Esophageal Foreign Body
Categories: FOREIGN BODIES IN THE LARYNX AND TRACHEOBRONCHIAL TREESources: A Manual Of Peroral Endoscopy And Laryngeal Surgery
After initial choking and gagging, or
without these, there may be a subjective sense of a foreign body,
constant or, more often, on swallowing. Odynphagia and dysphagia or
aphagia may or may not be present. Pain, sub-sternal or extending to
the back is sometimes present. Hematemesis and fever may occur from
the foreign body or from rough instrumentation. Symptoms referable to
the air-passages may be present due to: (1)
on attempts to swallow through the obstructed esophagus; (2) erosion
of the foreign body through from the esophagus into the trachea; or
(3) trauma inflicted on the larynx during attempts at removal, digital
or instrumental, the foreign body still being present or not.
Diagnosis is by the roentgenray, first without, then, if necessary,
with a capsule filled with an opaque mixture. Flat objects, like
coins, always lie with their greatest diameter in the coronal plane of
the body, when in the esophagus; in the sagittal plane, when in the
trachea or larynx. Lateral, anteroposterior, and sometimes also
quartering roentgenograms are necessary. One taken laterally, low down
on the neck but clear of the shoulder, will often show a bone or other
semiopaque object invisible in the anteroposterior exposure.
More
-
Earache - Otalgia
This may arise from various causes, but a common one is sudden cold. If it arises from cold, and there is general fever, or if the ear is red, or the side of the head and ear hot, _Bell._ and _Baptisia_ should be given in alternation, every hour, or... Early Symptoms Of Irritating Foreign Body Such As A Peanut Kernel In The Bronchus
1. Initial laryngeal spasm is almost invariably present with foreign bodies of organic nature, such as nut kernels, peas, beans, maize, etc. 2. A diffuse purulent laryngo-tracheo-bronchitis develops within 24 hours in children under 2 years. ... Edematous Tracheobronchitis
This is chiefly observed in children. The most frequently encountered form is the epidemic disease to which the name Influenza has been given (q.v. supra). The only noticeable difference between the epidemic and the sporadic cases is in the more ge... Electrical Classification Of Diseases
There are two, and only two, primary classes of disease--those in which the electro-vital force is abnormally positive, and those where it is preternaturally negative. The former class comprises every variety and phase of hypersthenia, and the latte... Emergencies
5. Cardiac Emergency Drugs.--Besides some of the drugs already mentioned (such as camphor hypodermically, nitroglycerin when indicated, strophanthin hypodermically or intravenously, caffein and strychnin), often ergot, suprarenal vasopressor princip... Emergency Tracheotomy
Stabbing of the cricothyroid membrane, or an attempted stabbing of the trachea, so long taught as an emergency tracheotomy, is a mistake. The author's two stage, finger guided method is safer, quicker, more efficient, and not likely to be followed ... Endocarditis
It should be understood that especially in acute conditions a positive separation of endocarditis from myocarditis is incorrect. Acute endocarditis can probably not occur without some inyocarditis, and myocarditis probably does not occur without s... Endocarditis A Secondary Affection
Mild endocarditis is rarely a primary affection, and is almost invariably secondary to one of the diseases named above. Nearly 75 percent of secondary endocarditis occurs as a complication of acute articular rheumatism and chorea, or subsequently. O... Endogastric Version
A very useful and comparatively safe method is illustrated in Figs. 94 and 95. In the execution of this maneuver the pin is seized by the spring with a rotation forceps, and thus passed along with the esophagoscope into the stomach where it is rotat... Endoscopic Operations For Laryngeal Stenosis
Web formations may be excised with sliding punch forceps, or if the web is due to contraction only, incision of the true band may allow its retraction. In some instances liberation of adhesions will favor the formation of adventitious vocal cords. ... Endoscopy In Malignant Disease Of The Larynx
The general surgical rule applying to individuals past middle life, that benign growths exposed to irritation should be removed, probably applies to the larynx as well as to any other epithelialized structure. The facility, accuracy and thoroughness... Endoscopy On The Human Being
