Peroral endoscopy and laryngeal surgery . ward the drainage tubeis the thickened visceral pleura seen on edge. The hing is collapsed as far as thepleural adhesions will permit. followed 1)\ jiain in the left >idc. bloody, foul expectoration, lever andemaciation. Again the patients story of the collar button was feeble and emaciated, she fell into the hands of Drs. Ray and S. H. Iierce who, on the ])h_\sical signs, made a diagnosis oflung abscess and i)yopneuniotliorax. Suspecting foreign body origin,they referred the case to the author. 312 FOREIGN BODIES IN BR
Peroral endoscopy and laryngeal surgery . ward the drainage tubeis the thickened visceral pleura seen on edge. The hing is collapsed as far as thepleural adhesions will permit. followed 1)\ jiain in the left >idc. bloody, foul expectoration, lever andemaciation. Again the patients story of the collar button was feeble and emaciated, she fell into the hands of Drs. Ray and S. H. Iierce who, on the ])h_\sical signs, made a diagnosis oflung abscess and i)yopneuniotliorax. Suspecting foreign body origin,they referred the case to the author. 312 FOREIGN BODIES IN BRONCHI FOR PROLONGED PERIDDS On admission to the l^rcsbyterian Hospital, the womans tempera-ture was 102°, pulse 1-10, respirations 4U. Sputum was profuse, thick,foul and of dark gray color. A radiograph (Fig. ISii) by Drs. Johnstonand Grier showed a dense shadow over the left lung, which they believedto be pus. Dr. John W. Boyce corroborated Dr. Pierces findings andurged immediate drainage of the pleura h\ rib resection and a wide open-. FiG. 191.—Quartering lateral radiograph by Dr. Gcurgc C. Johnston showingcollar bntton in lung between the heart and the spine. (Same patient as ). ing. This was done by Dr. J. Hartle\ Anderson, evacuating over a quartof putrid pus, Drs. Johnston and Grier then made another antero-jios-terior radiograph (Fig. IDO) which showed that the ])us was well drained,but did not show a foreign body. In further search they made a diagonalradiograi)h (Fig. 1!)1 ) which showed a collar button between the heartand the spine, in direct line with the stem bronchus of the left side. stated that there was tissue overlying the foreign body and that FOKHIGN BODIKS IN BRONCHI FOR PROLONGICD PERIODS. 313 in order to reach the foreign body it would be necessary to remove thistissue in a direct Hue witli the axis of the stem bronchus. Witli theassistance of Drs. Patterson, McCready and AIcKee, without anesthesia,general or local. I passed a
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
