Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Torpid Liver

Take A D or B D current, full medium force. Treat with N. P. ...

Eyes Spots On

These spots are of two different kinds, and yet they are very ...

Scarlet Fever

This fever assumes two principal forms: Simple or mild, and M...

Liver The

Where biliousness prevails, without any symptom of real liver ...

Diphtheria

The most striking symptom of diphtheria is the growth of a sub...

Blisters

The destruction of the skin over any painful part, by means of...

Lungs Inflammation Of The

This is a common trouble in our climate, and, fortunately, one...

Remedial Virtues Ascribed To Relics

A relic has been defined as an object held in reverence or ...

Styptic Charms

Fancy can save or kill; it hath closed up wounds, when t...

Problems

THERE are very few persons who have not I had the experience ...

The Fundamental Principle

If you are a true believer in any of the above food religions...

Vaccination Trouble

When a child is suffering after vaccination, we should have hi...

Chapped Hands

Our idea is that this is caused by the soda in the soap used. ...

Fever At Night

Frequently, in illness, a fever sets in as night approaches, a...

The Teeth The Ivory Keepers Of The Gate

Why the Teeth are Important. The teeth are a very important...

Hemorrhage

Take B D current, strong force. Apply P. P. to the open blood...

Sunshine

Is a most valuable aid to health, acting as a physical and men...

Suppression Of The Menses Amenorrhoea

For sudden suppression from taking cold, as by wetting the ...

Hay Fever

A most effective preventive and cure for this is the inhaling ...

Examination Of The Trachea And Bronchi

All bronchial orifices must be identified seriatim; because ...



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



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 891