conveys of Federigo's personality: 'Admirabitur in te divinam illam corporis proceritatem, membrorum robur eximium, venerandam oris dignitatem, ætatis maturam gravitatem, divinam quandam majestatem cum humanitate conjunctam, totum præterea talem qualem esse oportebat eum principem quem nuper pontifex maximus et universus senatus omnium rerum suarum et totius ecclesiastici imperii ducem moderatoremque constituit.
It was called a speculum oris. The dotted lines in the figure on the right hand of the screw, represent it when shut, the black lines when open. It is opened, as at G H, by a screw below with a knob at the end of it. This instrument is known among surgeons, having been invented to assist them in wrenching open the mouth as in the case of a locked jaw. But it had got into use in this trade.
Only in the early stages and when the infection is limited are local measures successful in arresting the spread; in more severe cases amputation is the only means of saving life. #Cancrum Oris# or #Noma#. This disease is believed to be due to a specific bacillus, which occurs in long delicate rods, and is chiefly found at the margin of the gangrenous area.
Chvostek's sign consists in a visible twitch of the facial musculature, especially of the orbicularis palpebrarum or of the orbicularis oris, in response to a gentle tap administered over the facial nerve in front of the ear. Trousseau's sign is the production of tetany by applying firm and prolonged pressure to the brachial nerve in the upper arm.
RABIRIUS is worth remarking for the extraordinary impression he made on his contemporaries. Ovid speaks of him as Magni Rabirius oris, a high compliment; and Velleius Paterculus goes so far as to couple him with Virgil as the best representative of Augustan poetry! His Alexandrian War was perhaps drawn from his own experience, though, if so, he must have been a very young man at the time.
They have a good deal in common with those bright, clever, and famous mimics, the Indian mynahs, which they much resemble physically. This was the bird which Bontius considered "went one better" than Ovid's famous parrot: "Psittacus, Eois quamvis tibi missus ab oris Jussa loquar; vincit me sturnus garrulus Indis."
Horrentia Martis arma is worse than any of the rest. Horrentia is such a flat epithet as Tully would have given us in his verses. It is a mere filler to stop a vacancy in the hexameter, and connect the preface to the work of Virgil. Our author seems to sound a charge, and begins like the clangour of a trumpet: "Arma, virumque cano, Trojae qui primus ab oris,"
I'm but a rough sort of fellow, but Frank shall take his place as a gentleman. Aha, Miss Maggie! and where's my gingerbread? There you go, creeping up to Mrs. Buxton on a Wednesday, and have never taught Cook how to make gingerbread yet. Well, Ned! and how are the classics going on? Fine fellow, that Virgil! Let me see, how does it begin? 'Arma, virumque cano, Trojae qui primus ab oris.
By turning it further, the blood is made to start; and by taking away the key, as at E, the tortured person is left in agony, without the means of helping himself, or being helped by others. This is applied in case of obstinacy, at the discretion of the captain. I, F, is a speculum oris. The dotted lines represent it when shut; the black lines when open.
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