Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . greatly debilitated the July. 1908, he was given the first injection of bismuth paste by , with whom I saw the case. The radiograph (Fig. 6) disclosedthe fact that the abscess did not originate in the hip joint, as onewould suspect from the location of the sinus, but that it communicated DIAGNOSTIC EKKORS REVEALED. 39 with the original focus in the sacrum by a narrow channel. This caseproved to be not only an interesting example of the diagnostic valueof bismuth paste, but it likewise credite
Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . greatly debilitated the July. 1908, he was given the first injection of bismuth paste by , with whom I saw the case. The radiograph (Fig. 6) disclosedthe fact that the abscess did not originate in the hip joint, as onewould suspect from the location of the sinus, but that it communicated DIAGNOSTIC EKKORS REVEALED. 39 with the original focus in the sacrum by a narrow channel. This caseproved to be not only an interesting example of the diagnostic valueof bismuth paste, but it likewise credited the therapeutic account witha cure of which both the doctor and patient are justly proud. A radio-graph (Fig. 7) taken a few months after closure shows a small Quan-tity of the paste still in the original focus. Example 3. Tuberculosis of Sacrum Mistaken for Hip Joint Disease.—J. F., aged 36, presented himself for treatment of a sinus about thetrochanter of his right hip. This sinus had existed for several years,and had been treated with washes and cauterization, but no surgical. Fig. 8 A. Diagrammatic illustration of Fig. 8. treatment. It was thought to originate from his hip joint. The radio-graph (Fig. 8) clearly demonstrates that the hip is entirely free fromdisease, and that the sinus originates in the sacrum. The shadowof the injected paste traces the tract to the focus of infection— sacrum; there it fills out the ring around the diseased section andtraces another tract running to the hip on the opposite side, whichterminates in a blind end. This case teaches its that a sinus opening- near the hipdoes not necessarily mean hip joint disease, but that it 40 BISMUTH PASTE IN CHRONIC SUPPURATIONS. may exist as a result of a disease in the sacrum or the spine. Example 4. Subphrenic Abscess Following Appendicitis.—A. L., a robust cab driver, aged 27, was suddenly attacked in July, 1909, withan acute appendicitis. An emergency operation consisted in removinga r
Size: 1615px × 1546px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookpublisherstlou, bookyear1910
