First Stage
Categories: DIRECT LARYNGOSCOPYSources: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The spatular end of the laryngoscope is introduced in
the right side of the patient's mouth, along the right side of the
anterior two-thirds of the tongue. It was the German method to
introduce the laryngoscope over the dorsum of the tongue but in order
to elevate this sometimes powerful muscular organ considerable force
may be required, which exercise of force may be entirely avoided by
crowding the tongue over to the left. When the posterior third stage
of the tongue is reached, the tip of the laryngoscope is directed
toward the midline and the dorsum of the tongue is elevated by a
lifting motion imparted to the laryngoscope. The epiglottis will then
be seen to project into the endoscopic field, as seen in Fig. 54.
[FIG. 54.--End of the first of direct laryngoscopy, recumbent adult
patient. The epiglottis is exposed by a lifting motion of the spatular
tip on the tongue anterior to the epiglottis.]
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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... Fatty Degeneration
Fatty degeneration of the heart muscle may be caused by acute poisoning (as phosphorus, arsenic, etc.), by serious infections, or it may follow fibrosis of the heart or coronary artery disease. The symptoms are those of serious circulatory weaicnens... Fatty Heart
The cause of deposits of fat around the heart or in between its chambers is the same as the cause of general obesity. These patients are likely to be obese, or at least to have large abdomens with large deposits of fat around the abdomen. This fat i... Favorable Symptoms
are the following: Absence of internal inflammation; a bright florid rash; a regular, steady appearance, standing out, and disappearance of the latter; a regular and complete pealing off of the cuticle; a decrease of the pulse after the eruption of ... Felon - Whitlow
For this disease, in the early stage, when the sensation is that of sharp, sticking pain, feeling as though a brier or thistle was in the finger, immerse the part in water as hot as possible, into which put common salt as long as it will dissolve; h... Fevers
Intermittent Fever, Ague or Chill Fever. This comes on with pains in the head and back, aching in the joints, yawning, followed by coldness of the hands and feet, blueness of the nails and skin of the hands, general chilliness, sometimes "shaking.... Filling The Boiler Of The Body-engine
The Need of Water in the Body-Engine. If you have ever taken a long railway journey, you will remember that, about every two or three hours, you would stop longer than usual at some station, or switch, for the engine to take in water. No matter how ... Finding Your Ideal Dietary
Anyone that is genuinely interested in having the best possible health should make their own study of the titles listed in the bibliography in the back of this book. After you do, award yourself a BS nutrition. I draw certain conclusions from this b... First Stage
The spatular end of the laryngoscope is introduced in the right side of the patient's mouth, along the right side of the anterior two-thirds of the tongue. It was the German method to introduce the laryngoscope over the dorsum of the tongue but in o... Flour, And Other Matters Relating To Seeds
One of the largest degradations to human health was caused by the roller mill. This apparently profitable machine permitted the miller to efficiently separate wheat flour into three components: bran, germ and endosperm. Since bread made without bran... Fludd
ROBERT FLUDD, surnamed "the Searcher," an English physician, writer and theosophist, member of a knightly family, first saw the light at Milgate, Kent, in the year 1574. His father, Sir Thomas Fludd, was Treasurer of War under Queen Elizabeth. Rober... Food Combining And "healthfood Junkfood"
This brings us to a topic I call healthfood junkfood. Many people improve their diet, eliminating meat and chemicalized food in favor of whole grains and organically grown foods, but they then proceed to make these otherwise good foods into virtual ... Foods For Monodiet, Juice Or Broth Fasting
zucchini, garlic, onion, green beans, kale, celery, beet greens and root, cabbage, carrot, wheat grass juice, alfalfa juice, barley green juice, parsley juice, lemon/lime juice, grapefruit juice, apples (not juice, too sweet), diluted orange juice, ... Forceps
Delicacy of touch and manipulation are an absolute necessity if the endoscopist is to avoid mortality; therefore, heavily built and spring-opposed forceps are dangerous as well as useless. For foreign-body work in the larynx, and for the removal of ... Foreign Bodies In The Air And Food Passages
The air and food passages may be invaded by any foreign substance of solid, liquid or gaseous nature, from the animal, vegetable, or mineral kingdoms. Its origin may be from within the body (blood, pus, secretion, broncholiths, sequestra, worms); in... Foreign Bodies In The Bronchi For Prolonged Periods
The sojourn of an inorganic foreign body in the bronchus for a year or more is followed by the development of bronchiectasis, pulmonary abscess, and fibrous changes. The symptoms of tuberculosis may all be presented, but tubercle bacilli have never ... Foreign Bodies In The Insane
Foreign bodies may be introduced voluntarily and in great numbers by the insane. Hysterical individuals may assert the presence of a foreign body, or may even volitionally swallow or aspirate objects. It is a mistake to do a bronchoscopy in order t... Foreign Bodies In The Larynx
Laryngeally lodged foreign bodies produce a wheezing respiration, the quality of which is peculiar to the larynx and is readily localized to this organ. If swelling or the size of the foreign body be sufficient to produce dyspnea, inspiratory indraw... Foreign Bodies In The Larynx And Tracheobronchial Tree
The protective reflexes preventing the entrance of foreign bodies into the lower air passages are: (1) The laryngeal closing reflex and (2) the bechic reflex. Laryngeal closing for normal swallowing consists chiefly in the tilting and the closure of... Foreign Bodies In The Stomach
Gastroscopy is indicated in cases of a foreign body that refuses to pass after a month or two. Foreign bodies in very large numbers in the stomach, as in the insane, may be removed by gastrostomy. The symptomatology of foreign bodies may be epito... Freshness Of Fruits And Vegetables
Most people do not realize the crucial importance of freshness when it comes to produce. In the same way that seeds gradually die, fruits and vegetables go through a similar process as their nutritional content gradually oxidizes or is broken down b... Frictions With Lard
were used already by Caelius Aurelianus, and recently re-introduced into practice, by Drs. Daene and Schneemann, in Germany, and by Dr. Lindsley, in America. Even hydriatic physicians have tried them with some success. However, notwithstanding the s... From The Hygienic Dictionary
Doctors. [1] In the matter of disease and healing, the people have been treated as serfs. The doctor is a dictator who knows it all, and the people are stupid, dumb, driven cattle, fit for nothing except to be herded together, bucked and gagg... From The Hygienic Dictionary
Cure. [1] There is no "cure" for disease; fasting is not a cure. Fasting facilitates natural healing processes. Foods do not cure. Until we have discarded our faith in cures, there can be no intelligent approach to the problems presented by suf... From The Hygienic Dictionary
Autointoxication. [1] the accumulations on the bowel wall become a breeding ground for unhealthy bacterial life forms. The heavy mucus coating in the colon thickens and becomes a host for putrefaction. The blood capillaries to the colon begin... From The Hygienic Dictionary
Food. [1] Life is a tragedy of nutrition. In food lies 99.99% of the causes of all diseases and imperfect health of any kind. _Prof. Arnold Ehret, Mucusless Diet Healing System._ [2] But elimination will never heal perfectly just so long as y... From The Hygienic Dictionary
Vitamins. [1] The staple foods may not contain the same nutritive substances as in former times. . . . Chemical fertilizers, by increasing the abundance of the crops without replacing all the exhausted elements of the soil, may have indirectl... From The Hygienic Dictionary
Diagnosis. [1] In the United States, making a diagnosis implies that you are a doctor duly licensed to engage in diagnostic function.... The making of a diagnosis is reserved only for doctors.... The term "analysis" does not have such an explicit l...