|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesBile Black
For this take two tablespoonfuls of hot water every five minut...
The stomach of any individual having a normal esophagus and n...
St Vitus' Dance
This proceeds from a simple irritation of the spinal nerves, a...
The Ammonium Carbonicum
recommended by Peart, has been considered by many as a specif...
Period Of Efflorescence Or Standing Out Of The Rash
During the first day or two of the period of efflorescence, w...
Soapy Blanket The
It seems necessary, in getting people to use the best means fo...
Bowels Locking Of
Sometimes when one part of the bowels is much more active than...
Mechanical Problems Of Esophagoscopic Removal Of Foreign Bodies
The bronchoscopic problems considered in the previous chapter...
This disease is a most difficult one to deal with, and any hea...
Diabetes A Kidney Disease
This disease occurs in two forms--diabetes insipidus and diab...
Memory Loss Of
A more or less complete suspension of this faculty is a not un...
Lues Of The Tracheobronchial Tree
Compared to laryngeal involvement, syphilis of the tracheobr...
From the preceding observations it would naturally be conclud...
Breathing In Going Uphill
See Breath, and Nerve. British Cholera is to a certain ext...
Is now known to be conveyed by the bite of a certain kind of m...
The Development Of Allergies
There are three ways a body can become allergic. (1) It can h...
Acute Cardiac Symptoms Acute Heart Attack
It is not proposed here to describe the condition of sudden...
Inducing A Child To Open Its Mouth (author's Method)
The wounding of the child's mouth, gums, and lips, in the of...
If one put into his mouth nothing but food, foreign body acc...
Treating With Electrolytic Currents
For decomposing and carrying off unnatural growths, as fistul...
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