Contraindications
Categories: ESOPHAGOSCOPY FOR FOREIGN BODYSources: 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 subs
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.
More
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Cholera Morbus
Keep the patient still as possible on his back. Use A D current, strong force. Place N. P., long cord, at coccyx, and treat with P. P. over abdomen, five to ten minutes, and repeat, if necessary, in thirty to sixty minutes. If there be cramps, touch... Cholera Morbus
This disease generally comes on at night, in hot weather, and is, in many cases, induced by over eating while the patient is suffering from diarrhoea and a deranged state of the liver. It is essentially of a bilious character. It sets in with great ... Chronic Back Pain
Barry was a carpenter who couldn't afford to lose work because he was unable to bend or twist or lift. He frequently had bouts of severe back pain that made working almost impossible. Upon analysis by biokinesiology I found that he had a major probl... Chronic Diarrhea
Take A D current, of very mild force. Place P. P. at the feet, and treat with N. P. over the lower limbs briefly; then over the bowels and stomach, both front and rear, some three to five minutes; then pass up with N. P. over the anterior parts of t... Chronic Endocarditis
It is not easy to decide just whew all acute endocarditis has entirely subsided and a chronic, slow-going inflammation is substituted. It would perhaps be better to consider a slow-going inflammatory process subsequent to acute endocarditis as a sub... Chronic Esophagitis
This is usually a result of stagnation of food or secretion, and will be considered under spasmodic stenosis and diffuse dilatation of the esophagus. A very marked case with local distress and pain extending through to the back was seen by the au... Chronic Myocarditis Fibrous
Chronic myocarditis may develop on an acute myocarditis, but is generally a slowly progressive chronic process from the beginning; it occurs mostly in persons past middle life, and as a rule is not primarily associated with rheumatism or valvular di... Chronic Stenosis Of The Larynx And Trachea
The various forms of laryngeal stenosis for which tracheotomy or intubation has been performed, and the difficulties encountered in restoring the natural breathing, may be classified into the following types: 1. Panic 2. Spasmodic 3. Paraly... Cicatricial Stenosis Of The Esophagus
Etiology.--The accidental swallowing of caustic alkali in solutions of lye or proprietary washing and cleansing powders, is the most frequent cause of cicatricial stenosis. Commercial lye preparations are about 95 per cent sodium hydroxide. The clea... Classification Of Cardiac Disturbances
For the sake of discussing the therapy of cardiac disturbances in a logical sequence, they may be classified as follows: Pericarditis Acute Adherent Myocarditis Acute Chronic Fatty Endocarditis Acute, sim... Clinical Interpretation Of Pulse Tracings
A moment may be spent on clinical interpretation of pulse tracings. It has recently been shown that the permanently irregular pulse is due to fibrillary contraction, or really auricular fibrillation--in other words, irregular stimuli proceeding from... Clothing
Clothes should be Loose and Comfortable. Man is the only animal that has no natural suit of clothing. Birds have feathers, and animals have fur, or hair, which they shed in summer and thicken up in winter without even thinking about it, so that they... Cold Affusions And Rubbing
After the pack, the patient is placed in an empty bathing or wash-tub, and cold water (of 65 deg.-60 deg. Fahr., only with very young and delicate children a little higher, with adults rather lower) is thrown over him in quick succession by means of... Colds Consumption And Pneumonia
Disease Germs. In all foul air there are scores of different kinds of germs--many of them comparatively harmless, like the yeasts, the moulds, the germs that sour milk, and the bacteria that cause dead plants and animals to decay. But among them the... Colic
The symptoms of this are cramping pains in the abdomen, without fever or looseness of the bowels. The colic sometimes occurs after the cessation of a diarrhoea that had been induced by severe cathartics. The pains are cutting and straining, drawing ... Colic Of Whatever Kind
Use A D current, pretty strong force. In severe cases, introduce the rectum instrument N. P., long cord, or in mild cases, place sponge-roll N. P., long cord, at coccyx, and treat with P. P. over all the abdomen, three to five minutes. It may be rep... Common Colds
