|On 16th November, 1870, Mr. Shchapoff, a Russian squire, the narrator, came home from a visit to a country town, Iletski, and found his family in some disarray. There lived with him his mother and his wife's mother, ladies of about sixty-nine,... Read more of The Dancing Devil at Scary Stories.ca|| Informational|
Strict aseptic technic must be observed in all endoscopic pr...
A very useful and comparatively safe method is illustrated i...
It is well to bear in mind that there is scarcely any nourishm...
Sudden attacks of this, though in a mild form, are very troubl...
Chloride Of Lime
About the same opinion may be given on _Chloride of Lime_. As...
Ordinarily we are not aware of the beating of the heart, enorm...
The treatment of a suspected coronary sclerosis is the same a...
If you would cure thoroughly, you must first make sure that th...
The points to be gained are, to reduce the action of the amat...
Contraction Of Sinews
This often occurs at the knee, bending the joint so that the p...
The Human Comedy
I know most of my readers have been heavily indoctrinated abo...
This is a name applied to pain in the region of the heart cau...
Mineral Acids And Glacial Acetic
If any neutralising agent, such, e.g., as lime, chalk, soda, o...
Eyes Inflamed With General Eruptions Over The Body
In some cases the eye trouble is only a part of a general skin...
The cooking of vegetables requires particular care. The valuab...
Necessity Of Ventilation Means Of Heating The Sick-room Relative Merits Of Open Fires Stoves And Furnaces
Next to its intrinsic value, our method gives the patient the...
Treatment Of The Violent Or Sthenic Form Of Scarlatina Anginosa
The _violent_, or _sthenic form_ of scarlatina anginosa becom...
Symptoms Of Prolonged Foreign Body Sojourn In The Bronchus
1. The time of inhalation of a foreign body may be unknown ...
Functional Hiatal Stenosis Hiatal Esophagismus Phrenospasm Diaphragmatic Pinchcock Stenosis
There is no sphincteric muscular arrangement at the cardiac o...
Neuralgia And Rheumatism Of The Heart
If neuralgia, use B D current; if rheumatism, use A D. In eit...
Lues Of The Esophagus
Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Esophageal syphilis is a rather rare affection, and may show itself
as a mucous plaque, a gumma, an ulceration, or a cicatrix. Cicatricial
stenosis developing late in life without history of the swallowing of
escharotics or ulcerative lesions is strongly suggestive of syphilis,
though the late manifestation of a congenital stenosis is a
Esophagoscopic appearances of lues are not always characteristic. As
in any ulcerative lesion, the inflammatory changes of mixed infections
mask the basic nature. The mucous plaque has the same appearance as
one situated on the velum, and gummata resemble those seen in the
mucosa elsewhere. There is nothing characteristic in luetic
The diagnosis of luetic lesions of the esophagus, therefore, depends
upon the history, presence of luetic lesions elsewhere, the serologic
reaction, therapeutic test, examination of tissue, and the
demonstration of the treponema pallidum. The therapeutic test by
prolonged saturation of the system with mercury is imperative in all
suspected cases and no other negative result should be deemed
The treatment of luetic esophagitis is systemic, not local. Luetic
cicatrices contract strongly, and are very resistant to treatment, so
that esophagoscopic bouginage should be begun as early as possible
after the healing of a luetic ulceration, in order to prevent
stenosis. A silk-woven endoscopic bougie placed in position by ocular
guidance, and left in situ for from half to one hour daily, may
prevent severe contraction, if used early in the stage of
cicatrization. Prolonged treatment is required for the cure of
established luetic cicatricial stenosis. If gastrostomy has been done
retrograde bouginage (Fig. 35) may be used.
Next: Tuberculosis Of The Esophagus
Previous: Paralysis Of The Esophagus