|These make excellent greens for winter and spring use. Boil hard one half hour with salt pork or corned beef, then drain and serve in a hot dish. Garnish with slices of hard boiled eggs, or the yolks of eggs quirled by pressing through a patent... Read more of Kale Greens at Home Made Cookies.ca|| Informational|
Medical ArticlesPapillomata Of The Larynx In Children
Of all benign growths in the larynx papilloma is the most fre...
This may be felt either because the breath is actually hot, or...
The spatular end of the laryngoscope should now be tipped ba...
Polarization Of The Circuit
I have said, in effect, a little above, that, while the curre...
_Tis a gift to be simple Tis a gift to be free, Tis a gift ...
Swellings in the breast often arouse fear of cancer, but are g...
Impossibility Of Answering For The Issue Of Every Typhoid Case
Although a _typhoid character_ of scarlatina will rarely set ...
Symptoms Of Tracheal And Bronchial Foreign Body
1. Tracheal foreign bodies are usually movable and their mo...
Normal Blood Pressure For Adults
Woley [Footnote: Woley, II. P.: The Normal Variation of the S...
Ulcers Case Xxxi
Mr. S. aged 30, had a sore two inches in length in the groin,...
The Progress Of Disease: Irritation, Enervation, Toxemia
Disease routinely lies at the end of a three-part chain that ...
To Prevent Bilious Fever Or Ague
Take _Podophyllin_, _Baptisia_ and _Gelseminum_ 1st in rotati...
Hair Coming Off
There are many forms of this disfiguring trouble, both in the ...
For all kinds of burning inflammatory pain in the eyes, the fo...
Cancers take on a variety of forms, distinguished by differen...
Unsuccessful Bronchoscopy For Foreign Bodies
The limitations of bronchoscopic removal of foreign bodies ar...
Some things regarding this useful fruit require to be noted by...
What we call, for want of a better name, "nerve force," or "ne...
Nervous Strain In Pain And Sickness
THERE is no way in which superfluous and dangerous te...
See Urinary Troubles. ...
Tuberculosis Of The Esophagus
Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Esophageal tuberculosis is not commonly met, but is probably not
infrequently associated with the dysphagia of tuberculous laryngitis.
It may rarely occur as a primary infection, but usually the esophagus
is involved in an extension from a tuberculous process in the larynx,
mediastinal lymphatics, pleura, bronchi, or lungs.
Primary lesions appear as superficial erosions or ulcerations, with a
surrounding yellowish granular zone, or the granules may alone be
present. The mucosa in tuberculous lesions is usually pallid, the
absence of vascularity being marked. Invasion from the periesophageal
organs produces more or less localized compression and fixation of the
esophagus. The character of open ulceration is modified by the mixed
infections. Healed tuberculous lesions, sometimes resulting from the
evacuation of tuberculous mediastinal lymph nodes into the esophagus
may be encountered. The local fixation and cicatricial contraction may
be the site of a traction diverticulum. Tuberculous esophago-bronchial
fistulae are occasionally seen.
Diagnosis, to be certain, requires the demonstration of the
tubercule bacilli and the characteristic cell accumulation of the
tubercle in a specimen of tissue removed from the lesion.
Actinomycosis must be excluded, and the possibility of mixed luetic
and tuberculous lesions is to be kept in mind. Post-tuberculous
cicatrices have no recognizable characteristics.
Treatment.--The maintenance of nutrition to the highest degree, and
the institution of a strict antituberculous regime are demanded. Local
applications are of no avail. Gastrostomy for feeding should be done
if dysphagia be severe, and has the advantage of putting the esophagus
at rest. The passage of a stomach-tube for feeding purposes may be
done, but it is often painful, and is dangerous in the presence of
ulceration. Pain is not marked if the lesion be limited to the
esophagus, though if it is present orthoform, anesthesin, or
apothesin, in powder form, swallowed dry, may prove helpful.
Next: Varix And Angioma Of The Esophagus
Previous: Lues Of The Esophagus