VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Ulcers Case Xxv

The following case illustrates the superior efficacy of the l...

Bradycardia

The first decision to be made is what constitutes a slow puls...

Bronchial Dilators

It is not uncommon to find a stricture of the bronchus super...

Dwining

We give this name to a trouble from which we have been able to...

Where Our Drinking Water Comes From

Water Contained in our Food is Pure. Seeing that five-sixths ...

The Surgical Dissection Of The First Second Third And Fourth Layers Of The Inguinal Region In Connexion With Those Of The Thigh

The common integument or first layer of the inguino-femoral r...

Stammering

This trouble is simply a loss of command of the vocal organs, ...

Inflammation Of The Bowels - Enteritis

This consists in inflammation of the muscular and peritoneal ...

Treatment Of Scarlatina Simplex Or Simple Scarlet-fever

_Scarlatina simplex_, or _simple scarlet-fever_ (9), without ...

On Ulcers

From the preceding observations it would naturally be conclud...

Of Whitlow

The lunar caustic is very useful in the treatment of this pai...

Poisoning Blood

Where this arises from a more or less putrid wound, what is ai...

Asphyxia Suspended Animation

Use B D current, pretty strong force. Place P. P. at back of ...

Clothing

Clothes should be Loose and Comfortable. Man is the only anim...

Deviation Of The Esophagus

Deviation of the esophagus may be marked in the presence of a...

Water-drinking

As the patient should have a constant supply of pure air for ...

Armpit Swelling

Often this comes as the result of a chill, or of enfeeblement ...

Dysentery

Treat exactly as in acute diarrh[oe]a, except that P. P. shou...

Prejudice Of Physicians Against The Water-cure

The greatest, and the most serious, difficulty lies in the pr...

Acute Esophagitis

This is usually of traumatic or cauterant origin. If severe o...



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 957