File:Interstate medical journal (1917) (14597245637).jpg

Identifier: interstatemedica2419unse (find matches)
Title: Interstate medical journal
Year: 1917 (1910s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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Fig. 2.—Flexible forceps with which bullet was extracted through a bronchoscope. of the same day, while he was standing on the edge of the curb-stone with what he thought at that time was a small brass bellbetween his teeth, his small brother came up behind him and gavehim a push and threw him off the curb. As he left the curb he 926 INTERSTATE MEDICAL JOURNAL gave a gulp and swallowed the bell. He at once had pain inhis right chest, and he had difficulty in breathing. He was rushedto the Cincinnati General Hospital, though at this time he sufferedvery little pain except when he took a deep breath. Physical Examination.—The patient was at once taken to thex-ray room, and the fluoroscope showed a thimble-shaped objectin the right bronchus, about two inches below the bifurcation. (The
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Fig. 3.—Roentgenogram showing umbrella ferrule in right bronchus. =^^^ ~\ \ 1 Fig. 4.—Illustrating bolt ami nut principle of extraction of the ferrule. child was also given a glass of bismuth mixture to drink and thefluid could be seen passing down behind the object.) An x-rayplate was made at the same time showing the foreign body welldown in the right bronchus (Fig. 3). The respiratory expansion overthe right side was not as marked as over the left. On percussionno areas of dullness could be found. Auscultation revealed breathsounds in both lungs but more feeble in the right, which led tothe conclusion that the foreign body either had a hole in it or that Iglauer: Foreign Bodies in the Bronchi 927 there was a by-pass for the air. During auscultation the patientwas shaken by the interne, but no tinkling- sound could be elicited,but on questioning the patient he informed me that the bell hadno clapper. Operation.—January 4, 1917, under chloroform drop anesthesia,a Kahler broncho

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