|1. First of all you will need to cut the long side of your cards with a pair of scissors. But do not cut the aces. 2. So now every card, except the aces, are narrowed down by about 2 millimeters on both sides. 3. Either you can shuffle the ... Read more of The Four Ace Trick at Card Trick.ca|| Informational|
Acute esophagitis calls for rest in bed, sterile liquid food...
There are two opposite causes of unconsciousness. One is conge...
Wide gagging prevents proper exposure of the larynx by forci...
Distinctive Use Of Each Pole
I have said that every disease is preternaturally either posi...
Angioneurotic edema manifests itself by a pale or red swolle...
Esophageal Foreign Body
After initial choking and gagging, or without these, there m...
In the common form this is purely neuralgic. The nerves are in...
This may be felt either because the breath is actually hot, or...
Necessity Of Ventilation Means Of Heating The Sick-room Relative Merits Of Open Fires Stoves And Furnaces
Next to its intrinsic value, our method gives the patient the...
The flat rubber bags of various shapes, to be had from all rub...
Mind In Disease
Often a person, because of physical failure, becomes possessed...
Contraindications To Direct Laryngoscopy
There are no absolute contraindications to direct laryngosco...
The lunar caustic is very useful in the treatment of this pai...
See Nostrils. ...
There is a vast variety of ailments associated with what is ca...
The Tongue is not Used chiefly for Tasting. If you will notic...
Stage I Entering The Right Pyriform Sinus
The operator standing (as in Fig. 66), inserts the esophagos...
Extraction Of Open Safety-pins From The Esophagus
An open safety pin with the point down offers no particular ...
The Prime Rules Of Fasting
Another truism of natural hygiene is that we dig our own grav...
Difficulties Of Direct Laryngoscopy
The larynx can be directly exposed in any patient whose mout...
Endoscopy On The Human Being
Category: ACQUIRING SKILL
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Dog work offers but little practice
in laryngoscopy. Because of the slight angle at which the dog's head
joins his spine, the larynx is in a direct line with the open mouth;
hence little displacement of the anterior cervical tissues is
necessary. Moreover the interior of the larynx of the dog is quite
different from that of the human larynx. The technic of laryngoscopy
in the human subject is best perfected by a routine direct examination
of the larynx of anesthetized patients after such an operation as, for
instance, tonsillectomy, to see that the larynx and laryngopharynx are
free of clots. To perform a bronchoscopy or esophagoscopy under these
conditions would be reprehensible; but direct laryngoscopy for the
seeking and removal of clots serves a useful purpose as a preventative
of pulmonary abscess and similar complications.* Diagnosis of
laryngeal conditions in young children is possible only by direct
laryngoscopy and is neglected in almost all of the cases. No
anesthesia, general or local, is required. Much clinical material is
neglected. All cases of dyspnea or dysphagia should be studied
endoscopically if the cause of the condition cannot be definitely
found and treated by other means. Invaluable practice in esophagoscopy
is found in the treatment of strictures of the esophagus by weekly or
biweekly esophagoscopic bouginage.
* Dr. William Frederick Moore, of the Bronchoscopic Clinic, has
recently collected statistics of 202 cases of post-tonsillectomic
pulmonary abscess that point strongly to aspiration of infected clots
and other infective materials as the most frequent etiologic mechanism
(Moore, W. F., Pulmonary Abscess. Journ. Am. Med. Assn., April 29,
1922, Vol. 78, pp. 1279-1281).
In acquiring skill as an endoscopist the following paraphrased
aphorisms afford food for thought.
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