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The gastroscope is of the same construction as the esophagos...

Nicotine (tobacco)

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Circulation Of The Blood

Nothing is more important for the health or healing of any org...


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Head Soaping

Have a piece of M'Clinton's soap, a good shaving brush, and a ...

Other People_

HOWEVER disagreeable other people may be,--however un...


Disorders Of Muscles And Bones

The Muscles and Bones Have Few Diseases. Considering how comp...

Palpitation Of The Heart

This is commonly a symptomatic or sympathetic affection--rare...

Burns Case Xxxv

The following case will present a specimen of my trials of th...

Auricular Fibrillation Treatment

The condition may be stopped by relieving the heart and circu...

Wounds Bleeding Of

After sending for a surgeon the first thing to be looked at in...


The present 100 per cent mortality in cancer of the esophagu...

Mineral Acids And Glacial Acetic

If any neutralising agent, such, e.g., as lime, chalk, soda, o...

Suppression Of The Menses Amenorrhoea

For sudden suppression from taking cold, as by wetting the ...

Limb Saving A

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Punctures Case Xii

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Throat Sore

The first question in any case of sore throat, is, What is the...


has great power as a local remedy in _Erysipelas_, to be appl...

Complications And After-effects Of Bronchoscopy

All foreign body cases should be watched day and night by spe...

Abscess Of The Lung

Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

If of foreign-body origin, pulmonary abscess
almost invariably heals after the removal of the object and a regime
of fresh air and rest, without local measures of any kind. Acute
pulmonary abscess from other causes may require bronchoscopic drainage
and gentle dilatation of the swollen and narrowed bronchi leading to
it. Some of these bronchi are practically fistulae. Obstructive
granulations should be removed with crushing, not biting forceps. The
regular foreign-body forceps are best for this purpose. Caution should
be used as to removal of the granulations with which the abscess
cavity is filled in chronic cases. The term abscess is usually
loosely applied to the condition of drowned lung in which the pus has
accumulated in natural passages, and in which there is neither a new
wall nor a breaking down of normal walls. Chronic lung-abscess is
often successfully treated by weekly bronchoscopic lavage with 20 cc.
or more of a warm, normal salt solution, a 1:1000 watery potassium
permanganate solution, or a weak iodine solution as in the following
Rx. Monochlorphenol (Merck) .12
Lugol's solution 8.00
Normal salt solution 500.

Perhaps the best procedure is to precede medicinal applications by the
clearing out of the purulent secretions by aspiration with the
aspirating bronchoscope and the independent aspirating tube, the
latter being inserted into passages too small to enter with the
bronchoscope, and the endobronchial instillation of from 10 to 30 cc.
of the medicament. The following have been used: Argyrol, 1 per cent
watery solution; Silvol, 1 per cent watery solution; Iodoform, oil
emulsion 10 per cent; Guaiacol, 10 per cent solution in paraffine oil;
Gomenol, 20 per cent solution in oil; or a bismuth subnitrate
suspension in oil. Robert M. Lukens and William F. Moore of the
Bronchoscopic Clinic report excellent results in post-tonsillectomy
abscesses from one tenth of one per cent phenol in normal salt
solution with the addition of 2 per cent Lugol's solution. Chlorinated
solutions are irritating, and if used, require copious dilution.
Liquid petrolatum with a little oil of eucalyptus has been most often
the medium.

Next: Gangrene Of The Lung

Previous: Tracheobronchial Diphtheria

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