Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Jaundice

This disease depends upon derangement of the liver. The skin ...

No Cutting Short Of The Process Of Scarlatina The Morbid Poison Must Be Drawn To The Skin As Soon As Possible

Scarlet-fever is a disease, which cannot be cut short. Any at...

Ulceration Of The Esophagus

Superficial erosions of the esophagus are by no means an unco...

Destruction Of The Organ Of Hearing

When the glands pass into a sloughing state, the parts connec...

Classification Of Cardiac Disturbances

For the sake of discussing the therapy of cardiac disturban...

Necessity Of Ventilation Means Of Heating The Sick-room Relative Merits Of Open Fires Stoves And Furnaces

Next to its intrinsic value, our method gives the patient the...

Roentgenray Study In Foreign Body Cases

Roentgenography.--All cases of chest disease should have the ...

Myocarditis Fibrous Management

The advice he should receive is well understood: to avoid phy...

Cancer

Swellings in the breast often arouse fear of cancer, but are g...

The Eye

How the Eye is Made. Next in importance after the smell and t...

Vegetables Green And Fruit

We would strongly recommend our readers to continually have th...

To Mothers

MOST mothers know that it is better for the baby to p...

Sensitiveness

When the nervous system is in a certain state, all impressions...

Chloral

Emetic; warm coffee, and even an enema of coffee. Artificial r...

Alcohol

How Alcohol is Made. The most dangerous addition that man has...

Angioneurotic Edema

Angioneurotic edema manifests itself by a pale or red swolle...

Symptoms And Signs Of Cardiac Disturbance

It is now recognized that any infection can cause weakness an...

Demonstrations Of The Origin And Progress Of Inguinal Herniae In General

PLATE 41, Fig. 1.--When the serous spermatic tube is oblitera...

Clinical Interpretation Of Pulse Tracings

A moment may be spent on clinical interpretation of pulse tra...

Cuprum Aceticum

(_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers...



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.
1. History.
2. Complete physical examination, including mirror laryngoscopy.
3. Roentgenologic study.
4. Endoscopy.

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



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 917