Take the B D Faradaic current--moderate strength. If the affection be mainly in the head, give, 1st. A face bath. Let an earthen wash-basin, nearly filled with tepid water, be placed on a table or chair before the patient, he holding the sponge-r... Common Cramp
Although either the positive or the negative pole, applied to the healthy muscle, may produce spasmodic contraction, yet the negative pole contracts much more powerfully than the positive--a fact which shows an electrically plus condition in the ner... Complete Recovery Of The Seriously Ill
Its a virtual certainty that to fully recover, a seriously ill person will have to significantly rebuild numerous organs. They have a hard choice: to accept a life of misery, one that the medical doctors with drugs and surgery may be able to prolong... Complications And After-effects Of Bronchoscopy
All foreign body cases should be watched day and night by special nurses until all danger of complications is passed. Complications are rare after careful work, but if they do occur, they may require immediate attention. This applies especially to t... Complications Following Esophagoscopy
These are to be avoided in large measure by the exercise of gentleness, care, and skill that are acquired by practice. If the instructions herein given are followed, esophagoscopy is absolutely without mortality apart from the conditions for which ... Compression Stenosis Of The Esophagus
The esophagus may be narrowed by the pressure of any periesophageal disease or anomaly. The lesions most frequently found are: 1. Goiter, cervical or thoracic. 2. Malignancy of any of the intrathoracic viscera. 3. Aneurysm. 4. Cardiac and ... Compression Stenosis Of The Trachea
Decannulation in these cases can only follow the removal of the compressive mass, which may be thymic, neoplastic, hypertrophic or inflammatory. Glandular disease may be of the Hodgkins' type. Thymic compression yields readily to radium and the roe... Compression Stenosis Of The Trachea And Bronchi
Compression of the trachea is most commonly caused by goiter, substernal or cervical, aneurysm, malignancy, or, in children, by enlarged thymus. Less frequently, enlarged mediastinal tuberculous, leukemic, leutic or Hodgkin's glands compress the ai... Conclusion: Help Yourselves If Your Physicians Will Not Help You!
And I am none of your water-enthusiasts, who pretend to cure everything and any thing with water. My confidence in the hydriatic treatment of eruptive fevers, however, is almost unlimited, because it is founded on an experience of many years of happ... Conclusive Remarks Obstacles
Before concluding my article, I shall attempt to remove a few objections and obstacles, which are usually raised against the practice of the hydriatic system in families. ... Condition Of The Throat And Other Internal Organs
The condition of the _throat_ requires the most constant attention. From a highly inflamed state, it often passes into a foul and sloughy condition; the breath of the patient becomes extremely fetid; the nostrils, the parotid and submaxillary glands... Conditions Causing Change In Blood Pressure
Woolley [Footnote: Woolley, P. G.: Factors Governing Vascular Dilatation and Slowing of the Blood Stream in Inflammation, THE JOURNAL A. M. A., Dec. 26, 1914, p. 2279.] quotes Starling as finding that the blood vessels dilate from physical and chemi... Congenital And Pathological Deformities Of The Prepuce And Urethra Stricture And Mechanical Obstructions Of The Urethra
When any of the central organs of the body presents in a form differing from that which we term natural, or structurally perfect and efficient, if the deformity be one which results as a malformation, ascribable to an error in the law of developme... Conium
is valuable as a _palliative_ upon cancerous tumors. As a _curative remedy_ it is useful in chronic ophthalmia, especially the purulent of children; useful also for _indurated_ swellings. ... Constant Complaints
Alice was a middle-aged woman who couldn't understand why she had always felt tired, even when she was young. Her life had been this way ever since she could remember. Most puzzling to her was why her life was so Job-like. She did everything the pro... Constipation
The medicine for this affection is _Nux vom._, to be taken at night on retiring. If there is fulness and pain in the head from costiveness, _Bell._ should be used in the morning, and at noon. Let the patient contract a habit of drinking _cold water_... Constipation Of Bowels
This disease may proceed from either a negative condition--a state of atony from lack of nutrition, or a partial paralysis of the bowels--or from a positive condition--a state of relaxation and consequent weakness of the muscular tissues of the bowe... Continuation Of Packs Convalescence
