Prognosis
Categories: FOREIGN BODIES IN THE ESOPHAGUSSources: A Manual Of Peroral Endoscopy And Laryngeal Surgery
A foreign body lodged in the esophagus may prove quickly
fatal from hemorrhage due to perforation of a large vessel; from
asphyxia by pressure on the trachea; or from perforation and
septic mediastinitis. Slower fatalities may result from suppuration
extending to the trachea or bronchi with consequent edema and
asphyxia. Sooner or later, if not removed, the foreign body causes
death. It may be tolerated for a long peri
cervical cellulitis, fistulous tracts, and ultimately extreme stenosis
from cicatricial contraction. Perichondritis of the laryngeal or
tracheal cartilages may follow, and result in laryngeal stenosis
requiring tracheotomy. The damage produced by the foreign body is
often much less than that caused by blind and ill-advised attempts at
removal. If the foreign body becomes dislodged and moves downward, the
danger of intestinal perforation is encountered. The prognosis,
therefore, must be guarded so long as the intruder remains in the
body.
More
-
Pleuroscopy
Foreign bodies in the pleural cavity should be immediately removed. The esophageal speculum inserted through a small intercostal incision makes an excellent pleuroscope, its spatular tip being of particular value in moving the lung out of the way. T... Pleuroscopy For Disease
Most pleural diseases require a large external opening for drainage, and even here the pleuroscope may be of some use in exploring the cavities. Usually there are many adhesions and careful ray study may reveal one or more the breaking up of which ... Pneumonia
Its Cause and Prevention. The other great disease of the lungs is pneumonia, formerly known as inflammation of the lungs. This is rapid and sudden, instead of slow and chronic like tuberculosis, but kills almost as many people; and unfortunately, un... Pneumonia
Take B D current, forceful as the patient can bear, and treat briefly--say five to seven minutes, several times a day, until relief is experienced. Place N. P., long cord, low on back of neck, and move P. P. over all the upper part of the lungs. ... Polar Antagonism
When the conducting cords are of equal length, as commonly they should be, each of the two poles or electrodes produces a polar effect in the patient directly the opposite of that produced by the other. Also, at any point in either half of the circu... Polarization
It may be proper, in this place, to spend a few words upon electrical polarization in general. Electrical polarity may be defined as a characteristic of the electric or magnetic fluid, by virtue of which its opposite qualities, as those of attrac... Polarization Of The Circuit
I have said, in effect, a little above, that, while the current is running, the entire circuit is one complete magnet, which extends from the inner or positive sides of the zinc plates, where the current commences, all the way around to the outer or... Position For Bronchoscopy And Esophagoscopy
The dorsally recumbent patient is so placed that the head and shoulders extend beyond the table, the edge of which supports the thorax at about the level of the scapulae. During introduction, the head must be maintained in the same relative positio... Positive And Negative Effort
DID you ever have the grip? If you ever have you may know how truly it is named and how it does actually grip you so that it seems as if there were nothing else in the world at the time--it appears to entirely possess you. As the Irishman sa... Positive And Negative Manifestations
Acute diseases are to be regarded as electrically positive, and chronic affections as negative. The exceptions are rare, if any at all. Malignant cholera, which is eminently acute, might by some be considered as an exception. In negative diseases, t... Practice On The Dog
Having mastered the technic of introduction on the cadaver and trained the eye and fingers by practice work on the rubber tube, experience should be had in the living lower air and food passages with their pulsatory, respiratory, bechic and deglutit... Practice On The Rubber-tube Manikin
This must be carried out in two ways. 1. General practice with all sorts of objects for the education of the eye and the fingers. 2. Before undertaking a foreign body case, practice should be had with a duplicate of the foreign body. It is ... Precautions To Be Observed
As long as compensation is complete, there are no medication and physical treatment necessary for the damaged heart. The patient, however, should be told of his disability, and restrictions in his habits and life should be urged on him. The most imp... Prejudice Of Physicians Against The Water-cure
The greatest, and the most serious, difficulty lies in the prejudice of physicians against the Water-Cure. This prejudice, although in the treatment of the diseases before us, it is founded on no other reasons but ignorance, lack of courage and the ... Preliminary Remarks
The author wishes to caution the reader not to rely merely on the forms of treatment here prescribed, but to study thoroughly the principles taught in the preceding pages, until he shall have mastered them, and can judge for himself of the correctne... Preparation Of Medicine
As it often becomes necessary for the practitioner to make more or less of his own dilutions and attenuations, some brief instructions especially to new beginners, may not come amiss. Medicine is prepared by mixing it with distilled water, or puri... Preventative Fasting
During the years it takes for a body to degenerate enough to prompt a fast, the body has been storing up large quantities of unprocessed toxins in the cells, tissues, fat deposits, and organs. The body in its wisdom will always choose to temporarily... Prevention
If the patient is weak, the circulation depressed, the blood pressure low, and the heart rapid, the drug advisable to produce rest and sleep is almost always morphin or some other form of opium. Morphin, with few exceptions, is a cardiac tonic and a... Priessnitz's Method The Wet-sheet-pack
a remedy which, alone, is worth the whole antiphlogistic, diaphoretic, and, indeed, the whole curative apparatus of the profession, in ancient and modern times, for any kind of fevers, and especially for eruptive diseases. Nor did the physicians bef... Problems
