|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesPunctures Case Iv
The present case is somewhat more severe than those which hav...
Neuralgia And Rheumatism Of The Heart
If neuralgia, use B D current; if rheumatism, use A D. In eit...
acts very beneficially when applied to the surface where ther...
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 ...
There are gradations of fasting measures ranging from rigorou...
Where we prescribe this, either for drinking or for external u...
Diet For The Chronically Ill
The chronically ill person has a long-term degenerative con...
Breath And Blood
Often difficulty of breathing, especially in close air, mistak...
These are often performed in cases in which proper treatment o...
You Have No Idea How I Am Rushed
A WOMAN can feel rushed when she is sitting perfectly...
Ulcerative lesions in the larynx during typhoid fever are al...
Very great good can often be done by a little careful syringin...
Bowels Locking Of
Sometimes when one part of the bowels is much more active than...
Amaurosis Paralysis Of The Optic Nerve
Use B D current, moderate force, three or four times, and the...
Bruises Case Xvi
J. Jennings, bricklayer, aged 26, fell through the roof of a ...
Some years back my 70 years old mother came from the family ...
By inserting the window plug shown in Fig. 6 the esophagus m...
Inward Rotation Method
When the point is found to be buried in the mucosa, the best...
Palpitation Of The Heart
This is commonly a symptomatic or sympathetic affection--rare...
The use of these to give temporary relief, often degenerating ...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The dilatation of cicatricial stenosis of the
esophagus can be done safely only by endoscopic methods. Blind
esophageal bouginage is highly dangerous, for the lumen of the
stricture is usually eccentric and the bougie is therefore apt to
perforate the wall rather than find the small opening. Often there is
present a pouching of the esophagus above a stricture, in which the
bougie may lodge and perforate. Bougies should be introduced under
visual guidance through the esophagoscope, which is so placed that the
lumen of the stricture is in the center of the endoscopic field. The
author's endoscopic bougies (Fig. 40) are made with a flexible
silk-woven tip securely fastened to a steel shaft. This shaft lends
rigidity to the instrument sufficient to permit its accurate
placement, and its small size permits the eye to keep the silk-woven
tip in view. These endoscopic bougies are made in sizes from 8 to 40,
French scale. The larger sizes are used especially for the dilatation
of laryngeal and tracheal stenoses. For the latter work it is
essential that the bougies be inspected carefully before they are
used, for should a defective tip come off while in the lower air
passages a difficult foreign body problem would be created.
Soft-rubber retrograde dilators to be drawn upward from the stomach by
a swallowed string are useful in gastrostomized cases (Fig. 35).
[FIG 38.--Half curved hook, 45 cm. and 60 cm. Full curved patterns are
made but caution is necessary to avoid them becoming anchored in the
bronchi. Spiral forms avoid this. The author makes for himself steel
probe-pointed rods out of which he bends hooks of any desired shape.
The rod is held in a pin-vise to facilitate bending of the point,
after heating in an alcohol or bunsen flame.]
Previous: Bronchial Dilators