|In order to do God's will we must first know his will. In order to have real satisfaction, rest, and contentment in the Christian life--and there is no true rest outside the Christian life--we must have the full assurance that we are doing th... Read more of HOW TO UNDERSTAND GOD'S WILL. at Difficult.ca|| Informational|
Medical ArticlesFunctional Hiatal Stenosis Hiatal Esophagismus Phrenospasm Diaphragmatic Pinchcock Stenosis
There is no sphincteric muscular arrangement at the cardiac o...
Tricuspid Stenosis Tricuspid Obstruction
This is rare and probably always congenital, and is supposed ...
Cramp In The Stomach
This very severe trouble, though resisting ordinary methods of...
In any case of this pack the feet and legs as directed in Lung...
Toxic Disturbances And Heart Rate
Under this head it is not proposed to consider disturbances...
To Prevent Cholera
_Camphor_ (_pellets medicated_ with the pure tincture) _Verat...
Passing the cricopharyngeus is the most difficult part of es...
Lues Of The Tracheobronchial Tree
Compared to laryngeal involvement, syphilis of the tracheobr...
WILLIAM LILLY, a famous English astrologer of yeoman ancestry...
This is usually a bodily illness, though often regarded as men...
This disease generally comes on at night, in hot weather, and...
The Unrelenting Boredom Of Fasting
Then there's the unrelenting boredom of fasting. Most people ...
Stage 3 Passing Through The Thoracic Esophagus
The thoracic esophagus will be seen to expand during inspira...
The regular type of laryngoscope shown in Fig. I (A, B, C) i...
Resume Of Tracheotomy
Instruments. Headlight Sandbag Scalpel Hemostats ...
Importance Of Noting The Central Point
From the above observations, it will be plain that, when we w...
Enemas Versus Colonics
People frequently wonder what is the difference between a col...
Treatment Of Other Eruptive Fevers
The treatment as prescribed for scarlatina in this pamphlet, ...
We feel urged, in first considering this sore and very common ...
From The Hygienic Dictionary 2
Toxemia.  "Toxemia is the basic cause of all so-called dise...
Differential Diagnosis Of Laryngeal Growths In The Larynx Of Adults
Category: ENDOSCOPY IN MALIGNANT DISEASE OF THE LARYNX
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Determination of the nature of the lesion in these cases
usually consists in the diagnosis by exclusion of the possibilities,
2. Tuberculosis, including lupus.
4. Malignant neoplasm.
In the Bronchoscopic Clinic the following is the routine procedure:
1. A Wassermann test is made. If negative, and there remains a
suspicion of lues, a therapeutic test with mercury protoiodid is
carried out by keeping the patient just under the salivation point for
eight weeks; during which time no potassium iodid is given, lest its
reaction upon the larynx cause an edema necessitating tracheotomy. If
no improvement is noticed lues is excluded. If the Wassermann is
positive, malignancy and the other possibilities are not considered as
excluded until the patient has been completely cured by mercury,
because, for instance, a leutic or tuberculous patient may have
cancer; a tuberculous patient may have lues; or a leutic patient,
2. Pulmonary tuberculosis is excluded by the usual means. If present
the laryngeal lesion may or may not be tuberculous; if the
laryngoscopic appearances are doubtful a specimen is taken. Lupoid
laryngeal tuberculosis so much resembles lues that both the
therapeutic test and biopsy may be required for certainty.
3. In all cases in which the diagnosis is not clear a specimen
is taken. This is readily accomplished by direct laryngoscopy under
local anesthesia, using the regular laryngoscope or the anterior
commissure laryngoscope. The best forceps in case of large growths are
the alligator punch forceps (Fig. 33). Smaller growths require tissue
forceps (Fig. 28). In case of small growths, it is best to remove the
entire growth; but without any attempt at radical extirpation of the
base; because, if the growth prove benign it is unnecessary; if
malignant, it is insufficient.
Next: Inspection Of The Party Wall In Cases Of Suspected Laryngeal Malignancy
Previous: Endoscopy In Malignant Disease Of The Larynx