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 th...

Home Medicine Medicine TRACHEOTOMY
2,226 views
Vitamin Program For The Sick

No matter which way you look at it or how well insured you may be against it, being sick is expensive (not to mention what it does to one's quality of life), and by far the best th...

Home Medicine Medicine The Analysis of Disease States: Helping the Body Recover
2,225 views
The Roentgenographic Signs Of Expiratory-valve-like Bronchial Obstruction

The roentgenray signs in expiratory valve-like obstruction of a bronchus are those of an acute obstructive emphysema (Fig. 74), namely, 1. Greater transparency on the obstructed si...

Home Medicine Medicine FOREIGN BODIES IN THE AIR AND FOOD PASSAGES
2,224 views
The Triviality Of Trivialities

LIFE is clearer, happier, and easier for us as things assume their true proportions. I might better say, as they come nearer in appearance to their true proportions; for it seems d...

Home Medicine Medicine Uncategorized
2,224 views
Contraindications To Direct Laryngoscopy

There are no absolute contraindications to direct laryngoscopy in any case where direct laryngoscopy is really needed for diagnosis or treatment. In extremely dyspneic patients, if...

Home Medicine Medicine DIRECT LARYNGOSCOPY
2,223 views
Blood Poisoning

(See Blood, Purifying; Sores).

Home Medicine Medicine
2,223 views
The Repugnant Bowel

I don't know why, but people of our culture have a deep-seated reluctance to relate to the colon or it's functions. People don't want to think about the colon or personally get inv...

Home Medicine Medicine Colon Cleansing
2,222 views
Treatment Of Endocarditis

As mild endocarditis rarely occurs primarily but is almost always secondary to some acute disease, its immediate treatment is only a slight modification of that of the disease whic...

Home Medicine Medicine Uncategorized
2,222 views
Diverticulum Of The Esophagus

Diverticula may, and usually do, consist in a pouching by herniation, of the whole thickness of the esophageal wall; or they may be herniations of the mucosa between the muscular l...

Home Medicine Medicine DISEASES OF THE ESOPHAGUS
2,221 views
Cardiac Drugs

Whether any drug should be used which acts directly on the heart is often a question for decision. As endocarditis is generally secondary to some acute disease, the patient has bec...

Home Medicine Medicine Uncategorized
2,220 views
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 dy...

Home Medicine Medicine MALIGNANT DISEASE OF THE ESOPHAGUS
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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 n...

Home Medicine Medicine INTRODUCTION OF THE BRONCHOSCOPE
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Rotation Forceps

It is sometimes desired to make traction on an irregularly shaped foreign body, and yet to allow the object to turn into the line of least resistance while traction is being made....

Home Medicine Medicine INSTRUMENTARIUM
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Underwear

There is a common and very popular error, namely, that of putting too much clothing on our bodies, under the mistaken idea that additional weight means additional warmth. The fact...

Home Medicine Medicine
2,220 views
Aortic Stenosis

Aortic narrowing or stenosis is a frequent occurrence in the aged and in arteriosclerosis when the aorta is involved. It is not a frequent single lesion in the young. If it occurs...

Home Medicine Medicine Uncategorized
2,217 views
Myocarditis Fibrous Symptoms And Signs

The symptoms of chronic myocardial degeneration are progressive weakness, slight at first, noticeable on exertion (and what was not considered exertion becomes such), as evidenced...

Home Medicine Medicine Uncategorized
2,216 views
Cardiovascular Renal Disease Arrhythmia

While this terns really signifies irregularity and intermittence of the heart, it may also be broadly used to indicate a pulse which is abnormally slow or one which is abnormally f...

Home Medicine Medicine Uncategorized
2,215 views
Care Of Instruments

The endoscopist must either personally care for his instruments, or have an instrument nurse in his own employ, for if they are intrusted to the general operating room routine he w...

Home Medicine Medicine ANATOMY OF LARYNX, TRACHEA, BRONCHI AND ESOPHAGUS, ENDOSCOPICALLY CONSIDERED
2,215 views
Polypus

See Nostrils.

Home Medicine Medicine
2,215 views
Ankylosis

Fixation of the crico-arytenoid joints with an approximation of the cords may require evisceration of the larynx. This, however, should not be attempted until after a year's lapse,...

Home Medicine Medicine CHRONIC STENOSIS OF THE LARYNX AND TRACHEA
2,213 views
The Freedom Of Life

I AM so tired I must give up work," said a young woman with a very strained and tearful face; and it seemed to her a desperate state, for she was dependent upon work for her bread...

Home Medicine Medicine Uncategorized
2,213 views
The Nose

How the Nose is Made. The nose began as a pair of little puckers, or dimples, just above the mouth, containing cells that were particularly good smellers, in order to test the food...

Home Medicine Medicine THE LOOKOUT DEPARTMENT
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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...

Home Medicine Medicine MECHANICAL PROBLEMS OF BRONCHOSCOPIC FOREIGN BODY EXTRACTION
2,212 views
The Heart In Pneumonia

As pneumonia heads the list of the causes of death in this country, and as the heart fails so quickly, sometimes almost in the beginning in pneumonia, a special discussion of the m...

Home Medicine Medicine Uncategorized
2,209 views
The Esophagus

A few of the anatomical details must be kept especially in mind when it is desired to introduce straight and rigid instruments down the lumen of the gullet. First and most importan...

Home Medicine Medicine ANATOMY OF LARYNX, TRACHEA, BRONCHI AND ESOPHAGUS, ENDOSCOPICALLY CONSIDERED
2,208 views
Mechanical Problems Of Bronchoscopic Foreign Body Extraction*

* For more extensive consideration of mechanical problems than is here possible the reader is referred to the Bibliography, page 311, especially reference numbers 1, 11, 37 and 56....

Home Medicine Medicine MECHANICAL PROBLEMS OF BRONCHOSCOPIC FOREIGN BODY EXTRACTION
2,207 views
Acute Pericarditis

As this inflammation is generally secondary to some other condition, its treatment cannot be positively outlined. Furthermore, it is often a terminal condition, and in such instanc...

Home Medicine Medicine Uncategorized
2,206 views
Inspection Of The Party Wall In Cases Of Suspected Laryngeal Malignancy

When taking a specimen the party wall should be inspected by passing a laryngoscope or, if necessary, an esophageal speculum down through the laryngopharynx and beyond the cricopha...

Home Medicine Medicine BRONCHOSCOPY IN MALIGNANT GROWTHS OF THE TRACHEA
2,206 views
Malignant Endocarditis Ulcerative Endocarditis

Since we have learned that bacteria are probably at the bottom of almost any endocarditis, the terms suggested under the classification of endocarditis as "mild" and "malignant" re...

Home Medicine Medicine Uncategorized
2,205 views
Legs Pricking Pains In

Sometimes curious pricking pains are felt in the legs, becoming so severe as even to confine a patient to bed. Nothing can be seen on the skin, and no swelling or other visible sig...

Home Medicine Medicine
2,205 views