|A man walks into an insurance office and asks for a job. "Sorry, we don't need anyone..." they replied. "You can't afford not to hire me. I can sell anyone anything anytime!" "Well, we have two prospects that no one has been able to sell. I... Read more of Insurance salesman at Free Jokes.ca|| Informational|
Medical ArticlesDiseases And Disturbances Of The Skin
Their Chief Causes. Skin troubles are of two main kinds accor...
Bruises Case Xix
Robert Hill, aged 16, received a blow yesterday from a bone w...
This is severe pain in one part or other of the body, sometime...
Diet For Middle Age And The Aged
In advancing years when less exercise is, as a rule, taken, a ...
Tests Of Heart Strength
If both systolic and diastolic blood pressure are taken, and ...
This symptom or affection, (if it can be classed as a disease...
If you would cure thoroughly, you must first make sure that th...
The Surgical Dissection Of The Superficial Structures Of The Male Perinaeum
The median line of the body is marked as the situation where ...
Foreign bodies that have penetrated the chest wall and lodge...
Period Of Eruption Or Appearing Of The Rash
Commonly, on the second day, towards evening, sometimes on th...
Mind In Disease
Often a person, because of physical failure, becomes possessed...
Breath And Muscles
Sometimes difficulty of breathing is due, not to anything wron...
Inflammation Of The Bowels - Enteritis
This consists in inflammation of the muscular and peritoneal ...
Cancer In Face
Treat as far as possible as recommended for breast cancer. ...
As intimated in the preceding paragraph, the diet during end...
Leucorrhoea And Prolapsus Uteri - Whites Female Weakness
The disease depends in all cases upon _inflammation_ of the u...
under a well conducted course of hydriatic treatment is, in g...
Theory Of Man
Let the question now be raised--What is man? The answer will ...
On The Unadherent Eschar
The eschar is generally adherent in cases of recent injuries,...
Where this arises from a more or less putrid wound, what is ai...
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