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| I was now face to face with the castle moat, which was, indeed, very wide and very deep. Alas! I could not swim, and my chance of escape seemed of a truth hopeless, as, doubtless, it would have been had I not espied a boat tied to the wall by a r... Read more of Crossing The Moat at Math Puzzle.ca | Informational Privacy |
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Medical ArticlesAnesthesia In Heart DiseaseWhile no physician likes to give an anesthetic to a patient w... White Leg When a limb becomes swelled and white, pouring hot water very ... Water-drinking As the patient should have a constant supply of pure air for ... Disorders Of Muscles And Bones The Muscles and Bones Have Few Diseases. Considering how comp... Ulcers Case Xxix The peculiarity of the present case arose from neglect in eva... Our Spirit-levels The Sixth Sense. Though we usually speak of having five sens... Lancing Swellings See Abscess. ... Ulcers Case Xxiii Mr. Marshall, aged 60, had a troublesome ulcer under the oute... Guaiacum This drug is a West Indian gum, and is one of those remedies w... Shivering This is often a trivial matter, but sometimes it is a symptom ... Stiffness General This is often an adjunct of old age, and sometimes occurs in t... Ablutions And Rubbing With Iced Water Or Snow In a few very obstinate cases, when no rash would appear afte... The Expletive Method Blood-letting has been advocated by some of the best authorities, and there... Acute Myocarditis Probably most acute infections cause more or less myocarditis... Catarrh Acute If in the head, treat as prescribed for common colds in the h... Thirst This forms a severe feature in many cases of illness, and has ... Cramp In The Limbs The treatment of this is to apply cold cloths to the roots of ... Colic The symptoms of this are cramping pains in the abdomen, witho... The Freedom Of Life I AM so tired I must give up work," said a young woma... Ears Running In this trouble there is indicated a failure somewhere of the ... |
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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