|Operatic.ca - The best operas written through history can be found on this site. Discover fact about some of the most famous operas. Visit Operatic.ca|| Informational|
Medical ArticlesDirection Of The Esophagus
The esophagus enters the chest in a decidedly backward as we...
The Dissection Of Femoral Hernia And The Seat Of Stricture
Whilst all forms of inguinal herniae escape from the abdomen ...
The spatular end of the laryngoscope should now be tipped ba...
Rules For Endoscopic Foreign Body Extraction
1. Never endoscope a foreign body case unprepared, with the...
The delusion that health can be restored by swallowing drugs i...
Sitting (or Sitz) Bath
This bath, in whatever form administered, is essentially a sit...
In this fever, now known as a form of Typhoid, the disease spr...
This results from severe damp chills, usually following exhaus...
The Period Of Convalescence
under the usual drug-treatment, is, however, usually protract...
The Use Of The Brain
LET us now consider instances where the brain alone i...
ADOPTING the phrase of our forefathers, with all its ...
Rheumatism is the cause of most instances of cardiac disease ...
Myocarditis Fibrous Management
The advice he should receive is well understood: to avoid phy...
Indications For Strychnin
Strychnin is a much overused drug. It is now given for almost...
When the conducting cords are of equal length, as commonly th...
Preparation Of Medicine
As it often becomes necessary for the practitioner to make mo...
Strict aseptic technic must be observed in all endoscopic pr...
The surface of the body should be kept clean, as far as possi...
Breathing And Bronchia
The bronchia are the branching small tubes which lead from the...
Telephones And Telephoning
MOST men--and women--use more nervous force in speaki...
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
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