Intermittent Fever, Ague or Chill Fever. This comes on wit...
Auricular Fibrillation Prognosis
The prognosis depends on the condition of the myocardium of t...
Scarlatina Anginosa Or Sore-throat Scarlet-fever
Wherever the _throat_ is affected, which is almost always the...
Treatment Of Scarlatina Simplex Or Simple Scarlet-fever
_Scarlatina simplex_, or _simple scarlet-fever_ (9), without ...
The Sixth Sense. Though we usually speak of having five sens...
Filling The Boiler Of The Body-engine
The Need of Water in the Body-Engine. If you have ever taken ...
Stage 3 Passing Through The Thoracic Esophagus
The thoracic esophagus will be seen to expand during inspira...
Breast Swelling In
A blow on the breast, or the drain of nursing a child, along w...
The Digestive System
How the Food Reaches the Stomach. Our body, then, has an open...
No greater mistake could be made than to curtail the hours of ...
This disease consists in a looseness of the bowels, generally...
HOWEVER disagreeable other people may be,--however un...
Earache - Otalgia
This may arise from various causes, but a common one is sudde...
Burns Case Xxxiv
Mr. C. aged 51, scalded his leg ten days ago on the instep. H...
Stabbing of the cricothyroid membrane, or an attempted stabb...
Physical Signs Of Bronchial Foreign Body
In most cases there will be limitation of expansion on the in...
Malignant disease of the esophagus is rarely seen early, bec...
To wisely alter and arrange the treatment in any case is of th...
This disease, or its approach, may be known by several signs: ...
Endoscopy On The Human Being
Dog work offers but little practice in laryngoscopy. Because...
Symptoms Of Prolonged Foreign Body Sojourn In The Bronchus
Category: FOREIGN BODIES IN THE AIR AND FOOD PASSAGES
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
1. The time of inhalation of a foreign body may be unknown or
2. Cough and purulent expectoration ultimately result, although
there may be a delusive protracted symptomless interval.
 3. Periodic attacks of fever, with chills and sweats, and
followed by increased coughing and the expulsion of a large amount of
purulent, usually more or less foul material, are so nearly diagnostic
of foreign body as to call for exclusion of this probability with the
4. Emaciation, clubbing of the fingers and toes, night sweats,
hemoptysis, in fact all of the symptoms of tuberculosis are in most
cases simulated with exactitude, even to the gain in weight by an
5. Tubercle bacilli have never been found, in the cases at the
Bronchoscopic Clinic, associated with foreign body in the bronchus.*
In cases of prolonged sojourn this has been the only element lacking
in a complete clinical picture of advanced tuberculosis. One point of
difference was the almost invariably rapid recovery after removal of
the foreign body. The statement in all of the text-books, that foreign
body is followed by phthisis pulmonalis is a relic of the days when
the bacillary origin of true tuberculosis was unknown, hence the
foreign-body phthisis pulmonalis, or pseudo tuberculosis, was confused
with the true pulmonary tuberculosis of bacillary origin.
6. The subjective sensation of pain may allow the patient accurately
to localize a foreign body.
7. Foreign bodies of metallic or organic nature may cause their
peculiar taste in the sputum.
8. Offensive odored sputum should always suggest bronchial foreign
body; but absence of sputum, odorous or not, should not exclude
9. Sudden complete obstruction of one main bronchus does not cause
noticeable dyspnea provided its fellow is functionating.
 10. Complete obstruction of a bronchus is followed by rapid
11. The physical signs usually show limitation of expansion on the
affected side, impairment of percussion, and lessened trans-mission or
absence of breath-sounds distal to the foreign body.
* The exceptional case has at last been encountered. A boy with a tack
in the bronchus was found to have pulmonary tuberculosis.
Next: Symptoms Of Gastric Foreign Body
Previous: Early Symptoms Of Irritating Foreign Body Such As A Peanut Kernel In The Bronchus