An 81-year-old gentleman with congenital polycystic kidney disease presented to his primary care physician with dysphagia, gastroesophageal reflux refractory to medical management, and 11.25 kg weight loss in a 6 mo-p...An 81-year-old gentleman with congenital polycystic kidney disease presented to his primary care physician with dysphagia, gastroesophageal reflux refractory to medical management, and 11.25 kg weight loss in a 6 mo-period. A barium swallow misdiagnosed a paraesophageal hernia for a Bochdalek hernia. Herein, we highlight how a Bochdalek hernia may be disregarded in the differential diagnosis and how providers can resort to a more common diagnosis, a paraesophageal hernia, which is more frequently encountered in old age and whose radiologic appearance might mimic a Bochdalek hernia.展开更多
Since its inception with the invention of the laryngeal mirror and the early work of Horace Green, Chevalier Jackson, Johann Czermak, Morrell McKenzie, and others in the mid-19th Century, the field of laryngology has ...Since its inception with the invention of the laryngeal mirror and the early work of Horace Green, Chevalier Jackson, Johann Czermak, Morrell McKenzie, and others in the mid-19th Century, the field of laryngology has grown exponentially. With the introduction of suspension laryngoscopy and general anesthesia, surgeons were able to work with both hands. The addition of the operative microscope allowed visualization not previously possible. In the mid-20th Century, the CO2 laser permitted laryngeal surgery to performed with unprecedented precision and hemostasis. The 1970's saw the advent of flexible laryngoscopes and stroboscopy which took our diagnostic capabilities to new levels. The distal chip laryngoscopes which followed along with the fiber-based lasers, allowed procedures to be done in the office setting with superior visualization and exactness. And the story continues……展开更多
文摘An 81-year-old gentleman with congenital polycystic kidney disease presented to his primary care physician with dysphagia, gastroesophageal reflux refractory to medical management, and 11.25 kg weight loss in a 6 mo-period. A barium swallow misdiagnosed a paraesophageal hernia for a Bochdalek hernia. Herein, we highlight how a Bochdalek hernia may be disregarded in the differential diagnosis and how providers can resort to a more common diagnosis, a paraesophageal hernia, which is more frequently encountered in old age and whose radiologic appearance might mimic a Bochdalek hernia.
文摘Since its inception with the invention of the laryngeal mirror and the early work of Horace Green, Chevalier Jackson, Johann Czermak, Morrell McKenzie, and others in the mid-19th Century, the field of laryngology has grown exponentially. With the introduction of suspension laryngoscopy and general anesthesia, surgeons were able to work with both hands. The addition of the operative microscope allowed visualization not previously possible. In the mid-20th Century, the CO2 laser permitted laryngeal surgery to performed with unprecedented precision and hemostasis. The 1970's saw the advent of flexible laryngoscopes and stroboscopy which took our diagnostic capabilities to new levels. The distal chip laryngoscopes which followed along with the fiber-based lasers, allowed procedures to be done in the office setting with superior visualization and exactness. And the story continues……
