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Explanation of Emergency

Posted: Fri Jun 18, 2004 3:53 am
by Jean Doherty
Safely through surgery. Always afraid of condition occurring in children.
This an adult.
I still think the right remedy would have averted but progressed very
rapidly/ Thank you Jean
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epiglottitis

Epiglottitis is a very dangerous infection of the epiglottis (the flap of
tissue that closes off the larynx when one swallows - sometimes visible
sticking up behind the tongue as a rounded shape) and the area around the
voicebox (larynx) with a bacterial germ.

Classically, it was almost always caused by Hemophilus influenzae type B, an
aggressive bacterium that used to be responsible for many serious infections
in children under the age of five. The vaccine against this germ has
essentially wiped out H. influenzae epiglottitis, meningitis, cellulitis and
pneumonia, diseases that are now very rare but which used to kill or cripple
several thousand children a year. Unfortunately, rare cases of epiglottitis
still occur, caused by other bacteria (chiefly Staphylococcus aureus and
Streptococcus pneumoniae).

Children with epiglottitis have an illness that early on masquerades as
viral croup, but who had progressive symptoms of high fever, drooling,
restlessness and reluctance to lie down because of impending respiratory
obstruction. It was a nightmare emergency often ending in a race to the
operating room to get a breathing tube down into the lungs or a tracheostomy
done before the larynx closed up completely. It is now very rare and often
caused by other germs when it does occur. Good riddance.

Gone, but not totally forgotten. A child with croup who is worsening, who
cannot swallow his saliva and drools, or sits upright and can't tolerate
being laid down, or who shows any sign of breathing difficulty when quiet,
needs immediate medical attention. The child's breathing will be secured and
antibiotics will cure the infection completely in a couple of days.
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Re: Explanation of Emergency

Posted: Fri Jun 18, 2004 4:41 am
by Robyn
Jean
Here are some rems for oedema of the glottis

LARYNX & TRACHEA - PHENOMENA - SWELLING - general - edematous - glottis
APISbro,k apisin.bro ars.k arum-t.k bell.k chin.k chinin-s.bro chlor.bro
CROT-H.k hippoz.k ign.k iod.k KALI-I.k LACH.k merc.k merc-c.bro pilo.bro
SANG.k staph.k STRAM.k VIP.bro

LARYNX & TRACHEA - PHENOMENA - INFLAMMATION - edematous, larynx
apisgcj ars.gcj calc.gcj carb-v.gcj caust.gcj cist.gcj dros.gcj hep.gcj
iod.gcj kreos.gcj led.gcj mang.gcj nit-ac.gcj phos.gcj

you have probably seen these - and apis comes to mind for emergency swelling
in this area

Here are some relevant rubrics - hope this helps

MIND - IRRITABILITY - heat - during
MIND - RESTLESSNESS - heat - during
MIND - STUPEFACTION
NOSE - MOTION - Wings; of - fan-like
FACE - DISCOLORATION - bluish
FACE - DISCOLORATION - cyanotic
FACE - DISCOLORATION - pale
MOUTH - PROTRUDING - Tongue
THROAT - DISCOLORATION - redness - Pharynx
THROAT - PAIN - sore
THROAT - SWALLOWING - difficult
LARYNX AND TRACHEA - CONSTRICTION - Larynx
LARYNX AND TRACHEA - EDEMA - Glottis
LARYNX AND TRACHEA - INFLAMMATION - Larynx
LARYNX AND TRACHEA - VOICE - hoarseness
RESPIRATION - ASPHYXIA
RESPIRATION - DIFFICULT
RESPIRATION - STRIDULOUS
FEVER - INTENSE heat
SKIN - DISCOLORATION - bluish
GENERALS - SWELLING - Glands; of

Robyn
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Re: Explanation of Emergency

Posted: Fri Jun 18, 2004 6:01 am
by muthu kumar
Jean-
Even the description of the problem talks about the differential
diagnosis - Croup- Probably a search for remedies under Croup -
membranous and Spasmodic is in order. After a brief review I could
think about Lyssin- which has the same restlessness with swallowing
difficulty etc. but more from a neurological perspective.
But with a more respiratory involvement - Bromum, Chlorum, Sambucus,
Sanguinaria are good. Phos is very good too. In fact Knerr talks
about Phos where tracheostomy is impending. Also Irritability during
Asthma has only Phos. Apis as you thought is good too. Of course all
of these may not be needed now. I still think Phos and perhaps even
Streptococcin nosode after this?
--- In minutus@yahoogroups.com, "Robyn" wrote:
glottis
chlor.bro
pilo.bro
hep.gcj
swelling
children.
very
flap of
visible
around the
has
aureus and
masquerades as
drooling,
respiratory
to the
and often
worsening, who
tolerate
when quiet,
days.