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Entering The Bronchi
The lip of the bronchoscope should be turned in the directio...
Breath And Nerve
Difficult breathing, especially in ascending a hill, is often ...
It is sometimes desired to make traction on an irregularly s...
Blood Pressure And Insurance
An epitome of the consensus of opinion of the risk of accepti...
Physics Of Aortic Lesions
Next in frequency to mitral insufficiency is aortic insuffici...
Where this is advised medically, it is often taken in a manner...
The Period Of Convalescence
under the usual drug-treatment, is, however, usually protract...
This acid is found in persons of a gouty tendency, such tenden...
Cardiac Disease In Pregnancy
It is so serious a thing for a woman with valvular lesion or ...
To Prevent Typhoid Fever
When exposed, as in nursing the sick, take _Baptisia_ 2d, and...
Where biliousness prevails, without any symptom of real liver ...
Emetic; warm coffee, and even an enema of coffee. Artificial r...
A Healthy Colon
From my point of view the most amazing part of this whole exp...
Much more than is readily believed depends on the state of the...
Take B D current, strong force. Apply P. P. to the open blood...
For this the treatment may be given as in gastric fever, and, ...
_Nux Vomica_ should be used once in about four hours, for twe...
Ulcers Case Xxviii
Mrs. U. aged 60, has been subject to ulcerated legs for sever...
Endoscopic Operations For Laryngeal Stenosis
Web formations may be excised with sliding punch forceps, or...
Category: 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).
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