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Among the various subjects which belong to the province of ...
Action Of The Pack And Bath Rationale
The action of the wet-sheet pack is thus easily accounted for...
Action Balance Of
An excellent guide to the proper treatment of any case is to b...
Resume Of Emergency Tracheotomy
The following notes should be memorized. 1. Essentials: Kn...
Abscess Of The Lung
If of foreign-body origin, pulmonary abscess almost invariab...
Often caused by children sucking matches. There is a burning i...
Thumb Bruised And Broken
Frequently a tradesman will strike the thumb or finger a serio...
Exercise While Fasting
The issue of how much activity is called for on a fast is co...
Cayenne And Mustard
Mustard spread on a cold towel and applied to the spine or lum...
Baths For Head
In many cases of indigestion and brain exhaustion head-baths a...
_Small-pox_, by far the most dangerous of them, has found a b...
Tricuspid Stenosis Tricuspid Obstruction
This is rare and probably always congenital, and is supposed ...
Safety-pins in children, point upward, when lodged high in t...
Endocarditis A Secondary Affection
Mild endocarditis is rarely a primary affection, and is almos...
Preparation Of The Patient For Peroral Endoscopy
The suggestions of the author in the earlier volumes in regar...
Emetic; castor oil and enema. ...
A Collection Of Gallbladders
Gallbladder cases are rather ho-hum to me; they are quick to ...
Direct laryngoscopy, bronchoscopy, esophagoscopy and gastrosc...
Mitral Insufficiency: Mitral Regurgitation
This is the most frequent form of valvular disease of the hea...
From The Hygienic Dictionary 2
Toxemia.  "Toxemia is the basic cause of all so-called dise...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
It is not uncommon to find a stricture of the
bronchus superjacent to a foreign body that has been in situ for a
period of months. In order to remove the foreign body, this stricture
must be dilated, and for this the bronchial dilator shown in Fig. 25
was devised. The channel in each blade allows the closed dilator to be
pushed down over the presenting point of such bodies as tacks, after
which the blades are opened and the stricture stretched. A small and a
large size are made. For enlarging the bronchial narrowing associated
with pulmonary abscess and sometimes found above a bronchiectatic or
foreign body cavity, the expanding dilator shown in Fig. 26 is perhaps
less apt to cause injury than ordinary forceps used in the same way.
The stretching is here produced by the spring of the blades of the
forceps and not by manual force. The closed blades are to be inserted
through the strictured area, opened, and then slowly withdrawn. For
cicatricial stenoses of the trachea the metallic bougies, Fig. 40, are
useful. For the larynx, those shown in Fig. 41 are needed.
[FIG. 34.--A, Mosher's laryngeal curette; B, author's flat blade
cautery electrode; C, pointed cautery electrode; D, laryngeal knife.
The electrodes are insulated with hard-rubber vulcanized onto the
[FIG. 35.--Retrograde esophageal bougies in graduated sizes devised by
Dr. Gabriel Tucker and the author for dilatation of cicatricial
esophageal stenosis. They are drawn upward by an endless swallowed
string, and are therefore only to be used in gastrostomized cases.]
[FIG. 36.--Author's bronchoscopic and esophagoscopic mechanical spoon,
made in 40, 50 and 60 cm. lengths.]
[FIG. 37.--Schema illustrating the author's method of endoscopic
closure of open safety pins lodged point upward The closer is passed
down under ocular control until the ring, R, is below the pin. The
ring is then erected to the position shown dotted at M, by moving the
handle, H, downward to L and locking it there with the latch, Z. The
fork, A, is then inserted and, engaging the pin at the spring loop, K,
the pin is pushed into the ring, thus closing the pin. Slight rotation
of the pin with the forceps may be necessary to get the point into the
keeper. The upper instrument is sometimes useful as a mechanical spoon
for removing large, smooth foreign bodies from the esophagus.]
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