. 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 . ve monthsago; a month later it was felt in front of right chest; and two weekslater just to right of spinal column at level of lower angle of scapula;it was a dull ache and has persisted and increased in these three places;cough increases the pain but full inspiration does not; on swallowing,pain begins at level of thyroid and extends along the spine to lowerdorsal region; solids are regurgitated occasionally; meat causes severepain unless finely
. 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 . ve monthsago; a month later it was felt in front of right chest; and two weekslater just to right of spinal column at level of lower angle of scapula;it was a dull ache and has persisted and increased in these three places;cough increases the pain but full inspiration does not; on swallowing,pain begins at level of thyroid and extends along the spine to lowerdorsal region; solids are regurgitated occasionally; meat causes severepain unless finely minced; no cough or palpitation ; dyspnoea and hoarse-ness for three weeks. 3i6 Tt Phystmonary rrespiratioilonged online; sour,greater paume; no oedema of extremitiesof aorta. ITGEN RAYS IN MEDICINE • RGERY Aination. — Left vocal cord pa ^ ^ ralyzed ; pul- jod, being slightly exaggerated over right front; nd wheezy; on full inspiration sounds much pro- z; cardiac area extends from mid-sternum to nipple 1; apex in fifth interspace; pulsations seen over num ; radial pulse regular, good strength and vol- I urine normal. Diagnosis of aneurism. EH- Fig. 182. Case II. E. H. Tracing of aneurism of aorta. Aneurism and size of heart seen byX-rays confirmed at autopsy. (Cut i one-third original size.) X-Ray Exmnination. — Figure 182 gives the outline of the aneurismseen on the fluorescent screen, as well as the left border of the heart,which border was much nearer the median Une than Dr. Sears and Ihad placed it by percussion. The X-ray examination showed that theheart was smaller than normal, and this fact was confirmed by theautopsy. Three weeks after admission patient raised a pint of dark days later felt unable to swallow solids or liquids, and after twomore days the stools were tarry. Died. A post-mortem examination 1 The cuts of the aneurisms are reproductions of the tracings made by means of the fluo-rescent screen. I have not attempted to give reproductions of X-r
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