|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesInfluenzal Laryngotracheobronchitis
Influenzal infection, not always by the same organism, sweep...
Length Of Pack
Usually it is time for the patient to come out from his pack,...
Fatty degeneration of the heart muscle may be caused by acute...
Cooling In Heating
Often it is difficult to get a sufficient cooling effect by me...
Pimples On The Face
See Face. ...
This fever assumes two principal forms: Simple or mild, and M...
The author wishes to caution the reader not to rely merely on...
The Human Comedy
I know most of my readers have been heavily indoctrinated abo...
Bronchoscopic Appearances In Disease
The first look should note the color of the bronchial mucosa...
The Cause Of Disease
Ever since natural medicine arose in opposition to the violen...
Inflammation Of The Eyes - Ophthalmia
For common Ophthalmia, in the early stages, while there is mo...
The Throat Should Be Covered With A Wet Compress I E A Piece Of
linen four to eightfold, according to its original thickness, d...
This seems a very simple thing to do, but is by no means easy ...
Brain Inflammation Of
This arises often from over-schooling of young boys and girls....
The Brain In Its Direction Of The Body
WE come now to the brain and its direction of other p...
During rheumatism the peripheral blood vessels are generally ...
The regular type of laryngoscope shown in Fig. I (A, B, C) i...
Often there follows, after the cure of an inflammatory disease...
The Living Arches of the Foot. One of the most important thin...
Many of the troubles which come in this process arise simply f...
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