Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women (1922) (14579299589)

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:

er does notappear in the radiogram. It only does so when it contains a stone whichserves to mark its position, and under such circumstances the X-ray reachesperhaps its highest value. Leonard estimates that somewhat over half theurinary stones found are discovered in the ureter, and makes use of thismeans also of determining whether the stone is moving down the urinary tractor not. Haenisch estimates 37 per cent, of ureteral stones. In Figure 168 we have plotted the locations of stones in 28 ureteral cases. By using a ureteral catheter made opaque by metallic salt, or injected withbismuth, the whole ureteral tract can be followed and a differentiation easilymade between ureteral stones, phleboliths, and calcified glands, including also CASES FOR USE OF X-RAY. 363 foreign bodies in the appendix. The little ronnd phleboliths, 3 to 5 mm. indiameter, are quite cliaractcristic and differ markedly in appearance fromstones in the ureter; they are frequently multiple, sometimes scattered, and

Text Appearing After Image:

Fig. 168.—Diagram Showing Position of Stones in 28 Cases Where They WereLocated in the Ureters. Each dot represents a center of stone. laterally placed, their position thus demonstrating that they are extra-ureteral(Fig. IGS). ■; . /. Fenwick has marked oiit a small triangular area within the pelvis, whichhe calls the ischial triangle, a frequent site for phlebolith shadows (Fig. 170) 364 METHODS OF EMPLOYING THE X-RAY IN DIAGNOSIS.

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