The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14757355722)

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:

ecimensof miliary tuberculosis without old lesionsfrom cases over twenty years of age, butclass them in the puerile type. The .i--ray picture is that of fine studdingsmore or less evenly distributed throughout A-Rav Examination of the Chest 439 all lobes (Fig. 6). Such a picture is verycharacteristic, but not pathognomonic, forsome such plates cannot be differentiatedfrom pneumonoconiosis, and we must againconsider age, clinical picture, and history.Only at the end of the disease will the physi-cal signs help. Many cases of healed miliarytuberculosis are being found by our moregeneral use of the .;r-ray (Fig. 7). This diag- the roentgenologist to locate and describethe lesion and leave the diagnosis to theclinician. Basal lesions must be differentiatedfrom lung abscess and unresolved pneu-monia. The clinical symptoms wmII usuallydifferentiate it from lung gangrene. Theprognosis is grave, but cases recover. The puerile types of caseous lobar andlobular tuberculous pneumonia only differ

Text Appearing After Image:

Fig. 13. No. 1325.—Massive lesions due to unre-solved pneumonia of influenza which clearel upslowlj^ This must lie differentiated from massivelesions of syphilis. In this case there was no syphi-litic history and patient received no salvarsan. nosis is only justified when the subject iswell, has had no exposures to pneumono-coniosis and the calcifications can be defi-nitely determined within some of the tuber-cles as seen upon the plate. The prognosisof miliary tuberculosis is very grave butcases do recover. Basal tuberculous lesionsare rare. They do exist, and as they are mostcommon in children and have no apical fans.I have classed them with the puerile types.They are pneumonic in character arid some-times have the bronchopneumonic distribu-tion around their edge, but I have never seenthe raisin on a stem distribution. They arevery difficult to diagnose and I always waitfor the bacillus to be found before making adefinite diagnosis. This is a definite limita-tion and reduces the p

the american journal of roentgenology radium therapy and nuclear medicine 1906 x rays of lung tuberculosis book illustrations medicine x ray roentgen rays medical devices medical therapy tuberculosis infectious diseases images from internet archive canada

1906

University of Toronto

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