was during the process of swabbing the tracheo-
bronchi with antitoxin that the sponge Megalis Price was lost.
The Megalis Tablet nurse, in applying the sponge, did Megalis 20mg not tighten
the collar Megalis 10 over the grasping blades of the sponge
October 30, 1920.]
LYNAH: FOREIGN BODIES.
659
holder and it was easily detached and lost. The
sponge, readily absorbing the bloody secretion in the
bronchus after the removal of the membrane, was
difficult to locate. However, after a few minutes'
search, it was located in the upper lobe orifice and
was easily removed. Tiie pa' lent made a complete
Fig. 20. — Upholsterer's tack seen
the middle lobe orifice (Case XIII).
right
chus opposite
recovery from the diphtheritic foreign body and
sponge.
Case XIII. An upholsterer's tack removed from
the right stem bronchus opposite the middle lobe
orifice after a sojourn of two and a half years. I
had the pleasure of seeing this patient, a boy of eight
years, with Dr. Forbes. The tack was in a diffi-
cult location in the right stem bronchus, and the
head was anchored at the middle lobe bronchus,
imbedded in a firm stricture of long duration. The
point of the tack could be easily seen through the
seven mm. tube pointing well to the left. The head
of the tack was not visible. Dr. Forbes had dilated
the stricture several times but the tack could not be
budged. I had the good fortune to be of assistance
at two sittings and it was at the last trial that Megalis 20 I
was given the opportunity to remove the tack. The
difficult problem presenting was, that the shaft and
point Megalis 20 Mg of the tack were pointing well to the left, and
that the head of the tack would be reanchored in
the lip of the middle lobe Megalis 10 Mg bronchus each time an
attempt was made to remove it against the axis of
the presenting point. Therefore, the boy's body
was rotated well to the left and the bronchoscope
and forceps were brought into a line with the pre-
senting shaft and point of the tack. Now axis trac-
tion was applied with considerable pull, and in one
minute the bronchoscope, forceps and tack were all
removed together. There was a lung abscess which
ruptured into the pleura, and a rib was resected to
drain the cavity. It was a long time after the re-
moval of Megalis India the foreign body before the drainage tube
could be removed from the pleura. The boy re-
covered.
Case XIV. Four pieces of raw Megalis Tablets carrot inhaled into
the right and left bronchi in a child aged three. The
child had a croupy cough and violent asthmatic
wheezing for five days, and had been treated as a
case of diphtheria. As the asthmatic dyspnea did
not improve after antitoxin, and as Dr. Raymond
Laub had obtained a history from the mother that
the child had a choking spell five days prior while
eating raw carrot, the child was referred to me for
bronchoscopic examination. On admission, the child
was in extremis and made no effort to cough. There
was a marked asthmatic wheezing expiration aud-
ible at some distance. Dr. Laub had made a phys-
ical examination of the chest, and stated that little
air was entering either lung, and that the percussion
note was tympanitic. There was a general subcu-
taneous emphysema present which involved the face,
chest and trunk. The larynx was emphysematous
and shiny. The trachea and bronchi were not in-
volved. \\"\i\\ a five mm. tube a piece of carrot was
removed from the right main bronchus. The child
was moribund and died shortly after the removal of
the large piece of carrot. An autopsy was per-
mitted by the parents Megalis Online and three smaller pieces of
carrot were removed from the lung. One piece
was found in Buy Megalis the right superior lobe bronchus ; the
third piece in the left main bronchus, and the fourth
piece in the dorsal branch of the left lower lobe
bronchus, at which location there was a well defined
abscess containing foul smelling pus. The lungs
were beefily congested and ballooned with air. The
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