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This trouble is simply a loss of command of the vocal organs, ...
Extraction Of Open Safety-pins From The Esophagus
An open safety pin with the point down offers no particular ...
Although curative attributes were ascribed to the magnet in...
Diet Economy In
Dr. Hutchison, one of our greatest authorities on the subject ...
Fancy can save or kill; it hath closed up wounds, when t...
Social/cultural/psychological Obstacles To Fasting
Numerous attitudes make it difficult to fast or to provide mo...
Torpid Reaction Asthenic
The more violent the contagious poison, and the weaker the or...
has great power as a local remedy in _Erysipelas_, to be appl...
This is chiefly observed in children. The most frequently en...
If the disease be general in the system, moving from place to...
The part of the heart most affected is the part which has the...
If a chronic endocarditis has followed an acute condition, so...
The application of the lunar caustic in recent burns or scald...
Precautions To Be Observed
As long as compensation is complete, there are no medication ...
Treatment Of Compression Stenoses Of The Trachea
If the thymus be at fault, rapid amelioration of symptoms fo...
The regular bronchoscope is a hollow brass tube slanted at i...
Introduction Of The Bronchoscope
No one should do bronchoscopy until he is able to expose the ...
The Surgical Dissection Of The Superficial Bloodvessels Etc Of The Inguino-femoral Region
Hernial protrusions are very liable to occur at the inguino-f...
An infant's clothing should be soft, warm, and light in weight...
Pulse Counting The
Most valuable information as to the nature and progress of dis...
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