The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14777407013)

Identifier: americanjournroen08ameruoft (find matches)

Title: The American journal of roentgenology, radium therapy and nuclear medicine

Year: 1906 (1900s)

Authors: American Radium Society American Roentgen Ray Society

Subjects: Radiotherapy X-rays

Publisher: Springfield, Ill. C.C. Thomas

Contributing Library: Gerstein - University of Toronto

Digitizing Sponsor: University of Toronto

Text Appearing Before Image:

iety, Minneapolis, Minn., Sept. 14-17, 1920, 82 New Roentgenographic Technique for Thyroid Study In a number of cases patients are sentwith symptoms of hyperthyroidism and onecan feel Httle or no enlargement of the thy-roid, but since I have been using this methodof recording, I have not found one in whichthere was not an actual enlargement of thethyroid. I cannot say, however, that one doesnot have hyperthyroidism without an in-crease in the size of the thyroid. Occasionallya patient complains of difficulty in swallow-ing due to pressure in the region of thethyroid and yet, by palpation, the enlarge- and difficulty in swallowing or breathingwithout being palpable. This method may be of value in differen-tiating malignant goiter from the benigngoiter—probably only in occasional in-stances, however. In one case there was con-siderable irregularity in the outline ofpressure upon the esophagus. TECHNIQUE The examination is made with the patientin the standing posture. The position best

Text Appearing After Image:

Fig. 2. P.29437-D. Moderate-Sized Goiter ShowingMarked Compression of the Esophagus. ment is so slight (or entirely absent), thatit is difficult to understand how a patientcan have such symptoms without palpableenlargement. By this method, how^ever, com-pression of the trachea or pressure of theesophagus can be shown and these s)mptomsexplained. It is well known that even thevery large goiters may cause no pressure ef-fects on either the trachea or the esophagus.On the other hand, a very small goiter orsmall adenoma may press posteriorlv andcause a very distinct symptom of pressure Fig. 3. P.28929-D. Note the Compression of theEsoph.agus by a very small Goiter in a Case inwhich the Goiter was not Palpable. Note the en-larged lymphatic gland under the angle of the jaw. showing the outline of the tumor is obtainedfluoroscopically. The patients sternum andthe anterior portion of the neck is pressedstrongly against the fluorescent screen. Thechin is turned toward the side on which theenla

the american journal of roentgenology radium therapy and nuclear medicine 1906 book illustrations medicine x ray roentgen rays medical devices medical therapy images from internet archive minneapolis minnesota

1906

University of Toronto

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