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For slight bruises, such as children frequently get by falling...
Take A D current, very mild force. Introduce the vaginal elec...
The Woman At The Next Desk
IT may be the woman sewing in the next chair; it may ...
Persons suffering from nervous prostration have probably allow...
Water In The Head
In cases where this trouble is suspected, very often there is ...
Nervous Strain In The Emotions
THE most intense suffering which follows a misuse of ...
Ordinarily we are not aware of the beating of the heart, enorm...
Colds Consumption And Pneumonia
Disease Germs. In all foul air there are scores of different ...
Aphonia Loss Of Voice
This affection requires treatment variously, as it depends on...
Children's Deformed Feet
See Club Foot. ...
Water On The Chest
Sometimes a large watery swelling appears in one part or anoth...
Period Of Eruption Or Appearing Of The Rash
Commonly, on the second day, towards evening, sometimes on th...
Actinomycosis Of The Esophagus
Esophageal actinomycosis has been autoptically discovered. It...
Telephones And Telephoning
MOST men--and women--use more nervous force in speaki...
Natural Polarization Of Man's Physical Organism
The electro-vital fluid, in the animal economy, is subject to...
The Relations Of The Principal Bloodvessels To The Viscera Of The Thoracico-abdominal Cavity
The median line of the body is occupied by the centres of the...
As the patient should have a constant supply of pure air for ...
The Tired Emphasis
"I AM so tired, so tired--I go to bed tired, I get up...
Bilateral abductor laryngeal paralysis causes severe stenosi...
If a person has been long accustomed to a slow-acting heart, ...
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.]
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