It is difficult to determine the cause of toothache, and more...
Preparation Of The Patient For Peroral Endoscopy
The suggestions of the author in the earlier volumes in regar...
Our idea is that this is caused by the soda in the soap used. ...
This arises generally, from inflammation of the mucous membra...
HEINRICH CORNELIUS AGRIPPA VON NETTESHEIM, a German alchemist...
Acute Dilatation Of The Stomach
This condition is not well understood, nor is its frequence k...
Head Skin Of The
The nerves of sensibility are very largely supplied to the ski...
The part the nervous system plays in this paroxysm is shown b...
An infant's clothing should be soft, warm, and light in weight...
From The Hygienic Dictionary
Autointoxication.  the accumulations on the bowel wall be...
The spinal cord is continuous with the back part of the brain....
Congenital And Pathological Deformities Of The Prepuce And Urethra Stricture And Mechanical Obstructions Of The Urethra
When any of the central organs of the body presents in a fo...
(_Ague in the breast--Inflamed breast_.) This is a disease...
When a limb becomes swelled and white, pouring hot water very ...
Skin A Wintry
Something like an epidemic of skin trouble is often experience...
Telephones And Telephoning
MOST men--and women--use more nervous force in speaki...
Some general remarks on this important treatment we give here....
See Headache. ...
Pulse Counting The
Most valuable information as to the nature and progress of dis...
Take A D or B D current, full medium force. Treat with N. P. ...
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