|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesOn The Treatment By Eschar And Poultice
In many cases in which it is impossible to adopt either the m...
Swellings in the breast often arouse fear of cancer, but are g...
If the disease be general in the system, moving from place to...
Bite Of The Rattlesnake
is _Alcohol_, in the ordinary form, or in common Whisky, Bran...
The Dissection Of Femoral Hernia And The Seat Of Stricture
Whilst all forms of inguinal herniae escape from the abdomen ...
Vital Forces Animal And Vegetable
Upon these points I must be permitted to offer a few words. ...
Cures As Self-applied
Often young people in lodgings are in difficulty for want of s...
The question often arises as to the ability of children to bea...
Action Balance Of
An excellent guide to the proper treatment of any case is to b...
Toxic Disturbances And Heart Rate
Under this head it is not proposed to consider disturbances...
The most successful procedure in the management of intestinal...
Removal Of Double Pointed Tacks
If the tack or staple be small, and lodged in a relatively l...
The points to be gained are, to reduce the action of the amat...
No Cutting Short Of The Process Of Scarlatina The Morbid Poison Must Be Drawn To The Skin As Soon As Possible
Scarlet-fever is a disease, which cannot be cut short. Any at...
To wisely alter and arrange the treatment in any case is of th...
The first decision to be made is what constitutes a slow puls...
The presence of a well marked case of exophthalmic goiter is ...
From The Hygienic Dictionary
Doctors.  In the matter of disease and healing, the peopl...
Necessity Of Allaying The Heat
The packs and baths should be continued, even when the patien...
Passing the cricopharyngeus is the most difficult part of es...
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
Next: Acute Esophagitis
Previous: Anomalies Of The Esophagus