Aphorisms
Categories: FOREIGN BODIES IN THE AIR AND FOOD PASSAGESSources: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Educate your eye and your fingers.
Be sure you are right, but not too sure.
Follow your judgment, never your impulse.
Cry over spilled milk enough to memorize how you spilled it.
Let your mistakes worry you enough to prevent repetition.
Let your left hand know what your right hand does and how
to do it.
Nature helps, but she is no more interested in the survival of your
patient than in the survival of the attacking pathogenic bacteria.
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Anesthesia In Heart Disease
While no physician likes to give an anesthetic to a patient who has valvular disease of the heart, and no surgeon cares to operate on such a patient unless operation is absolutely necessary, still in valvular disease with good compensation the progn... Angina Pectoris
This is a name applied to pain in the region of the heart caused by a disturbance in the heart itself. Heart pains and heart aches from various kinds of insufficiency of the heart, or heart weakness, are not exactly what is understood by angina pect... Angina Pectoris Management
While a number of causes of true cardiac pain may be eliminated by improvement in any loss of compensation, by improvement of the heart tone, by more or less recovery from myocardial or endocardial inflammation, and by the withdrawal of nicotin, whi... Angina Pectoris Symptoms
The pain of true angina pectoris generally starts in the region of the heart, radiates up around the left chest, into the shoulders, and often down the left arm. This is typical. It may not follow this course, however, but may be referred to the rig... Angioneurotic Edema
Angioneurotic edema involving the esophagus, may produce intermittent and transient dysphagia. The lesions are rarely limited to the esophagus alone; they may occur in any portion of the gastrointestinal, genitourinary, or respiratory tracts, and c... Angioneurotic Edema
Angioneurotic edema manifests itself by a pale or red swollen mucosa producing stenosis of the lumen. The temporary character of the lesion and its appearance in other regions confirm the diagnosis. Scleroma of the trachea is characterized by inf... Animal Fats
The Digestibility of Fats. We have now come to the last group of the real Coal foods, namely, the fats. Fats are the hottest and most concentrated fuel that we possess, and might be described as the anthracites, or hard coals of our Coal foods. They... Animal Magnetism
Although curative attributes were ascribed to the magnet in ancient times, and the same belief prevailed in the Middle Ages, the noted charlatan Paracelsus (1493-1541) was the first to propound the theory of the existence of magnetic properties in... Ankylosis
Fixation of the crico-arytenoid joints with an approximation of the cords may require evisceration of the larynx. This, however, should not be attempted until after a year's lapse, and should be preceded by attempts to improve the condition by endos... Anomalies Of The Esophagus
Congenital esophagotracheal fistulae are the most frequent of the embryonic developmental errors of this organ. Septic pneumonia from the entrance of fluids into the lungs usually causes death within a few weeks. Imperforate esophagus usually sho... Anomalies Of The Tracheobronchial Tree
Tracheobronchial anomalies are relatively rare. Congenital esophagotracheal and esophagobronchial fistulae are occasionally seen, and cases of cervicotracheal fistulae have been reported. Congenital webs and diverticula of the trachea are cited inf... Aortic Insufficiency Aortic Regurgitation
This lesion, though not so common as the mitral lesion, is of not infrequent occurrence in children and young adults as a sequence of acute rheumatic endocarditis. If it occurs later in life it generally is associated with aortic narrowing, and is a... Aortic Stenosis
Aortic narrowing or stenosis is a frequent occurrence in the aged and in arteriosclerosis when the aorta is involved. It is not a frequent single lesion in the young. If it occurs in children or young adults, it is likely to be combined with aortic ... Aortic Stenosis Aortic Obstruction
Valvular disease at the aortic orifice is much less common than at the mitral orifice, and while stenosis or obstruction is less common from rheumatism or acute inflammatory endocarditis than is insufficiency of this valve, a narrowing or at least t... Aphonia Loss Of Voice
This affection requires treatment variously, as it depends on one or another procuring cause. If it be the result of recent "cold," inducing acute catarrhal irritation in the larynx, treat first as for common cold, and close the sitting as follow... Aphorisms
Educate your eye and your fingers. Be sure you are right, but not too sure. Follow your judgment, never your impulse. Cry over spilled milk enough to memorize how you spilled it. Let your mistakes worry you enough to prevent repetition. ... Apthae - Thrush
This is a disease peculiar to nursing children. The mouth becomes sore, and the tongue, lips, and fauces are covered with a white crust, looking like milk curds, which, when removed, leaves the surface red, inflamed and very tender. It sooner or lat... Arsenicum
acts favorably on cancers, and is a specific when applied to the surface of _carbuncle_. ... Arthritis
Some years back my 70 years old mother came from the family homestead in the wilds of northern British Columbia to visit me at the Great Oaks School. She had gotten into pathetic physical condition. Fifteen years previously she had remarried. Tom, h... Artistic Considerations
ALTHOUGH so much time and care are given to the various means of artistic expression, it is a singular fact that comparatively little attention is given to the use of the very first instrument which should be under command before any seconda... Asepsis
Strict aseptic technic must be observed in all endoscopic procedures. The operator, first assistant, and instrument nurse must use the same precautions as to hand sterilization and sterile gowns as would be exercised in any surgical operation. The o... Asiatic Cholera
I was practicing in Cincinnati during the prevalence of Cholera in the years 1849, and 1850, and in Northern Ohio in 1854, and had abundant opportunity to observe and treat it. The disease generally begins with a diarrhoea, which may continue for se... Asphyxia Suspended Animation
Use B D current, pretty strong force. Place P. P. at back of neck--second or third cervical vertebra, and treat with N. P., over all the chest and along the lower margin of the ribs, so as to excite the pectoral muscles, lungs and diaphragm. ... Aspirating Tubes
Independent aspirating tubes involve delay in their use as compared to aspirating canals in the wall of the endoscopic tube; but there are special cases in which an independent tube is invaluable. Three forms are used by the author. The velvet eye ... Asthma
Use the A D current, medium force. Treat with P. P. over the shoulders and between the scapulae, and with N. P. in front upon the lungs, heart and diaphragm. Treat five to ten minutes, daily, for three or four days; after that, three times a week. ... Asthma
If an attack comes on from sudden cold, take _Aconite_ and _Ipecac_ every hour for a day, and if any symptoms remain, in place of the Aconite use _Copaiva_, _Arsenicum_ and _Phos. Acid_ with the _Ipecac_, giving them in rotation, a dose every hour. ... Auricular Fibrillation Auricular Flutter
Auricular fibrillation is at times apparently a clinical entity much as is angina pectoris, but it is often a symptom of some other condition. At times auricular fibrillation is only a passing symptom, and is rapidly cured by treatment. A real auric... Auricular Fibrillation Diagnosis
If the pulse is intermittent and there is apparently a heart block. Stokes-Adams disease should be considered as possibly present, and digitalis would be contraindicated and would do harm. A scientific indication as to whether a heart is disturbed... Auricular Fibrillation Occurrence
This condition of auricular fibrillation occurs occasionally in valvular disease, and perhaps most frequently in mitral stenosis; but it can occur without valvular lesions, and with any valvular lesion. If it occurs in younger patients, valvular dis... Auricular Fibrillation Pathology
Schoenberg [Footnote: Schoenberg: Frankfurt. Ztschr. f. Pathol., 1909, ii, 4.] finds that in auricular fibrillation there are definite signs in the node, such as round cell infiltration, showing inflammation, a fibrosis of the tissue, and perhaps a ...