The Röntgen rays in medical work (1899) (14733955126)

Identifier: rntgenraysinmedi00wals (find matches)

Title: The Röntgen rays in medical work

Year: 1899 (1890s)

Authors: Walsh, David

Subjects: X-rays Radiography X-Rays Radiography

Publisher: London : Baillière, Tindall and Cox

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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lts. Some no less important reports were published by the sameobserver in the succeeding issue of the Comptes Bendus (Decem-ber 28). In one case the whole left lung was obscured. Thisappearance was attributed either to pleurisy with effusion, or togeneral tuberculosis of the left lung. On further examination itwas noted that the mediastinum was not pushed to the right. Bya process of exclusion, therefore, the diagnosis of tubercle of thewhole left lung was arrived at. In another case, on the left ofthe spinal column in a little girl, was demonstrated a tumour, dueto adenoma of bronchial glands. In a third patient, a darkshadow on the right side of the chest, continuous with that ofthe sternum, was shown to be due to a transposed heart. Owingto the hearts impulse being on the right side, the presence ofaneurism had been suspected. Other conditions recognisedinclude aneurism of the arch of the aorta, with a clear view ofits position, outline and size; pulsation of the aorta to the right

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MEDICAL AND SURGICAL APPLICATIONS 193 and left of the sternum ; compensatory hypertrophy of the heartin arterio-sclerosis; and beating of the auricles to the right of thesternum, in dilatation due to kidney disease. Bergoine has repeated and confirmed the above observations.* At the Medical Club in Vienna, in January, 1897, ProfessorWasserman showed two cases that he had diagnosed by theEontgen rays. The first was a case of phthisis in the right lung,where the cavernous signs could not be elicited by percussion andauscultation. Under the rays the left side of the chest appearedclear and healthy, while the right exhibited diffuse shadowsrepresenting infiltration; in one place a clear area, which to allappearance corresponded to a cavity, was brought out by thetube when applied either in front of or behind the right lung. Thesecond case was that of an aneurism in the left mediastinum,where the fluoroscope demonstrated a dark space, the margin ofwhich moved with a distinct impulse, and t

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1899

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