InformationalPrivacy
| i was at my computer checking my email... when i got a response from an email i sent out. it had a poem i supposedly wrote to someone named josh and below it was some very erotic S & M porn site. ... Read more of ponographic poetry at My Dreams.ca | Informational Privacy |
 |
Home |
Medical Articles |
Mother's Remedies |
Household Tips |
Medicine History |
Search |
Medical ArticlesFluddROBERT FLUDD, surnamed "the Searcher," an English physician, ... Training For Rest BUT how shall we gain a natural repose? It is absurd ... Auricular Fibrillation Prognosis The prognosis depends on the condition of the myocardium of t... Poultice Bran See Bran Poultice. ... Diagnosis The swallowing function can be studied only with the fluoros... Direct Laryngoscopy In Diseases Of The Larynx The diagnosis of laryngeal disease in young children, impossi... Mitral Stenosis: Mitral Narrowing This particular valvular defect occurs more frequently in wom... Mineral Acids In Case Of Severe Sore-throat In case the throat be very troublesome, there cannot be any o... Suppression Of The Menses Amenorrhoea For sudden suppression from taking cold, as by wetting the ... Forceps Delicacy of touch and manipulation are an absolute necessity... Ankle Swelling When long continued in connection with disease or accident, th... Cardiac Drugs Whether any drug should be used which acts directly on the he... Inward Rotation Method When the point is found to be buried in the mucosa, the best... Hemoptysis In cases not demonstrably tuberculous, hemoptysis may requir... Complete Recovery Of The Seriously Ill Its a virtual certainty that to fully recover, a seriously il... Vegetables Green And Fruit We would strongly recommend our readers to continually have th... The Woman At The Next Desk IT may be the woman sewing in the next chair; it may ... Hope And Healing The mind has always an influence on the body. Life rises and f... Treatment Of Scarlatina Anginosa Or Sore-throat Scarlet-fever In _scarlatina anginosa_, or _sore-throat scarlet-fever_, whi... Treatment Of Scarlatina Simplex Or Simple Scarlet-fever _Scarlatina simplex_, or _simple scarlet-fever_ (9), without ... |
Spatula-protected MethodCategory: ESOPHAGOSCOPY FOR FOREIGN BODY Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery Safety-pins in children, point upward, when lodged high in the cervical esophagus may be readily removed with the aid of the laryngoscope, or esophageal speculum. The keeper end is grasped with the alligator forceps, while the spatular tip of the laryngoscope is worked under the point. Instruments and foreign body are then removed together. Often the pin point will catch in the light-chamber where it is very safely lodged. If the pin be then pulled upon it will straighten out and may be withdrawn through the tube. [FIG. 94.--Endogastric version. One of the author's methods of removal of upward pointed esophageally lodged open safety-pins by passing them into stomach, where they are turned and removed. The first illustration (A) shows the rotation forceps before seizing pin by the ring of the spring end. (Forceps jaws are shown opening in the wrong diameter.) At B is shown the pin seized in the ring by the points of the forceps. At C is shown the pin carried into the stomach and about to be rotated by withdrawal. D, the withdrawal of the pin into the esophagoscope which will thereby close it. If withdrawn by flat-jawed forceps as at F, the esophageal wall would be fatally lacerated.] Double pointed tacks and staples, when lodged point upward, must be turned so that the points trail on removal. This may be done by carrying them into the stomach and turning them, as described under safety-pins. The extraction of foreign bodies of very large size from the esophagus is greatly facilitated by the use of general anesthesia, which relaxes the spasmodic contractions of the esophagus often occurring when attempt is made to withdraw the foreign body. General anesthesia, though entirely unnecessary for introduction of the esophagoscope, in any case may be used if the body is large, sharp, and rough, in order to prevent laceration through the muscular contractions otherwise incident to withdrawal.* In exceptional cases it may be necessary to comminute a large foreign body such as a tooth plate. A large smooth foreign body may be difficult to seize with forceps. In this case the mechanical spoon or the author's safety-pin closer may be used. * It must always be remembered that large foreign bodies are very prone to cause dyspnea that renders general anesthesia exceedingly dangerous especially in children. [FIG. 95.--Lateral roentgenogram of a safety-pin in a child aged 11 months, demonstrating the esophageal location of the pin in this case and the great value of the lateral roentgenogram in the localization of foreign bodies. The pin was removed by the author's method of endogastric version. (Plate made by George C. Johnston )] The extraction of meat and other foods from the esophagus at the level of the upper thoracic aperture is usually readily accomplished with the esophageal speculum and forceps. In certain cases the mechanical spoon will be found useful. Should the bolus of food be lodged at the lower level the esophagoscope will be required. Next: Extraction Of Foreign Bodies From The Strictured Esophagus Previous: Endogastric Version
Viewed 449 |
||||||||||||||||||||
