VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Foods For Monodiet, Juice Or Broth Fasting

zucchini, garlic, onion, green beans, kale, celery, beet gree...

Position For Bronchoscopy And Esophagoscopy

The dorsally recumbent patient is so placed that the head an...

Legs Pricking Pains In

Sometimes curious pricking pains are felt in the legs, becomin...

Illness

AS far as we make circumstances guides and not limitations, t...

Eyes Cataract On

This disease has been arrested, and in earlier stages even cur...

Tetanus

This is substantially the same thing as trismus, except that ...

Mechanical Problems Of Bronchoscopic Foreign Body Extraction*

* For more extensive consideration of mechanical problems...

Emergencies

5. Cardiac Emergency Drugs.--Besides some of the drugs alread...

Constipation

This trouble is often only aggravated and made chronic by the ...

Esophageal Dilators

The dilatation of cicatricial stenosis of the esophagus can ...

Colic Of Whatever Kind

Use A D current, pretty strong force. In severe cases, introd...

Stimulants

See Alcohol; Narcotics. ...

Paroxysm Management

The immediate conditions to meet are the rapid fluttering hea...

Technic Of Specular Esophagoscopy

Recumbent patient. Boyce position. The larynx is to be expos...

Acute Dilatation Of The Stomach

This condition is not well understood, nor is its frequence k...

Mumps

This is a contagious disease, consisting in an inflammation o...

Bowels Reversed

See Bowels, Locking of, above. ...

Sleeplessness

In search of sleep men do many things both dangerous and fooli...

Diet

I have little to say with regard to _diet_, at least to physi...

Cardiovascular Renal Disease

With the strennousness of this era, this disease or conditi...



Tuberculosis Of The Tracheobronchial Tree





Category: BRONCHOSCOPY IN DISEASES OF THE TRACHEA AND BRONCHI
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The bronchoscopic study
of tuberculosis is very interesting, but only a few cases justify
bronchoscopy. The subglottic infiltrations from extensions of
laryngeal disease are usually of edematous appearance, though they are
much more firm than in ordinary inflammatory edema. Ulcerations in
this region are rare, except as direct extensions of ulceration above
the cord. The trachea is relatively rarely involved in tuberculosis,
but we may have in the trachea the pale swelling of the early stage of
a perichondritis, or the later ulceration and all the phenomena
following the mixed pyogenic infections. These same conditions may
exist in the bronchi. In a number of instances, the entire lumen of
the bronchus was occluded by cheesy pus and debris of a peribronchial
gland which had eroded through. As a rule, the mucosa of tuberculosis
is pale, and the pallor is accentuated by the rather bluish streak of
vessels, where these are visible. Erosion through of peri-bronchial or
peri-tracheal lymph masses may be associated with granulation tissue,
usually of pale color, but occasionally reddish; and sometimes oozing
of blood is noticed. A most common picture in tuberculosis is a
broadening of the carina, which may be so marked as to obliterate the
carina and to bulge inward, producing deformed lumina in both bronchi.
Sometimes the lumina are crescentic, the concavity of the crescent
being internal, that is, toward the median line. Absence of the normal
anterior and downward movement of the carina on deep inspiration is
almost pathognomonic of a mass at the bifurcation, and such a mass is
usually tuberculous, though it may be malignant, and, very rarely,
luetic. The only lesion visible in a tuberculous case may be
cicatrices from healed processes. In a number of cases there has been
a discharge of pus coming from the upper-lobe bronchus.

[Fig. 96.--The author's tampons for pulmonary hemostasis by
bronchoscopic tamponade. The folded gauze is 10 cm. long; the braided
silk cord 60 cm. long.]





Next: Hemoptysis

Previous: Lues Of The Tracheobronchial Tree



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 809