|Pigment.ca - Download the EBook Aesthetics|| Informational|
Medical ArticlesConsumption Treatment Of
Turning now to the case when consumption has actually shown it...
Boiled potatoes beaten up with fresh buttermilk make an excell...
This disease, in addition to the symptoms of cutting, crampin...
What Kind Of Food Should We Eat?
Generally speaking, our Appetites will Guide us. Our whole bo...
Necessity Of Allaying The Heat
The packs and baths should be continued, even when the patien...
Eyes Paralysis Of
The partial paralysis of the muscles of one eye produces doubl...
Anchoring The Foreign Body Against The Tube Mouth
If withdrawal be made a bimanual procedure it is almost cert...
Diet And Baths In Heart Disease
The diet in cardiac diseases has already incidentally been ...
These pains occur usually when a patient has been for some tim...
I shall say but little about this very common and very obstin...
Emetic; stimulate and keep warm; keep patient lying down. ...
Methods Of Treatment
Irritating applications probably provoke recurrences, becaus...
Keep the patient still as possible on his back. Use A D curre...
Treat as under Fever, Gastric, and Fever. In addition, great c...
The Frightening Heart
Heart disease is one of the major causes of death among North...
Inflammation Of The Brain
See Brain. See also Knee; Limbs, Inflamed; Lungs, etc. ...
It is not always easy to say definitely whether a bone is brok...
The Surgical Dissection Of The Sterno-clavicular Or Tracheal Region And The Relative Position Of Its Main Bloodvessels Nerves &c
The law of symmetry governs the development of all structures...
Treatment Of Acute And Subacute Inflammation And Ulceration Of The Esophagus
Bismuth subnitrate in doses of about one gramme, given dry o...
Entirely different treatment from the above is needed for such...
Contraindications To Esophagoscopy
Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
In the presence of aneurysm,
advanced organic disease, extensive esophageal varicosities, acute
necrotic or corrosive esophagitis, esophagoscopy should not be done
except for urgent reasons, such as the lodgment of a foreign body; and
in this case the esophagoscopy may be postponed, if necessary, unless
the patient is unable to swallow fluids. Esophagoscopy should be
deferred, in cases of acute esophagitis from swallowing of caustics,
until sloughing has ceased and healing has strengthened the weak
places. The extremes of age are not contraindications to
esophagoscopy. A number of newborn infants have been esophagoscoped by
the author; and he has removed foreign bodies from patients over 80
years of age.
Water starvation makes the patient a very bad surgical subject, and
is a distinct contraindication to esophagoscopy. Water must be
supplied by means of proctoclysis and hypodermoclysis before any
endoscopic or surgical procedure is attempted. If the esophageal
stenosis is not readily and quickly remediable, gastrostomy should be
done immediately. Rectal feeding will supply water for a limited
time, but for nutrient purposes rectal alimentation is dangerously
Preliminary examination of the pharynx and larynx with tongue
depressor should always precede esophagoscopy, for any purpose,
because the symptoms may be due to laryngeal or pharyngeal disease
that might be overlooked in passing the esophagoscope. A high degree
of esophageal stenosis results in retention in the suprajacent
esophagus of the fluids which normally are continually flowing
downward. The pyriform sinuses in these cases are seen with the
laryngeal mirror to be filled with frothy secretion (Jackson's sign of
esophageal stenosis) and this secretion may sometimes be seen
trickling into the larynx. This overflow into the larynx and lower air
passages is often the cause of pulmonary symptoms, which are thus
strictly secondary to the esophageal disease.
Next: Anomalies Of The Esophagus
Previous: Indications For Esophagoscopy In Disease