Was born of Jewish parents of the tribe of Levi. He is supposed to have been converted to christianity by Peter, whom he served as an amanuensis, and under whose inspection he wrote his gospel in the Greek language. Mark was dragged to pieces b... Read more of St Mark at Martyrs.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Instruments For Direct Laryngoscopy

In undertaking direct laryngoscopy one must always be prepar...

On The Adherent Eschar

It appears scarcely necessary to describe the immediate and w...

Rapid Relief From Colon Cleansing

During fasting the liver is hard at work processing toxins re...

Symptoms

Malignant disease of the esophagus is rarely seen early, bec...

Talismans

A talisman may be described as an emblematical object or im...

Sciatica

This is neuralgia in an ischiatic nerve, commonly the great i...

Conclusion: Help Yourselves If Your Physicians Will Not Help You!

And I am none of your water-enthusiasts, who pretend to cure ...

Phylacteries

They ware in their foreheads scrowles of parchment, wher...

Unconsciousness

There are two opposite causes of unconsciousness. One is conge...

Nursing Over

Few vital processes are more remarkable than that by which foo...

Treatment Of Compression Stenoses Of The Trachea

If the thymus be at fault, rapid amelioration of symptoms fo...

Anomalies Of The Esophagus

Congenital esophagotracheal fistulae are the most frequent of...

Trismus Lockjaw

For traumatic trismus, use the B D current, of vigorous force...

Technic For General Anesthesia

For esophagoscopy and gastroscopy, if general anesthesia is ...

Bruises Case Xvii

An old man, aged 60, received a bruise upon the occiput from ...

Infection

Few things have so great and distressing effect as the fear of...

Pulmonary Phthisis Consumption

After tubercles have been formed extensively in the lungs, an...

Nervousness

This frequent and distressing trouble is to be traced to a sta...

Bruises Case Xviii

Mrs. C. aged 40, was detained on a journey by a bruised wound...

Examination Of The Trachea And Bronchi

All bronchial orifices must be identified seriatim; because ...



Contraindications





Category: ESOPHAGOSCOPY FOR FOREIGN BODY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

There is no absolute contraindication to careful
esophagoscopy for the removal of foreign bodies, even in the presence
of aneurism, serious cardiovascular disease, hypertension or the like,
although these conditions would render the procedure inadvisable.
Should the patient be in bad condition from previous ill-advised or
blind attempts at extraction, endoscopy should be delayed until the
traumatic esophagitis has subsided and the general state improved. It
is rarely the foreign body itself which is producing these symptoms,
and the removal of the object will not cause their immediate
subsidence; while the passage of the tube through the lacerated,
infected, and inflamed esophagus might further harm the patient.
Moreover, the foreign body will be difficult to find and to remove
from the edematous and bleeding folds, and the risk of following a
false passage into the mediastinum or overriding the foreign body is
great. Water starvation should be relieved by means of proctoclysis
and hypodermoclysis before endoscopy is done. The esophagitis is best
treated by placing dry on the tongue at four-hour intervals the
following powder:
Rx. Anesthesin...gramme 0.12
Bismuth subnitrate...gramme 0.6
Calomel, gramme 0.006 to 0.003 may be added to each powder for a few
doses to increase the antiseptic effect. If the patient can swallow
liquids it is best to wait one week from the time of the last attempt
at removal before any endoscopy for extraction be done. This will give
time for nature to repair the damage and render the removal of the
object more certain and less hazardous. Perforation of the esophagus
by the foreign body, or by blind instrumentation, is a
contraindication to esophagoscopy. It is manifested by such signs as
subcutaneous emphysema, swelling of the neck, fever, irritability,
increase in pulsatory and respiratory rates, and pain in the neck or
chest. Gaseous emphysema is present in some cases, and denotes a
dangerous infection. Esophagoscopy should be postponed and the
treatment mentioned at the end of this chapter instituted. After the
subsidence of all symptoms other than esophageal, esophagoscopy may be
done safely. Pleural perforation is manifested by the usual signs of
pneumothorax, and will be demonstrated in the roentgenogram.





Next: Esophagoscopic Extraction Of Foreign Bodies

Previous: Indications



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1122