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| Olive Thorne Miller One of the most interesting birds who ever lived in my Bird Room was a blue jay named Jakie. He was full of business from morning till night, scarcely ever a moment still. Poor little fellow! He had been stole... Read more of THE BUSY BLUE JAY at Children Stories.ca | Informational.ca Privacy |
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Medical ArticlesSore NipplesThis affection of nursing women frequently comes on before th... Training For Rest BUT how shall we gain a natural repose? It is absurd ... Entering The Bronchi The lip of the bronchoscope should be turned in the directio... Thuya is a specific when locally used for _Sycosis_, also for fungo... Etiology Pathology If a chronic endocarditis has followed an acute condition, so... Where There Is A Will There Is A Way! I have been frequently compelled to resort to these milder ap... Restlessness In slight cases, where the patient simply cannot sleep for tos... Common Colds Take the B D Faradaic current--moderate strength. If the affe... Phosphorus Often caused by children sucking matches. There is a burning i... Acute Myocarditis Probably most acute infections cause more or less myocarditis... The Effect Of Drugs On Blood Pressure Free catharsis is a well established and valuable method of ... Hemoptysis In cases not demonstrably tuberculous, hemoptysis may requir... Old Ulcers Take the A D current. If torpid, treat with mild force. Treat... Veins Swollen The swelling of veins in the leg is a very common trouble, esp... Colic Of Whatever Kind Use A D current, pretty strong force. In severe cases, introd... Brain Impressions THE mere idea of a brain clear from false impressions gives a... Buttermilk Poultice Boiled potatoes beaten up with fresh buttermilk make an excell... Raw Food Healing Diets Next in declining order of healing effectiveness is what I ca... Tracheotomy Indications.--Tracheotomy is indicated in dyspnea of laryngot... Bradycardia The first decision to be made is what constitutes a slow puls... |
Tuberculosis Of The EsophagusCategory: 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
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