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Medical ArticlesHoarsenessThis arises generally, from inflammation of the mucous membra... The Frightening Heart Heart disease is one of the major causes of death among North... Head Skin Of The The nerves of sensibility are very largely supplied to the ski... Measles An attack of this disease generally begins with a feeling of w... Ice-water And Snow-bath In Malignant Cases If no rash appear during the first pack, which will scarcely ... Scarlet Fever This fever assumes two principal forms: Simple or mild, and M... The Power Of Words In every word there is a magic influence, and each word ... Resume Of Emergency Tracheotomy The following notes should be memorized. 1. Essentials: Kn... Hair Coming Off There are many forms of this disfiguring trouble, both in the ... How Fasting Heals Its an old hygienic maxim that the doctor does not heal, the ... Cane Syrup In the original edition, good treacle was recommended as a lax... Eczema Skin eruptions, known under this name, have very various cause... Angina Pectoris Management While a number of causes of true cardiac pain may be eliminat... Skin Care Of Among the vast majority of people air and water far too seldom... Diet For The Acutely Ill The acutely ill person experiences occasional attacks of dist... Physical Signs In Esophageal Foreign Body There are no constant physical signs associated with uncompli... Positive And Negative Manifestations Acute diseases are to be regarded as electrically positive, a... Bran Poultice Get a sufficient quantity of good bran in an ordinary washhand... Climate And Soil The soil on which one lives is a matter of primary importance;... Head Sounds In As the result and accompaniment of deafness these are sometime... |
Influenzal LaryngotracheobronchitisCategory: BRONCHOSCOPY IN DISEASES OF THE TRACHEA AND BRONCHI Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery Influenzal infection, not always by the same organism, sweeps over the population, attacking the air passages in a violent and quite characteristic way. Bronchoscopy shows the influenzal infection to be characterized by intense reddening and swelling of the mucosa. In some cases the swelling is so great as to necessitate tracheotomy, or intubation of the larynx; and if the edema involve the bronchi, occlusion may be fatal. Hemorrhagic spots and superficial erosions are commonly seen, and a thick, tenacious exudate, difficult of expectoration, lies in patches in the trachea. Infants may asphyxiate from accumulation of this secretion which they are unable to expel. The differential diagnosis from diphtheria is sometimes difficult. The absence of true membrane and the failure to find diphtheria bacilli in smears taken from the trachea are of aid but are not infallible. In doubtful cases, the administration of diphtheria antitoxin is a wise precaution pending the establishment of a definite diagnosis. The pseudomembrane sometimes present in influenzal tracheobronchitis is thinner and less pulpy than that of the earlier stages of diphtheria. The casts of the later stages do not occur in influenzal tracheobronchitis (Bibliography I, p. 480). Next: Edematous Tracheobronchitis Previous: Treatment Of Compression Stenoses Of The Trachea
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