Diagnosis
Categories: DISEASES OF THE ESOPHAGUSSources: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The swallowing function can be studied only with
the fluoroscope; esophagoscopy for diagnosis, should therefore always
be preceded by a fluoroscopic study of deglutition with a barium or
other opaque mixture and examination of the thoracic organs to
eliminate external pressure on the esophagus as the cause of stenosis.
Complete physical examination and Wassermann reaction are further
routine preliminaries to any esophagoscopy. Special laboratory tests
are done as may be indicated. The physical examination is meant to
include a careful examination of the lips, tongue, palate, pharynx,
and a mirror examination of the larynx when age permits.
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Croup
Treat croup, whether membranous or spasmodic, much the same as is prescribed for diphtheria, only, in the latter part of the form, treat less. ... Croup
This is a disease of children. Comes on in consequence of a sudden cold. Children suffering from Hooping Cough are more subject to it. The cough is of a peculiar whistling kind, like the crowing of a young chicken, with rattling in the throat and di... Cuprum Aceticum
(_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers of the face, _Lupus_ or _Noli-me-tangere_, in the early stage, will in most cases effect a perfect cure, especially if for a week previously the part has been wet daily with _tr. Thuja_. ... Curing With Enemas
It is not wise to continue regular colonics or enemas once a detoxification program has been completed and you have returned to a maintenance diet. The body should be allowed its regular functioning. But because enemas immediately lower the toxic... Deafness
The prognosis is very uncertain. This infirmity is often cured by our system, even when of long standing; and often, again, the treatment fails. The uncertainty arises from the difficulty in determining the exact pathological derangement. Take th... Decannulation
When the tracheal incision is placed below the first ring, no difficulty in decannulation should result from the operation per se. When by temporarily occluding the cannula with the finger it is evident that the laryngeal aperture has regained suffi... Decannulation After Cure Of Laryngeal Stenosis
In order to train the patient to breathe again through the larynx it is necessary to occlude the cannula. This is best done by inserting a rubber cork in the inner cannula. At first it may be necessary to make a slot in the cork so as to permit some... Decompensation
To understand the physiology, pathology and the best treatment for broken compensation, it is necessary to study the physics of the circulation under the different conditions. With the mitral valve insufficient, a greater or less amount of blood is ... Deformities Of The Prostate Distortions And Obstructions Of The Prostatic Urethra
The prostate is liable to such frequent and varied deformities, the consequence of diseased action, whilst, at the same time, its healthy function (if it have any) in the male body is unknown, that it admits at least of one interpretation which may,... Deformities Of The Urinary Bladder The Operations Of Sounding For Stone Of Catheterism And Of Puncturing The Bladder Above The Pubes
The urinary bladder presents two kinds of deformity--viz., congenital and pathological. As examples of the former may be mentioned that in which the organ is deficient in front, and has become everted and protruded like a fungous mass through an ope... Demonstrations Of The Nature Of Congenital And Infantile Inguinal Herniae And Of Hydrocele
PLATE 39. Fig. 1--The descent of the testicle from the loins to the scrotum.--The foetal abdomen and scrotum form one general cavity, and are composed of parts which are structurally identical. The cutaneous, fascial, muscular, and membranous layers... Demonstrations Of The Origin And Progress Of Femoral Hernia Its Diagnosis The Taxis And The Operation
PLATE 45, Fig. 1.--The point, 3, from which an external inguinal hernia first progresses, and the part, 5, within which the femoral hernia begins to be formed, are very close to each other. The inguinal hernia, 3, arising above, 5, the crural arch, ... Demonstrations Of The Origin And Progress Of Inguinal Herniae In General
PLATE 41, Fig. 1.--When the serous spermatic tube is obliterated for its whole length between the internal ring, 1, and the top of the testicle, 13, a hernia, in order to enter the inguinal canal, 1, 4, must either rupture the peritonaeum at the poi... Destruction Of The Organ Of Hearing
When the glands pass into a sloughing state, the parts connected with them are frequently damaged. Thus the ulceration of the parotid gland often causes deafness, by the gangrenous matter communicating to the eustachian tube and the inner ear, where... Deviation Of The Esophagus
Deviation of the esophagus may be marked in the presence of a deformed vertebral column, though dysphagia is a very uncommon symptom. The lack of esophageal symptoms in deviation of spinal production is probably explained by the longitudinal shorten... Diabetes A Kidney Disease
