Studies from the laboratories of the Deptof Surgery . as 104 F.; the pulse,120; respiration, 24. The white blood count was 22,100, with87 per cent, polymorphonuclears. The patient lay in 1)ed,with the leg rotated outward and with flexion of the kneeof about 30 degrees. He complained of pain on motion ofthe knee. There was markcfl tenderness about the knee andlower end of the femur. The maximum point of tendernesswas on the inner side, in the region of the internal condyleof the femur, and, posteriorly, in the popliteal fossa. Deepand continuous pressure over the femur higher up causedexcruciat
Studies from the laboratories of the Deptof Surgery . as 104 F.; the pulse,120; respiration, 24. The white blood count was 22,100, with87 per cent, polymorphonuclears. The patient lay in 1)ed,with the leg rotated outward and with flexion of the kneeof about 30 degrees. He complained of pain on motion ofthe knee. There was markcfl tenderness about the knee andlower end of the femur. The maximum point of tendernesswas on the inner side, in the region of the internal condyleof the femur, and, posteriorly, in the popliteal fossa. Deepand continuous pressure over the femur higher up causedexcruciating pain. There were several large and tenderinguinal nodes. There was a small elliptic abrasion over theinternal malleolus of the tibia. The diagnosis of osteomyelitis of the mctaphysis of thefemur was made, on account of the history and the fact that,while there was fluid in the joint, the main tenderness wasin the region of the lower epiphysis of the femur. The roent-gen ray revealed a slight fuzziness, posteriorly, in the regionof the Fig. 26 (Case 2).-Roentgenogram taken Feb 7. 1920; op^r^^^^lDecember 9; anterior surface of the cortex of the tube in ixipHteal space. Compare case history. Fig. 27 (Cage 2).—Roontgcnogram taken May 8, 1922; boy up andabout, feels well; no sinus, complete reproduction of tibial shaft.
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyork, bookyear19