Dog work offers but little practice in laryngoscopy. Because of the slight angle at which the dog's head joins his spine, the larynx is in a direct line with the open mouth; hence little displacement of the anterior cervical tissues is necessary. M... Enemas Versus Colonics
People frequently wonder what is the difference between a colonic and an enema. First of all enemas are a lot cheaper because you give them to yourself; an enema bag usually costs about ten dollars, is available at any large drug store, and is in... Enlargement Of Liver
Take A D current, with medium force. Place N. P., some three to five minutes, on left side, over the spleen; and then as much longer at the coccyx. Manipulate with P. P. over the liver. Treat about three times a week. If the enlargement be recent, i... Enlargement Or Ossification Of The Heart
Treat these two affections in the same way. Take the A D current, moderate force. Place N. P. at the coccyx, or alternately there and, with long cord, on the spine opposite to the heart. Manipulate with P. P. over the heart. Treat five to eight minu... Entering The Bronchi
The lip of the bronchoscope should be turned in the direction of the bronchus to be explored, and the axis of the bronchoscope should be made to correspond as nearly as possible to the axis of this bronchus. The position of the lip is designated by ... Errors To Avoid In Suspected Foreign Body Cases
1. Do not reach for the foreign body with the fingers, lest the foreign body be thereby pushed into the larynx, or the larynx be thus traumatized. 2. Do not hold up the patient by the heels, lest a tracheally lodged foreign body be dislodged an... Eruptive Cutaneous Diseases
Take A D current, pretty vigorous force in acute cases; mild in chronic affections. If the eruption be inflamed and acute, use long cord with N. P.; if sluggish and chronic, use long cord with P. P. Move the two electrodes parallel to each other, up... Erysipelas
Take the A. D. current, medium force, in all forms of the diseases. 1. When acute, and characterized by high inflammation, with bright, smooth swelling, and spreading gradually and sometimes rapidly to surrounding parts; or when small vesicles app... Erysipelas
This is a disease of the skin, producing redness, burning and itching pains, appearing in patches, in adults, most apt to appear about the head and face, but in children, upon the limbs, or in very young children, beginning at the umbilicus. It some... Erysipelas
_Erysipelas_ being commonly the reflexion of an internal disease with a peculiar tendency towards the skin, should not be treated locally alone, but with due regard for the original disease. If possible, the patient should perspire freely in long pa... Erythema
_Erythema_ may be considered an exceedingly mild form of erysipelas, and yields to gentle treatment, as it is given in measles. ... Esophageal Dilators
The dilatation of cicatricial stenosis of the esophagus can be done safely only by endoscopic methods. Blind esophageal bouginage is highly dangerous, for the lumen of the stricture is usually eccentric and the bougie is therefore apt to perforate ... Esophageal Foreign Body
After initial choking and gagging, or without these, there may be a subjective sense of a foreign body, constant or, more often, on swallowing. Odynphagia and dysphagia or aphagia may or may not be present. Pain, sub-sternal or extending to the bac... Esophageal Foreign Body Symptoms
1. There are no absolutely diagnostic symptoms. 2. Dysphagia, however, is the most constant complaint, varying with the size of the foreign body, and the degree of inflammatory or spasmodic reaction produced. 3. Pain may be caused by penetrat... Esophagoscopes
The esophagoscope, like the bronchoscope, is a hollow brass tube with beveled distal end containing a small electric light. It differs from the bronchoscope in that it has no perforations, and has a drainage canal on its upper surface, or next to ... Esophagoscopic Extraction Of Foreign Bodies
It is unwise to do an endoscopy in a foreign-body case for the sole purpose of taking a preliminary look. Everything likely to be needed for extraction of the intruder should be sterile and ready at hand. Furthermore, all required instruments for la... Esophagoscopy For Foreign Body
... Essentials Of A Successful, Safe Fast
1. Fast in a bright airy room, with exceptionally good ventilation, because fasters not only need a lot of fresh air; their bodies give off powerfully offensive odors. 2. Sun bathe if possible in warm climates for 10 to 20 minutes in the morning bef... Etiology
One of the most common causes of hypertension is clue to excess of eating and drinking. The products caused by maldigestion of proteins, and the toxins formed and absorbed especially from meat proteins, particularly when the excretions are insuffici... Etiology