THERE are very few persons who have not I had the experience of giving up a problem in mathematics late in the evening, and waking in the morning with the solution clear in their minds. That has been the experience of many, too, in real-life problem... Prognosis
Janeway [Footnote: Janeway, T. C.: A Clinical Study of Hypertensive Cardiovascular Disease, Arch. Int. Med., December, 1913, p. 755.] presented statistics of 458 patients with high blood pressure, 67 percent of whom were men. Of these 458 patients 2... Prognosis
A foreign body lodged in the esophagus may prove quickly fatal from hemorrhage due to perforation of a large vessel; from asphyxia by pressure on the trachea; or from perforation and septic mediastinitis. Slower fatalities may result from suppuratio... Prognosis
If the foreign body be not removed, the resulting chronic sepsis or pulmonary hemorrhage will prove fatal. Removal of the foreign body usually results in complete recovery without further local treatment. Occasionally, secondary dilatation of a bron... Prognosis And Convalescence
The duration of acute endocarditis varies greatly; it may be two or three weeks, or the inflammation may become subacute and last for several months. Although mild endocarditis rarely causes death of itself, it may develop into an ulcerative endocar... Prolapsus Uteri Falling Of The Womb
Take the B D current, of good medium force, and give general tonic treatment (see page 95), on alternate days, ten minutes, passing briefly over the several parts. After this, treat five to eight minutes with uterine electrode, in the manner prescri... Prophylaxis
If one put into his mouth nothing but food, foreign body accidents would be rare. The habit of holding tacks, pins and whatnot in the mouth is quite universal and deplorable. Children are prone to follow the bad example of their elders. No small obj... Proteins Or Meats
Proteins, the First Foods. There are proteins, or meats, both animal and vegetable; and no one can support life without protein in some form. This is because proteins alone contain sufficient amounts of the great element called nitrogen, which forms... Pseudo-angina
While this name is more or less unfortunate, it has long been in vogue as a designation for pains and disturbances referred by a patient to his heart. Therefore with the distinct understanding that if the diagnosis is correct the name is a misnomer,... Pulmonary Insufficiency Pulmonary Regurgitation
If this rare condition occurs, it is probably congenital. A distinctive murmur of this insufficiency would be diastolic and accentuated in the second intercostal space on the left of the sternum. It should be remembered that aortic murmurs are often... Pulmonary Phthisis Consumption
After tubercles have been formed extensively in the lungs, and have softened down over considerable area, carrying down the pulmonary tissue with them into a state of pus, there is commonly but little hope of successful treatment. But where they are... Pulmonary Stenosis Pulmonary Obstruction
If stenosis is actually present in this location, the lesion is probably congenital. It might occur after a serious acute infectious endocarditis, but then it would be associated with other lesions of the heart. It has been found to be associated wi... Pulse Testing For Allergies
Coca's Pulse Tests are extraordinarily useful and simple tools for at-home allergy detection. My clients have succeeded at using this approach without supervision. Coca's test works on this simple principle: pulse elevations are caused by any allerg... Pulsus Alternans
By this term is meant that condition of pulse in which, though the rhythm is normal, strong and weak pulsations alternate. White [Footnote: White: Am. Jour. Med. Sc., July, 1915, p. 82.] has shown that this condition is not infrequent, as demonstrat... Punctures Case I
A.B. received a severe punctured wound by a hook of the size of a crow-quill, which pierced into the flesh between the thumb and fore-finger on the outside of the hand; scarcely a drop of blood followed, but there was immediately severe pain and tum... Punctures Case Ii
Mrs. Middleton, aged 40, wounded her wrist, on the ulnar side, by the hook of a door post; there was a considerable flow of blood at first, but this ceased suddenly and the arm immediately became affected with great pain and swelling. The lunar caus... Punctures Case Iii
A female servant punctured the end of the finger by a pin; there succeeded much pain and swelling, and it appeared that the nail would separate, and the cuticle all round the finger was raised by the effusion of fluid. This fluid was evacuated and a... Punctures Case Iv
The present case is somewhat more severe than those which have been already given, and what is of great importance, the caustic was not applied immediately after the accident. William Chantry, aged 50, received a stab in the wrist with a hay-fork ... Punctures Case Ix
James Joynes, aged 12, was bitten by an ass, on each side of the middle finger; the wounds were severe, and almost immediately followed by swelling and great pain. The lunar caustic was well applied within half an hour after the accident. On the ... Punctures Case V
Mr. Cocking's son, aged 12, received a stab in the palm of the hand from a penknife three days ago, which has been followed by much swelling and pain, the punctured orifice being nearly closed. I applied the lunar caustic as deep as possible within ... Punctures Case Vi
A little boy, aged 12, received a stab by a penknife a few days ago, in the fore part of the thigh; there are now great pain and swelling, the orifice is nearly closed, and he has feverishness with headach. I applied the lunar caustic deeply in the ... Punctures Case Vii
Mr. Parr, aged 30, of delicate habit, trod upon a needle which pierced the ball of the great toe; a free crucial incision was made but the needle could not be found; a poultice was applied to the wound and over the poultice a cold lotion. In the ... Punctures Case Viii
This case illustrates the mode of treatment by the lunar caustic, of those terrible effects of punctured wounds which have been neglected in the beginning. B. Unwin, aged 40, washerwoman, applied to me on July the 10th, 1820, with severe inflamma...