|Take a piece of parchment or fine quality writing paper and inscribe the name of the target. Write it in a circle twice, so the ends meet. As you do this, concentrate on the person's face and your desire that they call you. Then, while still concentr... Read more of To get someone to call you at White Magic.ca|| Informational|
Medical ArticlesTartar Emetic Or Other Antimonial Poisons
If vomiting is not present, induce it by an emetic. Give doses...
A little oil only should be applied to the skin at once. Any s...
The Digestive System
How the Food Reaches the Stomach. Our body, then, has an open...
Highly Inflamed Throat Croup
If the _throat_ is in a highly inflamed condition, repeated p...
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...
The wet compress on the throat in torpid cases should not be ...
The Use Of The Will
IT is not generally recognized that the will can be t...
See Whooping Cough. ...
Ulcers Case Xxxi
Mr. S. aged 30, had a sore two inches in length in the groin,...
Diet For The Acutely Ill
The acutely ill person experiences occasional attacks of dist...
Alkalis (eg Ammonia Soda Or Potash)
Give dilute vinegar, followed by white of egg. ...
Lungs Bleeding From
This is usually taken as a most alarming, and even hopeless, s...
The Development Of My Own Constipation
The history of my own constipation, though it especially rela...
Breast Swelling In
A blow on the breast, or the drain of nursing a child, along w...
Aortic Insufficiency Aortic Regurgitation
This lesion, though not so common as the mitral lesion, is of...
The Glands In The Skin
Sweat Glands. Like all the pavement (epithelial) surfaces of ...
Importance Of Noting The Central Point
From the above observations, it will be plain that, when we w...
Punctures Case Iv
The present case is somewhat more severe than those which hav...
Sudden Invasion Of The Nervous Centres
Of the different forms of scarlatina maligna the most dangero...
acts favorably on cancers, and is a specific when applied to ...
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