Rheumatism is the cause of most instances of cardiac disease which date back to childhood or youth, while arteriosclerosis and chronic infection cause most cardiac diseases in the adult. In the former case it is the mitral valve which is the most fr... Etiology
The cause of an irregularly acting heart in an adult may be organic, as in the various forms of myocarditis, in broken compensation of valvular disease, Stokes-Adams disease, coronary disease, auricular fibrillation, auricular flutter, cerebral dise... Etiology
The lodgement of foreign bodies in the esophagus is influenced by: 1. The shape of the foreign body (disc-shaped, pointed, irregular). 2. Resiliency of the object (safety pins). 3. The size of the foreign body. 4. Narrowing of the esophagu... Etiology Pathology
If a chronic endocarditis has followed an acute condition, some slight permanent papillomas or warty growths may he left from the healed granulating or ulcerated surfaces. Sometimes these little elevations on the valves become inflamed and then adhe... Etiology Treatment
A subacute or a chronic infective endocarditis should be treated on the same plan as an acute endocarditis, which means rest in bed and whatever medication seems advisable, depending on the supposed cause of the condition. A chronic endocarditis ... Etiology Treatment
One has but to refer to the enumerated causes of irregular heart action to determine the treatment. In that caused by extrasystole, the treatment has just been suggested. In irregular heart caused by serious cardiac or other lesions the treatment ha... Examination Of The Trachea And Bronchi
All bronchial orifices must be identified seriatim; because this is the only way by which the bronchoscopist can know what part of the tree he is examining. Appearances alone are not enough. It is the order in which they are exposed that enables th... Exercise And Growth
Fatigue as a Danger Signal. The chief use of exercise in childhood, whether of body or mind, is to make us grow; but it can do this only by being kept within limits. Within these limits it will increase the vigor of the heart, expand the lungs, cl... Exercise While Fasting
The issue of how much activity is called for on a fast is controversial. Natural Hygienists in the Herbert Shelton tradition insist that all fasters absolutely must have complete bed rest, with no books, no TV, no visitors, no enemas, no exercise, n... Extent Of Electric Agency
When we have settled upon the position that the electricity of the heavens and of the artificial machine are identical, and that their identity is essentially one with galvanism, magnetism, the electro-vital fluid of animal and the life-force of the... Extraction Of Foreign Bodies From The Strictured Esophagus
Foreign bodies of relatively small size will lodge in a strictured esophagus. Removal may be rendered difficult when the patient has an upper stricture relatively larger than the lower one, and the foreign body passing the first one lodges at the s... Extraction Of Open Safety-pins From The Esophagus
An open safety pin with the point down offers no particular mechanical difficulty in removal. Great care must be exercised, however, that it be not overridden or pushed upon, as either accident might result in perforation of the esophagus by the pi... Extraction Of Soft Friable Foreign Bodies From The Tracheobronchial Tree
The difficulties here consist in the liability of crushing or fragmenting the object, and scattering portions into minute bronchi, as well as the problem of disimpaction from a ring of annular edema, with little or no forceps space. There is usually... Extraction Of Tacks Nails And Large Headed Foreign Bodies From The Tracheobronchial Tree
In cases of this sort the point presents the same difficulty and requires solution in the same manner as mentioned in the preceding paragraphs on the extraction of pins. The author's inward-rotation method when executed with the Tucker forceps is id... Factors Increasing The Blood Pressure
With normal heart and arteries, exertion and exercise should increase the systolic pressure, and generally somewhat increase the diastolic pressure. The pressure pulse should therefore be greater. When there is circulatory defect or abnormal blood p... Facts
In 1845-46 there was an epidemic in Dresden, a city of 100,000 inhabitants, where I then resided. Its ravages in the city and the densely peopled country around it, were dreadful. We had excellent physicians of different schools, who exerted themsel...