. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students . and the pressure in that side of thethorax is thereby increased, the displacement of the organs may bevery great. Method of Examination. — The patient is examined lying on hisback on a stretcher, and the appearances above indicated are traced onthe skin or the celluloid, according to the method adopted. The tracings made from the following patient, Delia H., show apneumothorax of the left side. The heart was much displaced to theright; the outline
. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students . and the pressure in that side of thethorax is thereby increased, the displacement of the organs may bevery great. Method of Examination. — The patient is examined lying on hisback on a stretcher, and the appearances above indicated are traced onthe skin or the celluloid, according to the method adopted. The tracings made from the following patient, Delia H., show apneumothorax of the left side. The heart was much displaced to theright; the outline of the retracted left lung was not so clearly seenin this patient as it is in some cases. The patient also had tuberculosisof the right lung. The case is given because it illustrates how suc-cessive X-ray examinations show the gradual improvement that takesplace in pneumothorax as the air is absorbed. It also shows that 234 HYDROTHORAX. PNEUMOTHORAX. EMPYEMA 235 subsequently to the pneumothorax, the presence of pleuritic fluid onthe same side was recognized by an X-ray examination, and theseappearances were confirmed by tapping the Fu;. 147. Diagram of pneumothorax on left side, and tuberculosis on right side. Left sidebrighter than normal and bright area more extensive. Diaphragm low down in chest; little or nomovement. Organs on left side displaced to right. Heavy lines under axillae indicate level ofnipples. Case I. Delia H., twenty-five years old, entered my service at theBoston City Hospital April 3, 1898. Alcoholic. Had had much coughand expectoration. One week before had suddenly had a sharp pain inthe left side, which increased. She was unable to take a deep breath. 236 THE ROENTGEN RAYS IN MEDICINE AND SURGERY Physical Examination. — Cardiac area not determined ; chest hyper-resonant. Apex not determined. No cardiac sounds heard to the leftof sternum. On right of sternum heart sounds are heard indistinctly,loudest in fifth space, sternal border, no murmurs
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