Symptoms
Categories: MALIGNANT DISEASE OF THE ESOPHAGUSSources: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Malignant disease of the esophagus is rarely seen early,
because of the absence, or mildness, of the symptoms. Dysphagia, the
one common symptom of all esophageal disease, is often ignored by the
patient until it becomes so marked as to prevent the taking of solid
food; therefore, the onset may have the similitude of abruptness. Any
well masticated solid food can be swallowed through a lumen 5
millimeters in diameter.
evidenced by loss of weight and the rapid development of cachexia.
When the stenosis becomes so severe that the fluid intake is limited,
rapid decline occurs from water starvation. Pain is usually a late
symptom of the disease. It may be of an aching character and referred
to the vertebral region or to the neck; or it may only accompany the
act of swallowing. Blood-streaked, regurgitated material, and the
presence of odor, are late manifestations of ulceration and secondary
infection. In some cases, constant oozing of blood from the ulcerated
area adds greatly to the cachexia. If the recurrent laryngeal nerves
are involved, unilateral or bilateral paralysis of the larynx may
complicate the symptoms by cough, dyspnea, aphonia, and possibly
septic pneumonia.
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Spermatorrhea
The points to be gained are, to reduce the action of the amatorial organs of the brain and the secretion of the testes, and to contract and strengthen the tissue of the seminal vesicles and the prostrate gland. Take the B D current. First, treat ... Sponge-pumping
While the usually thin, watery esophageal and gastric secretions, if free from food, are readily aspirated through a drainage canal, the secretions of the bronchi are often thick and mucilaginous and aspirated with difficulty. Further-more, bronchia... Stage 2
Passing the cricopharyngeus is the most difficult part of esophagoscopy, especially if the patient is unanesthetized. Local anesthesia helps little, if at all. The handle of the esophagoscope is still pointing upward and consequently we are sure tha... Stage 3 Passing Through The Thoracic Esophagus
The thoracic esophagus will be seen to expand during inspiration and contract during expiration, due to the change in thoracic pressure. The esophagoscope usually glides easily through the thoracic esophagus if the patient's position is correct. Af... Stage 4 Passing Through The Hiatus Esophageus
When the head is dropped, it must at the same time be moved horizontally to the right in order that the axis of the tube shall correspond to the axis of the lower third of the esophagus, which deviates to the left and turns anteriorly. The head and... Stage I Entering The Right Pyriform Sinus
The operator standing (as in Fig. 66), inserts the esophagoscope along the right side of the tongue as far as and down the posterior pharyngeal wall. A lifting motion imparted to the tip of the esophagoscope by the left thumb will bring the rounded... Starches
Sources of Starch. The starches are valuable and wholesome foods. They form the largest part, both in bulk and in fuel value, of our diet, and have done so ever since man learned how to cultivate the soil and grow crops of grain. The reason is clear... Starvation
It is true that ethical medical doctors use the least-risky procedure they are allowed to use. But this does not mean there are no risks to allopathic treatment. The medical doctor justifies taking the risks by saying that the risk/reward ratio is t... Stings Of Insects
The effect produced by the sting of Bees, Wasps, and Hornets of all kinds, is so nearly, if not quite identical, that I shall make no distinction between them. There are very few, if any persons, who do not know the symptoms, at least the local effe... Stokes Adams Disease Heart Block
Stokes-Adams disease, or the Stokes-Adams syndrome, is a name applied to a combination of symptoms which was described by Stokes in 1846, and had been observed by Adams in 1827. The disease is characterized by bradycardia and cerebral attacks, eithe... Stokes Adams Treatment
The treatment of true Stokes-Adams disease is unsuccessful. If general arteriosclerosis is present, that condition should be treated. Digitalis would seem almost invariably contraindicated, although it is of value in extrasystoles without heartblock... Strabismus Discordance Of The Eyes
If neither of the rectus muscles have been cut and cicatrized, and if the deformity be not congenital, it may ordinarily be cured. Take B D current, with small pointed electrodes. If the eye be turned inward, insert P. P. in the outer angle of the... Strychnin
