As mentioned above the anterior commissure laryngoscope and ...
There are cases in which the outer skin has been taken off by ...
Very great good can often be done by a little careful syringin...
Other Kinds Of Cancer
There seem to be many other kinds of cancer, at least if you ...
Croup More Serious Form
This is caused by an accumulation of material in the windpipe,...
The first sign of such an illness is a brief and slight attack...
This is a severe pain in the lower back, shooting sharply down...
Burns Case Xxxiv
Mr. C. aged 51, scalded his leg ten days ago on the instep. H...
Fever arising from bad state of the blood may be treated by ca...
Mechanical Problems Of Esophagoscopic Removal Of Foreign Bodies
The bronchoscopic problems considered in the previous chapter...
Clothes should be Loose and Comfortable. Man is the only anim...
Methods Of Treatment
Irritating applications probably provoke recurrences, becaus...
This forms a severe feature in many cases of illness, and has ...
Use Of The Long Cord
It is often desirable to bring the entire parts of the patien...
Compression Stenosis Of The Esophagus
The esophagus may be narrowed by the pressure of any periesop...
NATURE is not only our one guide in the matter of phy...
Bowels Locking Of
Sometimes when one part of the bowels is much more active than...
Foreign Bodies In The Larynx
Laryngeally lodged foreign bodies produce a wheezing respirat...
Convulsions Of Children - Fits
These generally occur, either from the irritation of worms, o...
Symptoms Of Gastric Foreign Body
Foreign body in the stomach ordinarily produces no symptoms. ...
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.]
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