|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Many valuable lives have been saved by an elementary knowledge...
The Effect Of Drugs On Venous Blood Pressure
Capps and Matthews [Footnote: Capps, J. A., and Matthews, S. ...
Proteins Or Meats
Proteins, the First Foods. There are proteins, or meats, both...
An attack of this disease generally begins with a feeling of w...
Curing With Enemas
It is not wise to continue regular colonics or enemas once a ...
A subacute or a chronic infective endocarditis should be trea...
A piece of fine new flannel made to cover the whole back, and ...
Foreign Bodies In The Air And Food Passages
The air and food passages may be invaded by any foreign subst...
The Contagion Of Scarlatina Very Active
The _contagion_ of scarlatina is very active, and adheres for...
will often cure malignant ulcers both of the breast and uteru...
The Surgical Dissection Of The Male Bladder And Urethra Lateral And Bilateral Lithotomy Compared
Having examined the surgical relations of the bladder and adj...
TO argue with nervous anxiety, either in ourselves or...
What Kind Of Food Should We Eat?
Generally speaking, our Appetites will Guide us. Our whole bo...
The Stiffening Rods Of The Body-machine
What Bones Are. The bones are not the solid foundation and fr...
Early Symptoms Of Irritating Foreign Body Such As A Peanut Kernel In The Bronchus
1. Initial laryngeal spasm is almost invariably present wit...
Auricular Fibrillation Diagnosis
If the pulse is intermittent and there is apparently a heart ...
Thumb Bruised And Broken
Frequently a tradesman will strike the thumb or finger a serio...
Action Of The Pack And Bath Rationale
The action of the wet-sheet pack is thus easily accounted for...
For healing wounds, burns, ulcers, irritation of mucous membr...
Ulceration Of The Esophagus
Superficial erosions of the esophagus are by no means an unco...
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