The question of the advisability of strychnin is a constant subject for discussion. Strychnin is overused in the cases of most patients who are seriously ill. In a patient in whom we are trying to cause nervous and muscular rest, strychnin is certai... Styptic Charms
Fancy can save or kill; it hath closed up wounds, when the balsam could not, and without the aid of salves, to think hath been a cure. CARTWRIGHT. With bandage firm Ulyss... Sudden Invasion Of The Nervous Centres
Of the different forms of scarlatina maligna the most dangerous is the sudden invasion of the nervous system, particularly the _brain_, the _cerebellum_ and the _spine_, by which the patient's life is sometimes extinguished in a few hours. In other ... Sugars
Where Sugar is Obtained. The other great member of the starch, or carbohydrate, group of foods is sugar. This is a scarcer and more expensive food than starch because, instead of being found in solid masses in grains and roots like starch, it is sca... Suggestions For The Control Of Athletics
1. Gymnasiums and athletic grounds in connection with all colleges, preparatory schools, seminaries and high schools are essential, and they should be added to grammar schools whenever possible. 2. Physical training and athletic games, and perhaps... Suppression Of The Menses Amenorrhoea
For sudden suppression from taking cold, as by wetting the feet, there being headache, more or less fever, the pulse frequent and variable, pains in the small of the back and cramp like pains in the pelvic region, give, in alternation, _Aconite_ a... Sympathy
SYMPATHY, in its best sense, is the ability to take another's point of view. Not to mourn because he mourns; not to feel injured because he feels injured. There are times when we cannot agree with a friend in the necessity for mourning or feeling in... Symptomatology And Diagnosis Of Foreign Bodies In The Air And Food Passages
Initial symptoms are choking, gagging, coughing, and wheezing, often followed by a symptomless interval. The foreign body may be in the larynx, trachea, bronchi, nasal chambers, nasopharynx, fauces, tonsil, pharynx, hypopharynx, esophagus, stomach, ... Symptomatology And Treatment Of Chronic Valvular Lesions
Before discussing the treatment of broken compensation in general, it may be well to describe briefly the differences in the symptoms and treatment of the various valvular lesions. ... Symptoms
In hypertension, as long as the heart, which is probably hypertrophied, remains perfectly competent, there are few symptoms, and the person does not seek advice until he notices one or more of several possible conditions. He may be dizzy, his head m... Symptoms
The symptoms are increased tension, which means, sooner or later, hypertrophy of the left ventricle and an accentuated closure of the aortic valve. This alone means more and more tendency to aortic irritation and aortic valve irritation, with inflam... Symptoms
Malignant disease of the esophagus is rarely seen early, because of the absence, or mildness, of the symptoms. Dysphagia, the one common symptom of all esophageal disease, is often ignored by the patient until it becomes so marked as to prevent the ... Symptoms
Dysphagia is the most frequent complaint in cases of esophageally lodged foreign bodies. A very small object may excite sufficient spasm to cause aphagia, while a relatively large foreign body may be tolerated, after a time, so that the swallowing f... Symptoms And Signs Of Cardiac Disturbance
It is now recognized that any infection can cause weakness and degeneration of the heart muscle. The Streptococcus rheumaticus found in rheumatic joints is probably the cause of such heart injury in rheumatism. That prolonged fever from any cause in... Symptoms Of Gastric Foreign Body
Foreign body in the stomach ordinarily produces no symptoms. The roentgenogram and the fluoroscopic study with an opaque mixture are the chief means of diagnosis. ... Symptoms Of Laryngeal Foreign Body
1. Initial laryngeal spasm followed by wheezing respiration, croupy cough, and varying degrees of impairment of phonation. 2. Pain may be a symptom. If so, it is usually located in the laryngeal region, though in some cases it is referred to the... Symptoms Of Prolonged Foreign Body Sojourn In The Bronchus
1. The time of inhalation of a foreign body may be unknown or forgotten. 2. Cough and purulent expectoration ultimately result, although there may be a delusive protracted symptomless interval. [130] 3. Periodic attacks of fever, with chills ... Symptoms Of Tracheal And Bronchial Foreign Body
