Document BvJQ5MMX9X0eOyyb84LBE4gL4

M. H . U R N E R , M. D, M. F. MCCARTH Y. V. W . FISC H BA C H ^ M . D R . E. H OW ARD. Mi D. M URP H Y M EM O RIAL H O SP ITAL 26t h f l o o r UNION CEN TRA L BU ILD IN G. FO URTH a n o VINE ST R EET S P H O N E MAIN 0 3 1 6 Cin c in n a t i, o h io h ard H O U R S: 1 0 A . M . TO 2 P . M . 2936. T>r. h o b e r t -.enoe, Eth yl has Kett er in g La b o r a t o r ie s, U ed ical College. .' U n iversity of Cin cin n ati., City. h e a r Or. Keh oe : In r egar d t c Commi s s i ort o f Oh i o , On e x a m i n a t i o n oi t h i s p a t i e n t Ja n . 2 o , 1 9 3 6 , a t food Sam ar it an F .o sp ifa l, he complain ed of d an se s of v is- io n , d i f f i c u l t y i n b r e a t h i n g , an d some d e c r e e s *1 P" On n a s a l e x a m i n a t i o n , I fo u n d a b a d l y d e f l e c t e d se p t u m , c a u s i n g b l o c k a g e o f t h e et h m oid s i n u s e s , w it h some mucoid se c r e t i o n in both n a sa l p a ssa g e s, con in g from both m id d le and su p e r i o r r aeat ae. P a t ie n t 's pharynx a lso m ildly con gested, with ton s i l t ags also m oderately in fected at both b ase s. Tympan ic membrane o f b o t h e a r s' seemed' t o be r e t r a c t e d , and e u st a e h ia n t u b e s on ly s l i g h t l y p a t e n t , due t o p r e se n ce of mucus. The eye e x a m i n a t i o n a t t h e t im e a p p e a r e d t o be | n orm al fr om t h e fu n d u s s t a n d p o i n t . Fov/ ever , on more d e\ t a i l e d exam in at ion at our o f f i c e , h r . Tim er h as found ' some d e f i n i t e m a c u la r c h a n ge s, w it h t h e u s u a l v i s u a l l o s s , '.rhich I b e l ie v e h e h a s, or w i l l r e p o r t u n d e r se p a r a t e . cover. On s u m m s ^ T f e e l t h a t d e fi n i t e , su bacu te ethmoid i t is O t i t i s and con d u ct ion de ifn e s s fected t o n silla r t ags.' -V. m s a chronic catar r h al as w ell as ch r on ic, in- H op in g t h i s i n fo r m a t i o n may be o f u se t o t h e S t a t e Commies i o n , an d i f t h e r e i s an y o t h e r i n f o r m a t i o n which you d e s i r e , I w i l l be glad, t o sen d i t t o you upon requ est. Sin cer ely yours, N19383