Whether the eruption appear or not, the packs should be continued during the whole course of the disorder, and as long as the throat continues troublesome; and one pack and bath a day should be given during some ten or twelve days, after every sympt... Contraindications
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 inadvi... Contraindications To Direct Laryngoscopy
There are no absolute contraindications to direct laryngoscopy in any case where direct laryngoscopy is really needed for diagnosis or treatment. In extremely dyspneic patients, if the operator is not confident in his ability for a prompt and sure ... Contraindications To Esophagoscopy
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 ... Contrariness
I KNOW a woman who says that if she wants to get her father's consent to anything, she not only appears not to care whether he consents or not, but pretends that her wishes are exactly opposite to what they really are. She says it never fail... Convalescence
When compensation has been restored, the patient may be allowed gradually to resume his usual habits and work, provided these habits are sensible, and the work is not one requiring severe muscular exertion. Careful rules and regulations must be laid... Convulsions Of Children - Fits
These generally occur, either from the irritation of worms, or as precursors of ague, or they may arise from diarrhoeal irritation, affecting the brain. They sometimes occur in hooping cough. If convulsions occur from worms, the child appearing to... Cooking
Why We Cook our Food. While some of all classes of food may be eaten raw, yet we have gradually come to submit most of our foods to the heat of a fire, in various ways; this process is known as cooking. While cooking usually wastes a little, and s... Copy Of Certificate
These may Inform all whom it might Concern, that Mr. John Kaighin, of the Province of West New Jersey, hath lived with me (here under named) a considerable time, as a Disciple, to learn the Arts and Mysteries of Chymistry, Phys... Cornus Sericea
will often cure malignant ulcers both of the breast and uterus, used as a wash. ... Coronary Sclerosis
While disease of the coronary arteries may occur without general arteriosclerosis, it is so frequently associated with it that it is necessary to give a brief description of the general disease. Arteriosclerosis or arteriocapillary fibrosis is rea... Croup
Treat croup, whether membranous or spasmodic, much the same as is prescribed for diphtheria, only, in the latter part of the form, treat less. ... Croup
This is a disease of children. Comes on in consequence of a sudden cold. Children suffering from Hooping Cough are more subject to it. The cough is of a peculiar whistling kind, like the crowing of a young chicken, with rattling in the throat and di... Cuprum Aceticum
(_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers of the face, _Lupus_ or _Noli-me-tangere_, in the early stage, will in most cases effect a perfect cure, especially if for a week previously the part has been wet daily with _tr. Thuja_. ... Curing With Enemas
It is not wise to continue regular colonics or enemas once a detoxification program has been completed and you have returned to a maintenance diet. The body should be allowed its regular functioning. But because enemas immediately lower the toxic... Deafness
The prognosis is very uncertain. This infirmity is often cured by our system, even when of long standing; and often, again, the treatment fails. The uncertainty arises from the difficulty in determining the exact pathological derangement. Take th... Decannulation
When the tracheal incision is placed below the first ring, no difficulty in decannulation should result from the operation per se. When by temporarily occluding the cannula with the finger it is evident that the laryngeal aperture has regained suffi... Decannulation After Cure Of Laryngeal Stenosis
In order to train the patient to breathe again through the larynx it is necessary to occlude the cannula. This is best done by inserting a rubber cork in the inner cannula. At first it may be necessary to make a slot in the cork so as to permit some... Decompensation
To understand the physiology, pathology and the best treatment for broken compensation, it is necessary to study the physics of the circulation under the different conditions. With the mitral valve insufficient, a greater or less amount of blood is ... Deformities Of The Prostate Distortions And Obstructions Of The Prostatic Urethra
