The Cleveland medical journal (1913) (14590140220)

Identifier: clevelandmedical12clev (find matches)

Title: The Cleveland medical journal

Year: 1913 (1910s)

Authors:

Subjects: Medicine Medicine

Publisher: Cleveland : The Cleveland Medical Journal Company

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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h positively excluded a mastoidinfection although the tenderness, nystagmus and bulging canalwall, all suggested very decidedly such an infection. Case II. Male, forty years old. Profuse purulent dischargefrom right ear for six weeks. Tenderness over antrum on slightpressure. Sterno-cleido-mastoid muscle rigid. No spontaneousnystagmus. Turning test normal. Temperature normal. The stereoscopic radiograph showed an infection involvingthe whole mastoid; an exposure, by necrosis, of the dura over themiddle ear and antrum and a similar exposed spot over the sig-moid sinus. On account of the condition shown in the radiograph,an immediate mastoid operation was urged, in spite of the factthat there were no clinical symptoms of irritation or infection ofthe brain or sinus. The operative findings confirmed the con-ditions shown in the radiograph. The wound was packed wideopen, because the sinus and the dura were exposed and the recov-ery was uneventful. In this case the radiograph showed an ex-

Text Appearing After Image:

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1913

Francis A. Countway Library of Medicine

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