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Medical ArticlesThe EyeHow the Eye is Made. Next in importance after the smell and t... Spectacles If the operator has no refractive error he will need two pai... Worms Where the juices and organs of the body are thoroughly healthy,... Burns Case Xxxiii A little girl, aged 10, scalded her breast a week ago and has... Constipation The medicine for this affection is _Nux vom._, to be taken at... Armpit Swelling Often this comes as the result of a chill, or of enfeeblement ... Period Of Desquamation Or Peeling-off About the sixth or seventh day, the epidermis, or cuticle of ... Technic Of Laryngeal Operations Preparation of the patient and anesthesia have been mentione... From The Hygienic Dictionary Autointoxication. [1] the accumulations on the bowel wall be... Health And Money It will be noticed that the remedies we recommend are in almos... Impotence Take B D current, moderate force. Treat exactly as in spermat... Hair Coming Off There are many forms of this disfiguring trouble, both in the ... Tetanus This is substantially the same thing as trismus, except that ... Esophagoscopic Extraction Of Foreign Bodies It is unwise to do an endoscopy in a foreign-body case for th... Tracheobronchial Diphtheria Urgent dyspnea in diphtheria when no membrane and but slight... The Ammonium Carbonicum recommended by Peart, has been considered by many as a specif... The Heart Structure and Action of the Heart. Now what is it that keeps ... General Tonic Treatment Take the B D current, (A D is very good), of fair medium stre... Buttermilk Poultice Boiled potatoes beaten up with fresh buttermilk make an excell... The Relative Position Of The Deeper Organs Of The Thorax And Those Of The Abdomen The size or capacity of the thorax in relation to that of the... |
BronchiectasisCategory: BRONCHOSCOPY IN DISEASES OF THE TRACHEA AND BRONCHI Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery In most cases of bronchiectasis there are strong indications for a bronchoscopic diagnosis, to eliminate such conditions as foreign body, cicatricial bronchial stenosis, or endobronchial neoplasm as etiologic factors. In the idiopathic types considerable benefit has resulted from the endobronchial lavage and endobronchial oily injections mentioned under lung abscess. It is probable that if bronchoscopic study were carried out in every case, definite causes for many so-called idiopathic cases would be discovered. Lung-mapping as elsewhere herein explained is invaluable in the study of bronchiectasis. Bronchial asthma affords a large field for bronchoscopic study. As yet, sufficient data to afford any definite conclusions even as to the endoscopic picture of this disease have not been accumulated. Of the cases seen in the Bronchoscopic Clinic some showed no abnormality of the bronchi in the intervals between attacks, others a chronic bronchitis. In cases studied bronchoscopically during an attack, the bronchi were found filled with bubbling secretions and the mucosa was somewhat cyanotic in color. The bronchial lumen was narrowed only as much as it would be, with the same degree of cough, in any patient not subject to asthma. The secretions were removed and the attack quickly subsided; but no influence on the recurrence of attacks was observed. It is essential that the bronchoscopic studies be made, as were these, without anesthesia, local or general, for it is known that the application of cocain or adrenalin to the larynx, or even in the nose, will, with some patients, stop the attack. When done without local anesthesia, allowance must be made for the reaction to the presence of the tube. In those cases in which other means have failed to give relief, the endobronchial application of novocain and adrenalin, orthoform, propaesin or anesthesin emulsion may be tried. Cures have been reported by this treatment. Argentic nitrate applied at weekly intervals has proven very efficient in some cases. Associated infective disease of the bronchial mucosa brings with it the questions of immunity, allergy, anaphylaxis, and vaccine therapy; and the often present defective metabolism has to be considered. Next: Autodrownage Previous: Bronchial Stenosis
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