|Tennis Games.ca - Tennis News and Scores Visit Tennis Games.ca|| Informational|
Medical ArticlesLimbs Inflamed
Entirely different treatment from the above is needed for such...
Exercise While Fasting
The issue of how much activity is called for on a fast is co...
The cough is a spasmodic action of nerves which are otherwise ...
The Development Of My Own Constipation
The history of my own constipation, though it especially rela...
The Surgical Dissection Of The Deep Structures Of The Male Perinaeum The Lateral Operation Of Lithotomy
The urethra, at its membranous part, M, Fig. 1, Plate 53, whi...
With the forceps illustrated in Fig. 28 specimens of tissue ...
Potatoes boiled and beaten up with buttermilk, spread out in t...
The Form Of The Thoracic Cavity And The Position Of The Lungs Heart And Larger Bloodvessels
In the human body there does not exist any such space as cavi...
Aortic Insufficiency Aortic Regurgitation
This lesion, though not so common as the mitral lesion, is of...
Often in cases where our treatment fails to cure, the failure ...
Ice-water And Snow-bath In Malignant Cases
If no rash appear during the first pack, which will scarcely ...
Inflammation Of The Finger Case Xxxii
Miss B. aged 23, had a slight scratch on the inside of the in...
There is a usual (normal) temperature in all the blood and tis...
The Power Of Words
In every word there is a magic influence, and each word ...
Mitral Stenosis: Mitral Narrowing
This particular valvular defect occurs more frequently in wom...
From The Hygienic Dictionary
Food.  Life is a tragedy of nutrition. In food lies 99.99...
Angina Pectoris Management
While a number of causes of true cardiac pain may be eliminat...
The Surgical Dissection Of The Wrist And Hand
A member of such vast importance as the human hand necessaril...
No greater mistake could be made than to curtail the hours of ...
In some cases of this trouble the symptoms are very alarming, ...
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