Free Jokes.ca - Download the EBook AnecdotesInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Tricuspid Insufficiency

This rarely, if ever, occurs alone; it is generally a sequenc...

During And After Desquamation The Treatment Should Be Continued As

indicated in milder cases, except the throat continue troubleso...

Aconite

Often in cases where our treatment fails to cure, the failure ...

Weight Loss By Fasting

Loss of weight indicates, almost guarantees, that detoxificat...

Appetite

Should be an indication that food in general or some certain k...

Nstrumentarium

Direct laryngoscopy, bronchoscopy, esophagoscopy and gastrosc...

Diet For A Long, Long Life

Some people not only want to be healthy, but they want to liv...

Neck Stiff

For this, rub the whole back with soap lather (see Lather; Soa...

Chloroform

See Child-bearing. ...

Cayenne And Mustard

Mustard spread on a cold towel and applied to the spine or lum...

Prognosis

If the foreign body be not removed, the resulting chronic se...

Less-rigorous-than-water Fasts

There are gradations of fasting measures ranging from rigorou...

Pneumonia

Its Cause and Prevention. The other great disease of the lung...

Weariness

Where persistent weariness is felt, and the least exertion bri...

Soapy Blanket The

It seems necessary, in getting people to use the best means fo...

Emergencies

5. Cardiac Emergency Drugs.--Besides some of the drugs alread...

Problems

THERE are very few persons who have not I had the experience ...

Prussic Acid

Almost hopeless. Emetic; artificial respiration. ...

Mustard Oil

Where this is recommended the cold-drawn oil is meant, not the...

Removal Of Open Safety Pins From The Trachea And Bronchi

Removal of a closed safety pin presents no difficulty if it i...



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,
namely,
1. Lues.
2. Tuberculosis, including lupus.
3. Scleroma.
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,
tuberculosis.
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



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 780