|Bugs Insects.net - Find information on different bug speicies and insect behavior Visit Bugs Insects.net|| Informational|
Medical ArticlesBreathing Correct Method Of
The capacity of an ordinary pair of lungs is about 250 cubic i...
If the case be recent, take the B D current; if old, take A D...
These occur in hands and feet where the circulative power is f...
Bathing The Feet
This apparently simple treatment, if the best results are desi...
When the tracheal incision is placed below the first ring, n...
Brown recommends diluted _Acetic Acid_ as a specific against ...
Fruits And Vegetables
The Special Uses of Fruits and Vegetables. We come now to t...
The Surgical Dissection Of The Superficial Structures Of The Male Perinaeum
The median line of the body is marked as the situation where ...
The Heart In Pneumonia
As pneumonia heads the list of the causes of death in this co...
A NURSE who had been only a few weeks in the hospital...
Emetic; warm coffee, and even an enema of coffee. Artificial r...
The covering of oiled silk, or guttapercha, so frequently plac...
MOST mothers know that it is better for the baby to p...
If you would cure thoroughly, you must first make sure that th...
Esophagoscopy is demanded in every case in which a foreign b...
Fever Delirium In
See Delirium. ...
Lungs Bleeding From
This is usually taken as a most alarming, and even hopeless, s...
Additional Rules For The Treatment Of Eruptive Diseases
In all these eruptive diseases, especially small-pox, all I h...
Intermittent Fever Ague And Fever
Use the A D current. First, give general tonic treatment. (Se...
The Electric Circuit
The Electric Circuit is made up of any thing and every thing ...
Diagnosis Of Foreign Body In The Air Or Food Passages
Category: FOREIGN BODIES IN THE AIR AND FOOD PASSAGES
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
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 given below is
followed unvaryingly in the Bronchoscopic Clinic.
2. Complete physical examination, including mirror laryngoscopy.
3. Roentgenologic study.
The history should note the date of, and should delve into the details
of the accident; special note being made of the occurrence of
laryngeal spasm, wheezing respiration heard by the patient or others
(asthmatoid wheeze), fever, cough, pain, dyspnea, dysphagia,
odynphagia, regurgitation, etc. The amount, character and odor of
sputum are important. Increasing amounts of purulent, foul-odored,
sometimes blood-tinged sputum strongly suggest prolonged bronchial
foreign body sojourn. The mode of onset of the persisting symptoms,
whether immediately following the supposed accident or delayed in
their occurrence, is to be noted. Do attacks of sudden dyspnea and
cyanosis occur? What has been the previous treatment and what attempts
at removal have been made? The nature of the foreign body is to be
determined, and if possible a duplicate thereof obtained.
General physical examination should be complete including inspection
of the eyes, ears, nose, pharynx, and mirror inspection of the
naso-pharynx and larynx. Special attention is paid to the chest for
the localization of the object. In order to discover conditions
rendering endoscopy unusually hazardous, all parts of the body are to
be examined. Aneurysm of the aorta, excessive blood pressure, serious
cardiac and renal conditions, the presence of a hernia and the
existence of central nervous disease, as tabes dorsalis, should be at
least known before attempting any endoscopic procedure. Dysphagia
might result from the pressure of an unknown aneurysm, the symptoms
being attributed to a foreign body, and aortic aneurysm is a definite
contraindication to esophagoscopy unless there be foreign body present
also. There is no absolute contraindication to the endoscopic removal
of a foreign body, though many conditions may render it wise to
post-pone endoscopy. Laryngeal crises of tabes might, because of their
sudden onset, be thought due to foreign body.
Next: Physical Signs In Esophageal Foreign Body
Previous: Symptoms Of Gastric Foreign Body