The Square type is so designated on account of the palm being like a square in shape, or at least nearly so. Such a hand in fact "looks square." It is rather straight or even at the wrist, at the base of the fingers, and also at the sides. The ... Read more of The Square Type at Palm Readings.orgInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Van Helmont

JOHANN BAPTIST VAN HELMONT, a celebrated Belgian physician, s...

Division Of The Process Of The Disease Into Periods

Its course is commonly divided into four distinct periods, vi...

Alcohol

This, in various forms, as brandy, whiskey, rum, wine, cordial...

Aphonia Loss Of Voice

This affection requires treatment variously, as it depends on...

Tetanus

This is substantially the same thing as trismus, except that ...

Bread Wheaten

In some cases the bran in whole wheaten bread and Saltcoats bi...

Ulceration Of The Esophagus

Superficial erosions of the esophagus are by no means an unco...

Mitral Insufficiency: Mitral Regurgitation

This is the most frequent form of valvular disease of the hea...

Plate V Laryngeal And Tracheal Stenoses:

1, Indirect view, sitting position; postdiphtheric cicatricia...

Relaxation Of Treatment Towards The End Of The Third Period Continuation Of Packs During And After Desquamation

When the patient is through the first part of the period of ...

Sores

These will be found dealt with under many headings throughout ...

Worry

One of the most fruitful causes of ill-health is the habit of ...

The Esophagus

A few of the anatomical details must be kept especially in mi...

Removal Of Open Safety Pins From The Trachea And Bronchi

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

Philosophy Of Disease And Cure

In every part of the animal economy, polar derangements in th...

Wounds And Bruises

On this subject, I must necessarily be very brief. When a wou...

Sleep And Rest

Why We Need Rest. A most important element in a life of healt...

Amenorrhea Suppressed Menstruation

Treat as for chlorosis. But if the case be recent--the effect...

Diet

The diet of the sick should he nutricious, but at all times s...

Expectoration

What is commonly called a "cough and spit" is sometimes due to...



Diphtheria





Category: CHRONIC STENOSIS OF THE LARYNX AND TRACHEA
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Chronic postdiphtheritic stenosis may be of the panic,
spasmodic or, rarely, the paralytic types; but more often it is of
either the hypertrophic or cicatricial forms. Only too frequently the
stenosis should be called posttracheotomic rather than
postdiphtheritic, since decannulation after the subsidence of the
acute stenosis would have been easy had it not been for the sequelae
of the faulty tracheotomy. Prolonged intubation may induce either a
supraglottic or subglottic tissue hyperplasia. The supraglottic type
consists in an edematous thickening around the base of the epiglottis,
sometimes involving also the glossoepiglottic folds and the
ventricular bands. An improperly shaped or fitted tube is the usual
cause of this condition, and a change to a correct form of intubation
tube may be all that is required. Excessive polypoid tissue
hypertrophy should be excised. The less redundant cases subside under
galvanocaustic treatment, which may be preceded by tracheotomy and
extubation, or the intubation tube may be replaced after the
application of the cautery. The former method is preferable since the
patient is far safer with a tracheotomic cannula and, further, the
constant irritation of the intubation tube is avoided. Subglottic
hypertrophic stenosis consists in symmetrical turbinal-like swellings
encroaching on the lumen from either side. Cautious galvanocauterant
treatment accurately applied by the direct method will practically
always cure this condition. Preliminary tracheotomy is required in
those cases in which it has not already been done, and in the cases in
which a high tracheotomy has been done, a low tracheotomy must be the
first step in the cure. Cicatricial types of postdiphtheritic stenosis
may be seen as webs, annular cicatrices of funnel shape, or masses of
fibrous tissue causing fixation of the arytenoids as well as
encroachment on the glottic lumen. (See color plates.)

As a rule, when a convalescent diphtheritic patient cannot be
extubated two weeks after three negative cultures have been obtained
the advisability of a low tracheotomy should be considered. If a
convalescent intubated patient cough up a tube and become dyspneic a
low tracheotomy is usually preferable to forcing in an oversized
intubation tube.





Next: Typhoid Fever

Previous: Lues



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 1109