Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Importance Of Noting The Central Point

From the above observations, it will be plain that, when we w...

Breath And The Skin

The organs of breathing remove much waste from the system, but...

Fever

In all fevers, to cool down the excessive heat of the patient ...

Instruments For Direct Laryngoscopy

In undertaking direct laryngoscopy one must always be prepar...

Rupture And Trauma Of The Esophagus

These may be spontaneous or may ensue from the passage of an ...

Self-consciousness

SELF-CONSCIOUSNESS may be truly defined as a person's...

Dr Jerome Kidder's Electro-magnetic Machine

On opening the machine-box, as it comes from the manufacturer...

Edematous Tracheobronchitis

This is chiefly observed in children. The most frequently en...

Asphyxia Suspended Animation

Use B D current, pretty strong force. Place P. P. at back of ...

Period Of Efflorescence Or Standing Out Of The Rash

During the first day or two of the period of efflorescence, w...

Ipecac

acts very beneficially when applied to the surface where ther...

Angioneurotic Edema

Angioneurotic edema manifests itself by a pale or red swolle...

The Surgical Dissection Of The Bend Of The Elbow And The Forearm Showing The Relative Position Of The Arteries Veins And Nerves

The farther the surgical region happens to be removed from th...

Treatment

The present 100 per cent mortality in cancer of the esophagu...

Imaginary Troubles

These are of two kinds, the one purely imaginary, the other wh...

Hot Flushings

See Flushings. ...

Nicotine (tobacco)

Emetic; stimulate and keep warm; keep patient lying down. ...

Feet Cold

Continued coldness of the feet gives rise to many more serious...

Lungs Bleeding From

This is usually taken as a most alarming, and even hopeless, s...

Length Of Bath

Although the temperature, in sthenic cases, should be a littl...



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 802