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Fever At Night

Frequently, in illness, a fever sets in as night approaches, a...

Entering The Bronchi

The lip of the bronchoscope should be turned in the directio...


After the bath, the patient is rubbed dry, and either taken t...


Wide gagging prevents proper exposure of the larynx by forci...

Small Pox - Variola

This disease begins with pain in the head and back, chilly se...


WHEN we are tolerant as a matter of course, the nervous syste...


There is no absolute contraindication to careful esophagosco...

Paroxysm Management

The immediate conditions to meet are the rapid fluttering hea...

Acute Cardiac Symptoms Acute Heart Attack

It is not proposed here to describe the condition of sudden...

Vaccination Trouble

When a child is suffering after vaccination, we should have hi...


Pedunculated malignant growths are readily removed with snar...

Breast Cancer

I have worked with many young women with breast cancer; so ma...

Treatment Of Compression Stenoses Of The Trachea

If the thymus be at fault, rapid amelioration of symptoms fo...

Paroxysm Drugs

The part the nervous system plays in this paroxysm is shown b...


The swallowing function can be studied only with the fluoros...

Diet Is Not Enough

Those isolated, long-lived peoples discovered by Weston A. Pr...

On The Treatment By Eschar And Poultice

In many cases in which it is impossible to adopt either the m...

My Own 56 Day Long Fast

Fasters go through a lot of different emotional states, these...


This plant is the Chama Cyparissos, or ground cypress. It is o...

Throat Sore (clergyman's)

Those who are in the habit of using their voice much should be...

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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