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July, 1940 BRONCHOSCOPY—HART 337 Fig. 10. Case 5. Roentgenogram showing extensive involvement of right upper lobe, secondary to bronchogenic carcinoma. The chest films of all patients exhibited either an abnormal contour or elevation of the right diaphragm, or both. All recovered following the administration of emetine given under the direction of the referring physician or medical consultant. Any pneumonitis may go on to frank abscess formation. Jackson'n) has pointed out that the preliminary pneumonitis may be of short duration. Bronchoscopy in such cases has the same value as in any pneumonitis—viz., direct visualization and the bacteriologic study of uncontaminated specimens. Such study should in particular rule out fusospirochetal infections. It is not irrelevant to point out that therapeutically bronchoscopy may bring about a successful outcome even in a chronic abscess of some months’ duration. One post-pneumonic abscess with a rather large cavity in the left upper lobe cleared up entirely under bronchoscopic management, although the patient did not come under observation until ten months after onset, and the fingers were already clubbed"'0. Should such a case go to operation, the bronchoscopist can be of great help in determining the exact lobe of involvement. Lastly, even in a bronchoscopic failure, the preliminary bronchoscopic treatment will often make the patient a much better surgical risk. Before leaving suppurative diseases, brief 11. Jackson, Clievalier, and Jackson, Chevalier Laurence: Bronchoscopic Observations on Postoperative Pulmonary Complications. Ann. Surg., 97:516 (April) 1935. Fig. 11. Case 5. Miscrophotograph of bronchoscopic biopsy specimen, bronchogenic carcinoma. Fig. 12. Case 5. High power field of biopsy specimen. mention should be made of bronchiectasis. A certain percentage of bilateral bronchiec-tatic cases are apparently secondary to suppurative sinus disease<12 13 1415). This discussion is concerned chiefly with the unilateral case. In these a possible bronchial obstruction by a neglected foreign body or abnormal tissue must be considered. Clerf has previously emphasized this,1G). One patient with unilateral bronchiectasis, proven by lung mapping, was found at bronchoscopy to have a bronchus obstructed by abnormal tissue. Bronchoscopic biopsy showed squamous cell carcinoma. This is the only patient in whom I have seen a rather dramatic result from phrenicectomy. His sputum, which was copious and foul, ceased, and he became afebrile after the operation. Though he received deep x-ray therapy, he died two years later of carcinomatosis. The experience of this clinic has confirmed that of other writers in regard to neglected foreign bodies(17 1S). A multiple bronchiec- 12. Hart. V. K.: Etiological and Therapeutic Aspects of Bronchiectasis with Clinical Observations’ on Bronchial Lavage by the Stitt Method. Tr. M. Soc. North Carolina, 315, 1936: South. Surgeon, 7:313 (Aug.) 1938. 13. Mullin. Win. V.: A Review of Sinus-Chest Infections, Ann. Otol., Rhin. and Laryng. 41:794 (Sept.) 1932. 11. McLaurin, John G.: Chest Complications of Sinus Disease, Ann. Otol., Rhin. and Laryng. 41:780 (Sept.) 1932. 15. Quinn. Lester H. and Meyer, Ovid V.: The Relationship •if Sinusitis and Bronchiectasis, Arch. Otolaryng. 10:152 (Aug.) 1929. 16. Clerf. Louis* H.: Bronchiectasis Associated with Disease of the Nasal Accessory Sinuses. Etiology and Broncho-scopic Treatment, Arch. Otolaryng. 6:28 (July) 1927. 17. Jackson. Chevalier: Bronchoscopy and Esophagoscopy, Philadelphia, W. B. Saunders Co., 1927, pp. 169, 170, 176, 227. 18. Manges, F. D.: Pathologic Changes in Lung Tissue as the Result of Foreign Bodies' of Long Sojourn, J. A. M. A. 87:987 (Sept. 25) 1926.
