Interstate medical journal (1917) (14760770846)

Identifier: interstatemedica2419unse (find matches)

Title: Interstate medical journal

Year: 1917 (1910s)

Authors:

Subjects: Medicine

Publisher: St. Louis, : Interstate Medical Journal

Contributing Library: The College of Physicians of Philadelphia Historical Medical Library

Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

Text Appearing Before Image:

n. SYMPTOM COMPLEX IV. 1. Small bismuth residue after six hours. 2. Pressure point and resistance in the pai s media. 3. Transverse contraction of the pars media. 4. Diverticulum without air bubble in the smaller curvature;immovable. Diagnosis.—Callous ulcer of the pars media. SYMPTOM COMPLEX V. 1. Large sickle-shaped bismuth residue after six hours. 2. Dilatation. 3. Loss of tone. Diagnosis.—Old stenosis of the pylorus, due to ulcer. 940 INTERSTATE MEDICAL JOURNAL SYMPTOM COMPLEX VI. 1. Stomach empty in six hours. Head of bismuth column in theascending colon. 2. Stomach shadow normal. 3. Pressure point moving with the duodenum.Diagnosis.—Ulcer of the duodenum. This method is subject to some friendly criticism, because theconclusions are, to a great extent, inferential. When, however,we have associated visual alterations in contour, due to spasms,indurations, new growths, or adhesions, we are justified in definitelystating the presence of a pathologic condition. Inferential evi-

Text Appearing After Image:

Fis. 6-—Adhesions involving greater curvature, producing marked filling defect.Postoperative, following gastrojejunostomy. dences, unless life is involved, should not be decisive in the institu-tion of surgical interference. Haudeks niche, when present, is conclusive evidence of gastriculcer. In this we get the accumulation of the opaque meal, whichhas emerged through a penetrating ulcer and been walled off ina pouch on the lesser curvature or posterior wall of the stomach.With the patient in the upright position the opaque meal gravi-tates to the bottom of the pouch and is usually surmounted by agas bubble. The hour-glass deformity due to cicatricial contraction of an oldulcer is so characteristic that little error is possible; it must, how-ever, be differentiated from spasmodic hour-glass or an unusuallydeep peristaltic contraction. The association of painful pressure Hubeny: Gastrointestinal Roentgenology 941 points with abnormal contours is highly suggestive. This is par-ticular

zwischenstaatliche medizinische Zeitschrift 1917 Röntgenstrahlen Buchillustrationen Gesundheitspflege Medizin medizinische Illustrationen Bilder aus dem Internetarchiv

1917

The College of Physicians of Philadelphia and the National Endowment for the Humanities

http://commons.wikimedia.org/

public domain