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Other People_

HOWEVER disagreeable other people may be,--however un...

The Surgical Form Of The Male And Female Axillae Compared

Certain characteristic features mark those differences which ...


Arterial hypertension may be divided into stages. In the fi...

Malignant Endocarditis Ulcerative Endocarditis

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Head Massaging The

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Urticaria Zoster Rubeola

_Urticaria_, _Zoster_ and _Rubeola_, are treated in the same ...

Endoscopy In Malignant Disease Of The Larynx

The general surgical rule applying to individuals past middle...

On Ulcers

From the preceding observations it would naturally be conclud...

Treatment Of The Violent Or Sthenic Form Of Scarlatina Anginosa

The _violent_, or _sthenic form_ of scarlatina anginosa becom...

Acetic Acid

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Thumb Bruised And Broken

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Violent Reaction Sthenic

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is an eruptive fever, produced by a peculiar contagious poiso...

Blood Supply Of

To supply good blood in cases where it is lacking, either from...


For slight bruises, such as children frequently get by falling...

Diet And Corpulence

A tendency to obesity should always be carefully checked by at...


One of the most notorious charlatans of the eighteenth centur...

Why Does Mrs Smith Get On My Nerves?

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Consumption Treatment Of

Turning now to the case when consumption has actually shown it...

Endocarditis A Secondary Affection

Mild endocarditis is rarely a primary affection, and is almos...

Tuberculosis Of The Tracheobronchial Tree

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

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