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Ulcers Case Xxxi
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It is difficult to determine the cause of toothache, and more...
The Temples Of Esculapius
It has been truly said that temples were the first hospital...
MICHEL DE NOTREDAME, or NOSTRADAMUS, a celebrated French phys...
Hepatization Of Lungs
Take A D current, pretty strong force. Treat in front, over t...
Precautions To Be Observed
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The Care Of An Invalid
TO take really good care of one who is ill requires n...
Exercise While Fasting
The issue of how much activity is called for on a fast is co...
One of the most fruitful causes of ill-health is the habit of ...
In Excessive Heat And Continuous Delirium A Half-bath May Be Given
also, every time the packing sheet is changed. The rule is that...
The Stages Of Fasting
The best way to understand what happens when we fast is to br...
Chronic Stenosis Of The Larynx And Trachea
The various forms of laryngeal stenosis for which tracheotomy...
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One has but to refer to the enumerated causes of irregular he...
Endoscopic Operations For Laryngeal Stenosis
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The treatment of a suspected coronary sclerosis is the same a...
Of Inflammation Of The Knee
Servant women, I suspect from much kneeling in scouring stair...
If in the head, treat as prescribed for common colds in the h...
Foreign Bodies In The Larynx And Tracheobronchial Tree
Category: FOREIGN BODIES IN THE LARYNX AND TRACHEOBRONCHIAL TREE
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The protective reflexes preventing the entrance of foreign bodies into
the lower air passages are: (1) The laryngeal closing reflex and (2)
the bechic reflex. Laryngeal closing for normal swallowing consists
chiefly in the tilting and the closure of the upper laryngeal orifice.
The ventricular bands help but slightly; and the epiglottis and the
vocal cords little, if at all. The gauntlet to be run by foreign
bodies entering the tracheobronchial tree is composed of:
2. Upper laryngeal orifice.
3. Ventricular bands.
4. Vocal cords.
5. Bechic blast.
The epiglottis acts somewhat as a fender. The superior laryngeal
aperture, composed of a pair of movable ridges of tissue, has almost a
sphincteric action, in addition to a tilting movement. The ventricular
bands can approximate under powerful stimuli. The vocal cords act
similarly. The one defect in the efficiency of this barrier, is the
tendency to take a deep inspiration preparatory to the cough excited
by the contact of a foreign body.
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