I shall say but little about this very common and very obstin...
Toxic Disturbances And Heart Rate
Under this head it is not proposed to consider disturbances...
WHEN we are tolerant as a matter of course, the nervous syste...
Condition Of The Throat And Other Internal Organs
The condition of the _throat_ requires the most constant atte...
Dysmenorrhea Painful Menstruation
If the disease be occasioned by uterine displacement, obstruc...
See Fever, Rheumatic. ...
Take B D current, moderate force. Treat exactly as in spermat...
Burns Case Xxxvi
The last case I have to give is one of great interest, as it ...
Scarlatina Simplex Or Simple Scarlet-fever
In the _mildest form_ of the disease, called _scarlatina simp...
Unsuccessful Bronchoscopy For Foreign Bodies
The limitations of bronchoscopic removal of foreign bodies ar...
The cough is a spasmodic action of nerves which are otherwise ...
Urticaria Zoster Rubeola
_Urticaria_, _Zoster_ and _Rubeola_, are treated in the same ...
The Royal Touch
Malcolm. Well; more anon.--Comes the king forth, I pray ...
Oxygen Tank And Tracheotomy Instruments
Respiratory arrest may occur from shifting of a foreign body,...
For infants who cannot be nursed at the breast, cows' milk in ...
Is a most valuable aid to health, acting as a physical and men...
WORK for the better progress of the human race is most effect...
Cheap, ill-printed literature is responsible for much eye trou...
Bronchoscopic Oxygen Insufflation
Bronchoscopic oxygen insufflation is a life-saving measure eq...
Finding Your Ideal Dietary
Anyone that is genuinely interested in having the best possib...
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