. 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 . on and percussion. John H., 60 years old, entered my service at the Boston City Hospi-tal on December 30, 1899. Diagnosis : old tuberculosis. One careful examination for tubercle bacilli was negative. The physical signs were as follows : Heart: right border 3 centi-metres to right of median line; left border centimetres to left ofmedian line ; upper border at second rib ; apex in fifth space, centi-metres outside; no murmurs. Lungs: dulnes
. 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 . on and percussion. John H., 60 years old, entered my service at the Boston City Hospi-tal on December 30, 1899. Diagnosis : old tuberculosis. One careful examination for tubercle bacilli was negative. The physical signs were as follows : Heart: right border 3 centi-metres to right of median line; left border centimetres to left ofmedian line ; upper border at second rib ; apex in fifth space, centi-metres outside; no murmurs. Lungs: dulness at right apex in front,down to third interspace, and at both apices behind. Respiratorysounds harsh. Vocal resonance increased at both apices. Numerousmedium and fine crackling rales throughout chest at times. PULMONARY TUBERCULOSIS 151 January 3, 1900. X-Ray Examination zvitk Screen. — From thephysical examination I supposed that we should find the apices of bothlungs to be the parts chiefly affected, but the X-ray examination showedthat the apices and bases of both lungs were less involved than theother portions. Jo/in // Tiihfrca/oii3.
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