1. Tracheal foreign bodies are usually movable and their movements can usually be felt by the patient. 2. Cough is usually present at once, may disappear for a time and recur, or may be continuous, and may be so violent as to induce vomiting. I... Take Care Of Your Stomach
WE all know that we have a great deal to do. Some of us have to work all day to earn our bread and butter and then work a good part of the night to make our clothes. Some of us have to stand all day behind a counter. Some of us have to sit a... Taking A Laryngeal Specimen For Diagnosis
The diagnosis of carcinoma, sarcoma, and some other conditions can be made certain only by microscopic study of tissue removed from the growth. The specimen should be ample but will necessarily be small. If the suspected growth be small it should b... Talismans
A talisman may be described as an emblematical object or image, accredited with magical powers, by whose means its possessor is enabled to enlist the aid of supernatural beings. Frequently it is a precious stone, sometimes a piece of metal or parc... Technic
It is essential that the patient on whom the examination is to be made should be at rest, either comfortably seated, or lying down. All clothing should be removed from the arm, and there should be no constriction by sleeves, either of the upper arm ... Technic
The patient should be placed in the recumbent position, with the extended head held in the midline by an assistant. The shoulders, not the neck, should be slightly raised with a sand bag. The head should be somewhat lower than the feet, to lessen th... Technic For General Anesthesia
For esophagoscopy and gastroscopy, if general anesthesia is desired, ether may be started by the usual method and continued by dropping upon folded gauze laid over the mouth after the tube is introduced. Endo-tracheal administration of ether is, ho... Technic Of Bronchoscopy
Local anesthesia is usually employed in the adult. The patient is placed in the Boyce position shown in Fig. 51, with head and shoulders projecting over the edge of the table and supported by an assistant. The glottis is exposed by left-handed laryn... Technic Of Laryngeal Operations
Preparation of the patient and anesthesia have been mentioned under their respective chapters. The prime essential of successful laryngeal operations is perfect mastery of continuous left-handed laryngeal exposure. The right hand must be equally tr... Technic Of Specular Esophagoscopy
Recumbent patient. Boyce position. The larynx is to be exposed as in direct laryngoscopy, the right pyriform sinus identified, the tip of the speculum inserted therein, and gently insinuated to the cricopharyngeal constriction. Too great extension ... Technicalities Of The Pack And Bath
Let me give you its technicalities, and the rationale of its action: A linen sheet, (linen is a better conductor than cotton,) large enough to wrap the whole person of the patient in it (not too large, however; if there is no sheet of proper size,... Teething Of Children
Affections arising from teething of children, are often of a serious character. The most prominent of which is _Diarrhoea_. _Fever_ frequently accompanies the diarrhoea, and _convulsions_ occasionally occur. _Aconite_ and _Chamomilla_ should be used... Telephones And Telephoning
MOST men--and women--use more nervous force in speaking through the telephone than would be needed to keep them strong and healthy for years. It is good to note that the more we keep in harmony with natural laws the more quiet we are forc... Temperature Of The Sick-room
The _temperature of the sick-room_ should not be much above 65 deg. Fahrenheit; in no case should it rise above 70, whilst I do not see the necessity of keeping it below 60, as some hydriatic physicians advise. The patient, in the heat of fever, wil... Temperature Of The Water Double Sheet Changing Sheet
The water for the wet-sheet pack, in this violent form, ought to be cold; in summer it should be iced down to 46-48 deg. Fahr. The sheet ought to be coarse or doubled, in order that it should retain more water, and it should not be wrung out very ti... Testing For Electric Defects
These tests should be made beforehand; not when about to commence introduction. If the first lamp lights up properly, use it with its light-carrier to test out the other cords. If the lamp lights up, but flickers, locate the trouble before att... Tests
ADOPTING the phrase of our forefathers, with all its force and brevity, we say, "The proof of the pudding is in the eating." If the laws adduced in this book are Nature's laws, they should preserve us in health and strength. And so they do...