Bronchoscopy In Diseases Of The Trachea And Bronchi
Categories: BRONCHOSCOPY IN DISEASES OF THE TRACHEA AND BRONCHISources: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The indications for bronchoscopy in disease are becoming
increasingly numerous. Among the more important may be mentioned:
1. Bronchiectasis.
2. Chronic pulmonary abscess.
3. Unexplained dyspnea.
4. Dyspnea unrelieved by tracheotomy calls for bronchoscopic search
for deeper obstruction.
5. Paralysis of the recurrent laryngeal nerve, the cause of which is
not positively known.
6. Obscure thoracic disease.
7. Unexplained hemoptysis.
8. Unexplained cough.
9. Unexplained expectoration.
Contraindications to bronchoscopy in disease do not exist if the
bronchoscopy is really needed. Serious organic disease such as
aneurysm, hypertension, advanced cardiac disease, might render
bronchoscopy inadvisable except for the removal of foreign bodies.
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Bilious Fever
This fever may be either intermittent, remitting, or continued, and typhoid. It is distinguished from common intermittent, by the great derangement of the stomach, as nausea and vomiting of bilious matter, yellow coated tongue, bitter taste in the m... Bite Of The Rattlesnake
is _Alcohol_, in the ordinary form, or in common Whisky, Brandy, Rum or Gin. Let the patient drink it freely, a gill or more at a time, once in fifteen to twenty minutes, until some symptoms of intoxication are experienced, then cease using it. The ... Blood Pressure
The study of the blood pressure has become a subject of great importance in the practice of medicine and surgery. No condition can be properly treated, no operation should be performed, and no prognosis is of value without a proper consideration o... Blood Pressure And Insurance
An epitome of the consensus of opinion of the risk of accepting persons for insurance as modified by the blood pressure is presented by Quackenbos. [Footnote: Quackenbos: New York Med. Jour., May 15, 1915, p. 999.] Some companies have ruled that at ... Blood Pressure In Children
May Michael, [Footnote: Michael, May: A Study of Blood Pressure in Normal Children, Am. Jour. Dis. Child., April, 1911, p. 272.] after a study of the blood pressure in 350 children, came to the conclusion that the blood pressure in children increase... Bradycardia
The first decision to be made is what constitutes a slow pulse or slow heart. A pulse below 58 or 60 beats per minute should be considered slow, and anything below 50 should be considered abnormally slow and a condition more or less suspicious. A pu... Bradycardia Symptoms
If a person has been long accustomed to a slow-acting heart, there are no symptoms. If the heart has become slowed from disease or from any acute condition, the patient is likely to feel more or less faint, perhaps have some dizzines, and often head... Brain Impressions
THE mere idea of a brain clear from false impressions gives a sense of freedom which is refreshing. In a comic journal, some years ago, there was a picture of a man in a most self-important attitude, with two common mortals in the background gazi... Breast Cancer
I have worked with many young women with breast cancer; so many in fact, that their faces and cases tend to blur. But whenever I think about them, Kelly inevitably comes to mind because we became such good friends. Like me, Kelly was an independent-... Bromids And Chloral
If there is much restlessness and the circulation is good, that is, if myocarditis is probably not present, the bromids may be of great value, especially in children. The dose should be sufficient to quiet the nervous system. The drug may be discont... Bronchial Aspiration
As mentioned above, bronchial aspiration is often necessary. When the patient is unable to get up secretions, he will, as demonstrated by the author many years ago, drown in his own secretions. In some cases bronchoscopic aspiration is required (Pe... Bronchial Dilators
It is not uncommon to find a stricture of the bronchus superjacent to a foreign body that has been in situ for a period of months. In order to remove the foreign body, this stricture must be dilated, and for this the bronchial dilator shown in Fig. ... Bronchial Stenosis
Stenosis of one or more bronchi results at times from cicatricial contraction following secondary infection of leutic, tuberculous or traumatic lesions. The narrowing resulting from foreign body traumatism rarely requires secondary dilatation after ... Bronchiectasis
In most cases of bronchiectasis there are strong indications for a bronchoscopic diagnosis, to eliminate such conditions as foreign body, cicatricial bronchial stenosis, or endobronchial neoplasm as etiologic factors. In the idiopathic types consid... Bronchoscopes
The regular bronchoscope is a hollow brass tube slanted at its distal end, and having a handle at its proximal or ocular extremity. An auxiliary canal on its under surface contains the light carrier, the electric bulb of which is situated in a reces... Bronchoscopic And Esophagoscopic Grasping Forceps
are of the tubular type, that is, a stylet carrying the jaws works in a slender tube so that traction on the stylet draws the V of the open jaws into the lumen of the tube, thus causing the blades to approximate. They are very delicate and light, y... Bronchoscopic Appearances In Disease
