. Modern surgery, general and operative. aggerated; the percussion-note over theobstructed area is at first resonant, but becomes dull. The .i:-rays will oftenenable the surgeon to detect foreign bodies in a bronchus. Lodgment in a bron-chus may cause bronchopneumonia, abscess, hemorrhage, and even some cases the body has been expelled spontaneously. In rare instancespeople have lived for years with lodged foreign bodies. If death does not soonfollow the lodgment of a foreign body, an abscess is very apt to form. Professor Chevalier Jackson (Am. Jour. Med. Sciences, Nov., 1918) poi
. Modern surgery, general and operative. aggerated; the percussion-note over theobstructed area is at first resonant, but becomes dull. The .i:-rays will oftenenable the surgeon to detect foreign bodies in a bronchus. Lodgment in a bron-chus may cause bronchopneumonia, abscess, hemorrhage, and even some cases the body has been expelled spontaneously. In rare instancespeople have lived for years with lodged foreign bodies. If death does not soonfollow the lodgment of a foreign body, an abscess is very apt to form. Professor Chevalier Jackson (Am. Jour. Med. Sciences, Nov., 1918) points^ See Moullins graphic description in his Treatise on Surgery. 99^ Surgery of the Respiratory Organs out an important symptom of the presence of a foreign body in the trachea orbronchi. He calls it the asthmatoid wheeze. The surgeon listens for it withhis ear near the patients open mouth. In some cases it is audible at a consider-able distance. In asthma the wheezing is more apt to be associated withrales than in a foreign body Fig. 623.—Authors case of pin in bronchus removed by low tracheotomy. Treatment.—If a foreign body lodges in the pharynx, try to pull it for-ward; if this fails, it may be wise to push it back into the esophagus. Inlodgment in the laryjix or below, if the symptoms are very urgent, at onceperform quick laryngotomy or tracheotomy. If the symptoms are not sourgent, get a complete history of the accident and find out the nature of theforeign body. Be sure that a foreign body is really retained in the respiratory
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