In order to do God's will we must first know his will. In order to have real satisfaction, rest, and contentment in the Christian life--and there is no true rest outside the Christian life--we must have the full assurance that we are doing th... Read more of HOW TO UNDERSTAND GOD'S WILL. at Difficult.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Functional Hiatal Stenosis Hiatal Esophagismus Phrenospasm Diaphragmatic Pinchcock Stenosis

There is no sphincteric muscular arrangement at the cardiac o...

Tricuspid Stenosis Tricuspid Obstruction

This is rare and probably always congenital, and is supposed ...

Cramp In The Stomach

This very severe trouble, though resisting ordinary methods of...

Bleeding

In any case of this pack the feet and legs as directed in Lung...

Toxic Disturbances And Heart Rate

Under this head it is not proposed to consider disturbances...

To Prevent Cholera

_Camphor_ (_pellets medicated_ with the pure tincture) _Verat...

Stage 2

Passing the cricopharyngeus is the most difficult part of es...

Lues Of The Tracheobronchial Tree

Compared to laryngeal involvement, syphilis of the tracheobr...

Lilly

WILLIAM LILLY, a famous English astrologer of yeoman ancestry...

Depression

This is usually a bodily illness, though often regarded as men...

Cholera Morbus

This disease generally comes on at night, in hot weather, and...

The Unrelenting Boredom Of Fasting

Then there's the unrelenting boredom of fasting. Most people ...

Stage 3 Passing Through The Thoracic Esophagus

The thoracic esophagus will be seen to expand during inspira...

Laryngoscopes

The regular type of laryngoscope shown in Fig. I (A, B, C) i...

Resume Of Tracheotomy

Instruments. Headlight Sandbag Scalpel Hemostats ...

Importance Of Noting The Central Point

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

Enemas Versus Colonics

People frequently wonder what is the difference between a col...

Treatment Of Other Eruptive Fevers

The treatment as prescribed for scarlatina in this pamphlet, ...

Rheumatism

We feel urged, in first considering this sore and very common ...

From The Hygienic Dictionary 2

Toxemia. [1] "Toxemia is the basic cause of all so-called dise...



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 1055