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1940 |
Identifier | NCHH-17-001 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 1 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-001.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-001 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 337 (images) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1940 |
Identifier | NCHH-17-001-0363 |
Form General | Periodicals |
Page Type | all; all images; x-ray; all images; photo; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed11940medi_0363.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 1 |
Issue Number | 7 |
Page Number | 337 |
Health Discipline | Medicine |
Full Text | July, 1940 BRONCHOSCOPY—HART 337 Fig. 10. Case 5. Roentgenogram showing extensive involvement of right upper lobe, secondary to bronchogenic carcinoma. The chest films of all patients exhibited either an abnormal contour or elevation of the right diaphragm, or both. All recovered following the administration of emetine given under the direction of the referring physician or medical consultant. Any pneumonitis may go on to frank abscess formation. Jackson'n) has pointed out that the preliminary pneumonitis may be of short duration. Bronchoscopy in such cases has the same value as in any pneumonitis—viz., direct visualization and the bacteriologic study of uncontaminated specimens. Such study should in particular rule out fusospirochetal infections. It is not irrelevant to point out that therapeutically bronchoscopy may bring about a successful outcome even in a chronic abscess of some months’ duration. One post-pneumonic abscess with a rather large cavity in the left upper lobe cleared up entirely under bronchoscopic management, although the patient did not come under observation until ten months after onset, and the fingers were already clubbed"'0. Should such a case go to operation, the bronchoscopist can be of great help in determining the exact lobe of involvement. Lastly, even in a bronchoscopic failure, the preliminary bronchoscopic treatment will often make the patient a much better surgical risk. Before leaving suppurative diseases, brief 11. Jackson, Clievalier, and Jackson, Chevalier Laurence: Bronchoscopic Observations on Postoperative Pulmonary Complications. Ann. Surg., 97:516 (April) 1935. Fig. 11. Case 5. Miscrophotograph of bronchoscopic biopsy specimen, bronchogenic carcinoma. Fig. 12. Case 5. High power field of biopsy specimen. mention should be made of bronchiectasis. A certain percentage of bilateral bronchiec-tatic cases are apparently secondary to suppurative sinus disease<12 13 1415). This discussion is concerned chiefly with the unilateral case. In these a possible bronchial obstruction by a neglected foreign body or abnormal tissue must be considered. Clerf has previously emphasized this,1G). One patient with unilateral bronchiectasis, proven by lung mapping, was found at bronchoscopy to have a bronchus obstructed by abnormal tissue. Bronchoscopic biopsy showed squamous cell carcinoma. This is the only patient in whom I have seen a rather dramatic result from phrenicectomy. His sputum, which was copious and foul, ceased, and he became afebrile after the operation. Though he received deep x-ray therapy, he died two years later of carcinomatosis. The experience of this clinic has confirmed that of other writers in regard to neglected foreign bodies(17 1S). A multiple bronchiec- 12. Hart. V. K.: Etiological and Therapeutic Aspects of Bronchiectasis with Clinical Observations’ on Bronchial Lavage by the Stitt Method. Tr. M. Soc. North Carolina, 315, 1936: South. Surgeon, 7:313 (Aug.) 1938. 13. Mullin. Win. V.: A Review of Sinus-Chest Infections, Ann. Otol., Rhin. and Laryng. 41:794 (Sept.) 1932. 11. McLaurin, John G.: Chest Complications of Sinus Disease, Ann. Otol., Rhin. and Laryng. 41:780 (Sept.) 1932. 15. Quinn. Lester H. and Meyer, Ovid V.: The Relationship •if Sinusitis and Bronchiectasis, Arch. Otolaryng. 10:152 (Aug.) 1929. 16. Clerf. Louis* H.: Bronchiectasis Associated with Disease of the Nasal Accessory Sinuses. Etiology and Broncho-scopic Treatment, Arch. Otolaryng. 6:28 (July) 1927. 17. Jackson. Chevalier: Bronchoscopy and Esophagoscopy, Philadelphia, W. B. Saunders Co., 1927, pp. 169, 170, 176, 227. 18. Manges, F. D.: Pathologic Changes in Lung Tissue as the Result of Foreign Bodies' of Long Sojourn, J. A. M. A. 87:987 (Sept. 25) 1926. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-001.pdf |
Document Sort | all; nchh-17 |
Article Title | Importance Of Bronchoscopy In The Diagnosis Of Intrathoracic Conditions |
Article Author | V. K. Hart |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-001 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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