VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Sick Headache

See Headache. ...

Indications For Strychnin

Strychnin is a much overused drug. It is now given for almost...

Foreign Bodies In The Insane

Foreign bodies may be introduced voluntarily and in great nu...

Contrariness

I KNOW a woman who says that if she wants to get her ...

Importance Of Noting The Central Point

From the above observations, it will be plain that, when we w...

Croup

Treat croup, whether membranous or spasmodic, much the same a...

Inspection Of The Party Wall In Cases Of Suspected Laryngeal Malignancy

When taking a specimen the party wall should be inspected by...

Endoscopy On The Human Being

Dog work offers but little practice in laryngoscopy. Because...

General Tonic Treatment

Take the B D current, (A D is very good), of fair medium stre...

Asepsis

Strict aseptic technic must be observed in all endoscopic pr...

Operating Room

All endoscopic procedures should be performed in a somewhat ...

Hepatization Of Lungs

Take A D current, pretty strong force. Treat in front, over t...

Malaria

Is now known to be conveyed by the bite of a certain kind of m...

Moods

RELIEF from the mastery of an evil mood is like fresh air aft...

Unsuccessful Bronchoscopy For Foreign Bodies

The limitations of bronchoscopic removal of foreign bodies ar...

Pulmonary Stenosis Pulmonary Obstruction

If stenosis is actually present in this location, the lesion ...

The Period Of Convalescence

under the usual drug-treatment, is, however, usually protract...

Mind Training

IT will be plainly seen that this training of the bod...

Stiffness General

This is often an adjunct of old age, and sometimes occurs in t...

The Relation Of The Principal Bloodvessels Of The Thorax And Abdomen To The Osseous Skeleton Etc

The arterial system of vessels assumes, in all cases, somewha...



Rupture And Trauma Of The Esophagus





Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

These may be spontaneous or may ensue from the passage of an
instrument, or foreign body, or of both combined, as exemplified in
the blind attempts to remove a foreign body or to push it downwards.
Digestion of the esophagus and perforation may result from the
stagnation of regurgitated gastric juice therein. This condition
sometimes occurs in profound toxic and debilitated states. Rupture of
the thoracic esophagus produces profound shock, fever, mediastinal
emphysema, and rapid sinking. Pneumothorax and empyema follow
perforation into the pleural cavity. Rupture of the cervical esophagus
is usually followed by cervical emphysema and cervical abscess, both
of which often burrow into the mediastinum along the fascial layers of
the neck. Lesser degrees of trauma produce esophagitis usually
accompanied by fever and painful and difficult swallowing.

The treatment of traumatic esophagitis consists in rest in bed,
sterile liquid food, and the administration of bismuth subnitrate
(about one gramme in an adult), dry on the tongue every 4 hours.
Rupture of the esophagus requires immediate gastrostomy to put the
esophagus at rest and supply necessary alimentation. Thoracotomy for
drainage is required when the pleural cavity has been involved, not
only for pleural secretions, but for the constant and copious
esophageal leakage. It is not ordinarily realized how much normal
salivary drainage passes down the esophagus. The customary treatment
of shock is to be applied. No attempt should be made to remove a
foreign body until the traumatic lesions have healed. This may require
a number of weeks. Decision as to when to remove the intruder is
determined by esophagoscopic inspection.

Subcutaneous emphysema does not require puncture unless gaseous, or
unless pus forms. In the latter event free external drainage becomes
imperative.





Next: Acute Esophagitis

Previous: Anomalies Of The Esophagus



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 961