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Few things have so great and distressing effect as the fear of...
Difficulties Of Direct Laryngoscopy
The larynx can be directly exposed in any patient whose mout...
The following treatment will be found effective to heal less s...
In the original edition, good treacle was recommended as a lax...
The Rational Care Of Self
A WOMAN who had had some weeks of especially difficul...
The proper cooking of this root is so important for health, ow...
Recent Wounds Contusions And Burns
Use the B D current, strong force as can be borne. Bring the ...
Impossibility Of Answering For The Issue Of Every Typhoid Case
Although a _typhoid character_ of scarlatina will rarely set ...
Troubles Of The Nervous System
The Nervous System is not easily Damaged. The nervous system ...
Foreign bodies in the pleural cavity should be immediately re...
Emetic; keep quiet and darken the room. Chloral or bromide of ...
Clothing should be light yet warm, and sufficiently free so as...
What Keeps Us Alive
The Energy in Food and Fuel. The first question that arises i...
Leucorrhoea And Prolapsus Uteri - Whites Female Weakness
The disease depends in all cases upon _inflammation_ of the u...
HOWEVER disagreeable other people may be,--however un...
The Surgical Dissection Of The Popliteal Space And The Posterior Crural Region
On comparing the bend of the knee with the bend of the elbow,...
is valuable as a _palliative_ upon cancerous tumors. As a _cu...
These are often performed in cases in which proper treatment o...
Towels Cold Wet
A towel of the ordinary kind, and full size, is soaked in a ba...
Rupture And Trauma Of The Esophagus
These may be spontaneous or may ensue from the passage of an ...
Category: MALIGNANT DISEASE OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Malignant disease of the esophagus is rarely seen early,
because of the absence, or mildness, of the symptoms. Dysphagia, the
one common symptom of all esophageal disease, is often ignored by the
patient until it becomes so marked as to prevent the taking of solid
food; therefore, the onset may have the similitude of abruptness. Any
well masticated solid food can be swallowed through a lumen 5
millimeters in diameter. The inability to maintain the nutrition is
evidenced by loss of weight and the rapid development of cachexia.
When the stenosis becomes so severe that the fluid intake is limited,
rapid decline occurs from water starvation. Pain is usually a late
symptom of the disease. It may be of an aching character and referred
to the vertebral region or to the neck; or it may only accompany the
act of swallowing. Blood-streaked, regurgitated material, and the
presence of odor, are late manifestations of ulceration and secondary
infection. In some cases, constant oozing of blood from the ulcerated
area adds greatly to the cachexia. If the recurrent laryngeal nerves
are involved, unilateral or bilateral paralysis of the larynx may
complicate the symptoms by cough, dyspnea, aphonia, and possibly
Previous: Malignant Disease Of The Esophagus