Interstate medical journal . INTERSTATE MEDICAL JOURNAL 53 ing of the lumen due to hyperplasia, but can see the pockets, at thebase of which are the ulcers and the ridges separating them. Studiesof this nature will be followed up in future, and in time may revealto us further characteristic changes in the intestinal canal, as theyhave to us in the past in ulcers of the stomach. The diastalsis ofthe small bowel is too rapid, its contents too liquid, to permit of care-ful fluoroscopic observation; in the large bowel it is seldom seen(mass movements). Stereoscopic plates alone offer themselves fo
Interstate medical journal . INTERSTATE MEDICAL JOURNAL 53 ing of the lumen due to hyperplasia, but can see the pockets, at thebase of which are the ulcers and the ridges separating them. Studiesof this nature will be followed up in future, and in time may revealto us further characteristic changes in the intestinal canal, as theyhave to us in the past in ulcers of the stomach. The diastalsis ofthe small bowel is too rapid, its contents too liquid, to permit of care-ful fluoroscopic observation; in the large bowel it is seldom seen(mass movements). Stereoscopic plates alone offer themselves forcareful study. Segmentation, of a permanent nature, in the in-testinal canal ought in time offer us the same assistance it does inrecognizing stomach lesions, especially as we become more familiarwith its appearance in our intestinal plates. Fixation at one point of the bowel is not in itself so characteristic. Fig. 6. as broad and extensive adhesions. The matting of large lengthsof intestinal loops in cases where neither operation nor acute in-fection can be found in the history is one of the most dependablefindings in intestinal tuberculosis. Permanent displacement of thebowel, especially by fluid, which can be directly demonstrated fluoro-scopically, or by adhesions, tumor formation (false tumor), or bymesentery glands, leads one directly to suspect tuberculosis. Most misleading in our experience has been not only the re-markably healthy-looking appearance of the eleven persons we haveexamined, but the total absence, clinically and roentgenoscopically,of any distinct tuberculous lung lesions; and of fever in all but onecase, and the indifferent clinical findings. In all other cases theorigin of the disease appeared to be intestinal. 54 INTERSTATE MEDICAL JOURNAL NEUROTOLOGY. By LOUIS K. GUGGENHEIM, M. D., St. Louis. About ten years ago an interesting anatomic structure was trans-formed, a
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