Operative gynecology : . Fig. 318.—Phleboliths Lying near the Ureteral Orifices, which Might be Mistaken for Calculi. A patient was admitted to the ward at the Johns Hopkins Hospital with adefinite history of renal colic. The skiagraph showed a stone 1 cm. long by 576 THE USE OF THE X-KAY IN DETECTING CALCULI. •J cm. in diameter, just back of the ureteral orifice. A catheter could beintroduced into the ureter with ease and no scratch obtained. At operation. Fig. 319.—A Group of Phleboliths around the Right Ureteral . catheter in ureter shows one phlebolith to be directly ben
Operative gynecology : . Fig. 318.—Phleboliths Lying near the Ureteral Orifices, which Might be Mistaken for Calculi. A patient was admitted to the ward at the Johns Hopkins Hospital with adefinite history of renal colic. The skiagraph showed a stone 1 cm. long by 576 THE USE OF THE X-KAY IN DETECTING CALCULI. •J cm. in diameter, just back of the ureteral orifice. A catheter could beintroduced into the ureter with ease and no scratch obtained. At operation. Fig. 319.—A Group of Phleboliths around the Right Ureteral . catheter in ureter shows one phlebolith to be directly beneath the ureter. the ureter was found to be enlarged and sacculated at that point and thestone was lying in a pouch so situated that the catheter had passed over X-ray has the advantage in that it gives the size, shape, position, and USE OF WAX TIPPED CATHETER. 577 number of the stones. The wax tip simply reveals the presence of a stone, butgives no indication as to its size or shape. It may, however, show the presenceof a small stone which the X-ray failed to detect. As can be readily seen, the X-ray and the .wax tip act as a check uponeach other. Both methods should be tried and when they agree there can beno doubt as to the diagnosis. The question naturally arises: In what percentage of cases does the useof the X-ray afford positive diagnosis of the presence or absence of a stone ?Opinions in regard to this point vary, some radiographers
Size: 1432px × 1746px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