This disease occurs in two forms--diabetes insipidus and diabetes mellitus. In the first named form, the disease is readily cured. In the latter, it is very formidable, and is rarely, if ever, cured by medicines; especially when of long standing. In... Diagnosis
If a more malignant form of endocarditis develops on a mild endocarditis, the diagnosis is generally not difficult. If, without a definite known septic process, malignant endocarditis develops, localized symptoms of heart disturbance and cardiac sig... Diagnosis
The swallowing function can be studied only with the fluoroscope; esophagoscopy for diagnosis, should therefore always be preceded by a fluoroscopic study of deglutition with a barium or other opaque mixture and examination of the thoracic organs to... Diagnosis
It has been estimated that 70 per cent of stenoses of the esophagus in adults are malignant in nature. This should stimulate the early and careful investigation of every case of dysphagia. When all cases of persistent dysphagia, however slight, are ... Diagnosis
After what has been said about the symptoms of scarlatina, it cannot be difficult to distinguish it from similar eruptive diseases. However, as there is much resemblance between _scarlatina_ and _measles_, at least in the milder form of the former, ... Diagnosis From Measles
In scarlatina the heat is much greater, and the pulse is much quicker than in measles.--In scarlatina the throat is inflamed, usually the brain affected, and the patient smells like salt-fish, old cheese or the cages of a menagerie; in measles, the ... Diagnosis Of Foreign Body In The Air Or Food Passages
The questions arising are: I. Is a foreign body present? 2. Where is it located? 3. Is a peroral endoscopic procedure indicated? 4. Are there any contraindications to endoscopy? In order to answer these questions the definite routine giv... Diarrhoea
This disease consists in a looseness of the bowels, generally accompanied with pain in the abdomen, more or less severe. It sometimes occurs without pain, but is _then_ attended with a sense of weakness, and a general feeling of uneasiness. It preva... Diet
As intimated in the preceding paragraph, the diet during endocarditis must be carefully regulated. It must be sufficient, and appropriate for the disease in which the complication occurs, but it must be in such dosage and administered with such freq... Diet
The diet of the sick should he nutricious, but at all times simple, free from greasy substances, and from all stimulating condiments whatsoever, as well as from vinegar, or food in which vinegar is used. In short, let the food be nutritious, easil... Diet
I have little to say with regard to _diet_, at least to physicians. During great heat and high fever, the patient should eat little or nothing; but he should drink a good deal. Substantial food must be avoided entirely. When the fever abates, he can... Diet And Baths In Heart Disease
The diet in cardiac diseases has already incidentally been referred to. The decision as to what a patient ought to eat or drink must often be modified by just what the patient will do, and, as we all know, it is absolutely necessary to make some c... Diet For A Healthy Person
I doubt that it is possible to be totally healthy in the twentieth century. Doctors Alsleben and Shute in their book How to Survive the New Health Catastrophes state that in-depth laboratory testing of the population at large demonstrated four unive... Diet For A Long, Long Life
Some people not only want to be healthy, but they want to live in good health long past the normal life span projected by statistical tables for Homo Sapiens. Dr. Roy Walford, a well-respected medical research gerontologist who has been actively stu... Diet For The Acutely Ill
The acutely ill person experiences occasional attacks of distressing symptoms, usually after indiscretions in living or emotional upsets. They have a cold, or a flu, or sinusitis, or a first bout of pneumonia, or a spring allergy attack. The intense... Diet For The Chronically Ill
The chronically ill person has a long-term degenerative condition that is not immediately life threatening. This condition usually causes more-or-less continuous symptoms that are painful, perhaps unsightly, and ultimately will be disabling or eve... Diet Is Not Enough
Those isolated, long-lived peoples discovered by Weston A. Price had to do hard physical labor to eat, had to walk briskly up and down steep terrain to get anywhere. But today, few North Americans output very much physical energy in process of daily... Diets To Heal The Critically Ill
A critically ill person is someone who could expire at any moment; therapeutic interventions are racing against death. Can the body repair itself enough before some essential function ceases altogether? If there already exists too much damage to vit... Differential Diagnosis Of Laryngeal Growths In The Larynx Of Adults
Determination of the nature of the lesion in these cases usually consists in the diagnosis by exclusion of the possibilities, namely, 1. Lues. 2. Tuberculosis, including lupus. 3. Scleroma. 4. Malignant neoplasm. In the Bronchoscopic C...