|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Emetic; warm coffee, and even an enema of coffee. Artificial r...
Where biliousness prevails, without any symptom of real liver ...
The Expletive Method Blood-letting
has been advocated by some of the best authorities, and there...
Malignant Endocarditis Ulcerative Endocarditis
Since we have learned that bacteria are probably at the botto...
Rules For Insertion Of The Catheter For Insufflation Anesthesia
1. The patient should be fully under the anesthetic by the ...
A Typical Diseased Colon
The average person also has a prolapsed (sagging) transverse ...
For healing wounds, burns, ulcers, irritation of mucous membr...
A mother who has had strength to bear a child is, as a rule, q...
A very useful and comparatively safe method is illustrated i...
See Child-bearing. ...
Is now known to be conveyed by the bite of a certain kind of m...
The Lookout Department
Why the Eyes, Ears, and Nose are Near the Mouth. If you had n...
In every person there is a certain amount only of force which i...
The medicine for this affection is _Nux vom._, to be taken at...
They ware in their foreheads scrowles of parchment, wher...
Papillomata Of The Larynx In Children
Of all benign growths in the larynx papilloma is the most fre...
Many persons are distressed by some form of eruption or inflam...
The patient should be placed in the recumbent position, with...
Treating With Electrolytic Currents
For decomposing and carrying off unnatural growths, as fistul...
Mechanical Effect Of Each Pole
The mechanical effect of the forward end of the current, or t...
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