| The talk had run on treasure. I could not sleep and my friends had dropped in. I had the big South room on the second floor of the Hotel de Paris. It looks down on the Casino and the Mediterranean. Perhaps you know it. Queer friend... Read more of The Last Adventure at Mystery Stories.ca | InformationalPrivacy |
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Medical ArticlesAnkle SwellingWhen long continued in connection with disease or accident, th... Lungs Congestion Of The Treatment as below. Read preceding and succeeding articles. ... Head Massaging The This is so important in many cases of neuralgia, headache, and... Cold Settled A cold is often easily overcome. At other times it "sits down,... Children's Deformed Feet See Club Foot. ... Chloroform Or Ether (inhaled) Fresh air. Pull tongue forward, and begin artificial respirati... Diet And Baths In Heart Disease The diet in cardiac diseases has already incidentally been ... Hooks No hook greater than a right angle should be used through en... Aortic Stenosis Aortic Obstruction Valvular disease at the aortic orifice is much less common th... What Is It That Makes Me So Nervous? THE two main reasons why women are nervous are, first... Tetanus This is substantially the same thing as trismus, except that ... Remedial Virtues Ascribed To Relics A relic has been defined as an object held in reverence or ... Diet Economy In Dr. Hutchison, one of our greatest authorities on the subject ... Colds Consumption And Pneumonia Disease Germs. In all foul air there are scores of different ... Nauheim Baths At Nauheim, under the direction of Dr. Theodore Schott, baths... Pimples On The Face See Face. ... Auricular Fibrillation Auricular Flutter Auricular fibrillation is at times apparently a clinical enti... Direct Laryngoscopy Adult Patient Before starting, every detail in regard to instrumental equi... Early Symptoms Of Irritating Foreign Body Such As A Peanut Kernel In The Bronchus 1. Initial laryngeal spasm is almost invariably present wit... Fatty Degeneration Fatty degeneration of the heart muscle may be caused by acute... |
Tuberculosis Of The Tracheobronchial TreeCategory: 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
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