The prostate is liable to such frequent and varied deformities, the consequence of diseased action, whilst, at the same time, its healthy function (if it have any) in the male body is unknown, that it admits at least of one interpretation which may,... Deformities Of The Urinary Bladder The Operations Of Sounding For Stone Of Catheterism And Of Puncturing The Bladder Above The Pubes
The urinary bladder presents two kinds of deformity--viz., congenital and pathological. As examples of the former may be mentioned that in which the organ is deficient in front, and has become everted and protruded like a fungous mass through an ope... Demonstrations Of The Nature Of Congenital And Infantile Inguinal Herniae And Of Hydrocele
PLATE 39. Fig. 1--The descent of the testicle from the loins to the scrotum.--The foetal abdomen and scrotum form one general cavity, and are composed of parts which are structurally identical. The cutaneous, fascial, muscular, and membranous layers... Demonstrations Of The Origin And Progress Of Femoral Hernia Its Diagnosis The Taxis And The Operation
PLATE 45, Fig. 1.--The point, 3, from which an external inguinal hernia first progresses, and the part, 5, within which the femoral hernia begins to be formed, are very close to each other. The inguinal hernia, 3, arising above, 5, the crural arch, ... Demonstrations Of The Origin And Progress Of Inguinal Herniae In General
PLATE 41, Fig. 1.--When the serous spermatic tube is obliterated for its whole length between the internal ring, 1, and the top of the testicle, 13, a hernia, in order to enter the inguinal canal, 1, 4, must either rupture the peritonaeum at the poi... Destruction Of The Organ Of Hearing
When the glands pass into a sloughing state, the parts connected with them are frequently damaged. Thus the ulceration of the parotid gland often causes deafness, by the gangrenous matter communicating to the eustachian tube and the inner ear, where... Deviation Of The Esophagus
Deviation of the esophagus may be marked in the presence of a deformed vertebral column, though dysphagia is a very uncommon symptom. The lack of esophageal symptoms in deviation of spinal production is probably explained by the longitudinal shorten... Diabetes A Kidney Disease
This disease occurs in two forms--diabetes insipidus and diabetes mellitus. In the first named form, the disease is readily cured. In the latter, it is very formidable, and is rarely, if ever, cured by medicines; especially when of long standing. In... Diagnosis
If a more malignant form of endocarditis develops on a mild endocarditis, the diagnosis is generally not difficult. If, without a definite known septic process, malignant endocarditis develops, localized symptoms of heart disturbance and cardiac sig... Diagnosis
The swallowing function can be studied only with the fluoroscope; esophagoscopy for diagnosis, should therefore always be preceded by a fluoroscopic study of deglutition with a barium or other opaque mixture and examination of the thoracic organs to... Diagnosis
It has been estimated that 70 per cent of stenoses of the esophagus in adults are malignant in nature. This should stimulate the early and careful investigation of every case of dysphagia. When all cases of persistent dysphagia, however slight, are ... Diagnosis
After what has been said about the symptoms of scarlatina, it cannot be difficult to distinguish it from similar eruptive diseases. However, as there is much resemblance between _scarlatina_ and _measles_, at least in the milder form of the former, ... Diagnosis From Measles
In scarlatina the heat is much greater, and the pulse is much quicker than in measles.--In scarlatina the throat is inflamed, usually the brain affected, and the patient smells like salt-fish, old cheese or the cages of a menagerie; in measles, the ... Diagnosis Of Foreign Body In The Air Or Food Passages
The questions arising are: I. Is a foreign body present? 2. Where is it located? 3. Is a peroral endoscopic procedure indicated? 4. Are there any contraindications to endoscopy? In order to answer these questions the definite routine giv... Diarrhoea
This disease consists in a looseness of the bowels, generally accompanied with pain in the abdomen, more or less severe. It sometimes occurs without pain, but is _then_ attended with a sense of weakness, and a general feeling of uneasiness. It preva... Diet
As intimated in the preceding paragraph, the diet during endocarditis must be carefully regulated. It must be sufficient, and appropriate for the disease in which the complication occurs, but it must be in such dosage and administered with such freq...