The first look should note the color of the bronchial mucosa, due allowance being made for the pressure of tubal contact, secretions, and the engorgement incident to continued cough. The carina trachealis normally moves slowly forward as well as do... Bronchoscopic Oxygen Insufflation
Bronchoscopic oxygen insufflation is a life-saving measure equalled by no other method known to the science of medicine, in all cases of asphyxia, or apnea, present or impending. Its especial sphere of usefulness is in severe cases of electric shock... Bronchoscopy In Diseases Of The Trachea And Bronchi
The indications for bronchoscopy in disease are becoming increasingly numerous. Among the more important may be mentioned: 1. Bronchiectasis. 2. Chronic pulmonary abscess. 3. Unexplained dyspnea. 4. Dyspnea unrelieved by tracheotomy calls ... Bronchoscopy In Malignant Growths Of The Trachea
The trachea is often secondarily invaded by malignancy of the esophagus, thyroid gland, peritracheal or peribronchial glands. Primary malignant neoplasms of the trachea or bronchus have not infrequently been diagnosticated by bronchoscopy. Peritrach... Bruises Case Xiv
The first case of bruise which I shall detail was not severe, but will serve to illustrate the mode of treatment by the adherent eschar. Mr. Symons, aged 60, slipped off a chair and bruised the shin, last evening; the skin was removed to the exten... Bruises Case Xix
Robert Hill, aged 16, received a blow yesterday from a bone which was thrown at him, upon the outer condyle of the humerus. He complains of extreme pain and there are much redness and swelling. I applied the lunar caustic and directed the part to be... Bruises Case Xv
The following case was far more severe, but the mode of treatment was not less efficacious. Mr. Granger, aged 36, was exposed to a severe bruise by a great weight of stones which had been piled up, falling upon the outside of the leg; he was extr... Bruises Case Xvi
J. Jennings, bricklayer, aged 26, fell through the roof of a house and bruised and lacerated his shin rather severely to the extent of an inch and half in one part and in several other places in a less degree. I applied the lunar caustic to the woun... Bruises Case Xvii
An old man, aged 60, received a bruise upon the occiput from a fall; the skin was lacerated and removed to the extent of half-a-crown. I applied the lunar caustic soon after the accident. On the next day an adherent eschar was formed. There was ne... Bruises Case Xviii
Mrs. C. aged 40, was detained on a journey by a bruised wound on her knee, received a fortnight before, which was healing very slowly under the usual mode of treatment. The inflammation was subsiding but the sore was extremely irritable and painful,... Bruises Case Xx
It frequently occurs to surgeons to receive slight wounds upon the hands which prove very troublesome. Of this kind is the following. Mr. L.C. had an irritable and inflamed sore on the ulnar side of the third finger, occasioned by a bruise a fortn... Burns And Scalds
No matter what the nature and extent of the burn may be, the very best of all medicines of which I have any knowledge, is _Soap_. If the parts affected, are immediately immersed or enveloped in Soft Soap, the pain will be greatly lessened, and the i... Burns Case Xxxiii
A little girl, aged 10, scalded her breast a week ago and has treated it with the ordinary remedies. There remained a superficial ulceration of the size of half-a-crown. I applied the lunar caustic lightly over the surface of the sore, and then the ... Burns Case Xxxiv
Mr. C. aged 51, scalded his leg ten days ago on the instep. He applied ointments and poultices. The surface remained ulcerated to the extent of three inches in length and an inch and a half in breadth, and presented a considerable thick slough in th... Burns Case Xxxv
The following case will present a specimen of my trials of the lunar caustic in larger ulcers. Anthony Knowles, aged 44, was kicked by a horse on the leg, above the inner ankle, two years ago. The part has never healed, but still remains in the s... Burns Case Xxxvi
The last case I have to give is one of great interest, as it clearly shows the influence of the lunar caustic in subduing the inflammation surrounding ulcerations, and in promoting the healing process, even in cases of phagedenic ulcer. In such case... Butter, Margarine And Fats In General
Recently, enormous propaganda has been generated against eating butter. Its been smeared in the health magazines as a saturated animal fat, one containing that evil substance, cholesterol. Many people are now avoiding it and instead, using margarine... Cadaver Practice
The fundamental principles of peroral endoscopy are best taught on the cadaver. It is necessary that a specially prepared subject be had, in order to obtain the required degree of flexibility. Injecting fluid of the following formula worked out by ... Caffein
Caffein can irritate the heart and cause irregularity and tachycardia, especially in certain persons. In fact, some can never take a single cup of coffee without having an attack of palpitation, and many times when coffee and tea have been unsuspect... Calendula
is applied to wounds, _incised_ and _lacerated_, promoting healing by the first intention. It is a valuable application for wounds in scrofulous persons, which tend to suppurate rather than heal by the first intention. It is also useful in old sores...