Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women (1922) (14765916125)

Identifier: diseasesofkidney01kell (find matches)

Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women

Year: 1922 (1920s)

Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-

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Publisher: New York, London : D. Appleton and company

Text Appearing Before Image:

Fig. 160.—Radiographic Diagram to Show Site of Renal and Ureteral Stones.The white hnes run vertically from the middle of crest of ilium up to rib. Area markedinner includes almost all stones. Shadows in area marked outer, probably notstone. Area marked pelvic brim, common site of calcified lymph glands. Area markedischial triangle frequently contains phlebolith. (From Hurry Fen wick.) crest of the ilium. In one case a displaced kidney lay below the crest (Fen-wick). The figure thus formed by these stones presents a fairly definite ovalshape, and serves as a good guide in estimating just where a stone is lodged.A single stone is apt to be oval; if it is large, it may present a teat-like 354 METHODS OF EMPLOYING THE X-RAY IN DIAGNOSIS. process projecting downward from its inner margin, pointing into the ureter.A stone of this sort held in the renal pelvis, associated with peripheral shadows of smaller stones, often indicates the presence of a large branched calculus.

Text Appearing After Image:

Fig. 161.—Hadiographic Diagram Showing Position of Kidney Stone in 100Cases. Each dot represents the center of a single stone or of a cluster of stones.Note high position, especially on left side. Note low position in one case of dis-placed kidney. Taken as a whole, the dots fairly outline the kidneys. A calcified tip to a transverse process may give a shadow like a stone inthe renal pelvis. This difficulty may be overcome by observing that other tipsare calcified on the same or on the other side, as well as by taking anotherpicture with the light placed more obliquely. In Figure 162 is shown the lo- CASES FOR USE OF X-RAY. 355 cation met with in 100 eases of ureteral stones. Compare this with Figure163 showing the location of 50 phleboliths. Sometimes the twelfth rib obscures a stone, as shown in Figure 1G4. In

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1922

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