By Richard V. Tuson
Writer: Philadelphia, P. Blakiston, Son
Read or Download A Pharmacopoeia Including the Outlines of Materia Medica and Therapeutics for the Use of Practitioners and Students of Veterinary Medicine PDF
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Extra info for A Pharmacopoeia Including the Outlines of Materia Medica and Therapeutics for the Use of Practitioners and Students of Veterinary Medicine
The beginning endoscopist soon learns that holding the right hand far back on the insertion tube leads to inefficient motion (Figure 2-12). The flexibility of the newer small-diameter (less than 8-mm) endoscopes is a disadvantage in some cases in that undesirable coil formation occurs more easily when the insertion tube is in the stomach. This is most commonly a problem in large dogs, in which excess coil formation in the stomach may leave insufficient endoscope length to reach the duodenum. The insertion tube seems to coil more easily in a dilated stomach and other dilated structures, such as a megaesophagus and air-dilated colon.
INDICATIONS Esophagoscopy is indicated for the diagnostic evaluation of animals with signs of esophageal disease, including regurgitation, dysphagia, odynophagia, and excessive salivation. Esophagoscopy is also indicated for evaluation of animals known or suspected to have ingested a potential foreign body (see Chapter 7). This minimally invasive procedure allows visual examination of the esophageal mucosa and lumen and facilitates the procurement of specimens for biopsy, cytology, and culture.
The endoscope may be damaged if this occurs. Any photographs that are taken should be recorded promptly, including such information as client and patient name, case number, and a brief description of the area or structure photographed. Failure to do this may result in confusion later when the endoscopist tries to identify photographs from cases that can no longer be clearly remembered. A procedure form that can be inserted in the chart provides a convenient means of recording important data, including examination findings, anesthesia parameters, and photographs that were taken.