|Andy Rooney was a fellow who had the most singularly ingenious knack of doing everything the wrong way. He grew up in his humble Irish home full of mischief to the eyes of every one save his admiring mother. But, to do him justice, he neve... Read more of The Mishaps Of Handy Andy at Children Stories.ca|| Informational|
JEROME CARDAN, an Italian physician, author, mathematician an...
Action Balance Of
An excellent guide to the proper treatment of any case is to b...
Although either the positive or the negative pole, applied to...
The first question in any case of sore throat, is, What is the...
See Teething. ...
Generally the tongue will tell whether the stomach is ulcerate...
The patient should be placed in the recumbent position, with...
Nourishment Heat In
Heat is absorbed in building up the bodily tissues, and given ...
When the conducting cords are of equal length, as commonly th...
Sitz-bath Anchor Of Safety
If there be much delirium, the sitz-bath may be required long...
Use Of The Long Cord
It is often desirable to bring the entire parts of the patien...
Direct Laryngoscopy In Diseases Of The Larynx
The diagnosis of laryngeal disease in young children, impossi...
In a variety of cases, more or less severe spasmodic pains are...
WORK for the better progress of the human race is most effect...
Of Inflammation Of The Knee
Servant women, I suspect from much kneeling in scouring stair...
Differential Diagnosis Of Ulcer Of The Esophagus
Simple ulcer requires the exclusion of lues, tuberculosis, e...
See Indigestion. ...
Strabismus Discordance Of The Eyes
If neither of the rectus muscles have been cut and cicatrized...
Colds Consumption And Pneumonia
Disease Germs. In all foul air there are scores of different ...
The only sure sign of the presence of this parasite in the int...
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