Modern surgery, general and operative . The obstructiveeffect of gas in elongated sigmoid loops (Pfahler, Jour. Amer. Med. Assoc,Nov. 16, 1912). The presence of impacted feces. The extent of motility ofthe different portions of the colon; the presence and extent of congenital dila-tation. And often the location and extent of malignancy. Frequently more than one examination is necessary before attempting adiagnosis. It is not essential to purge prior to examination of the ingested meal,but the colon should be thoroughly emptied by irrigation before suppositories may be used b


Modern surgery, general and operative . The obstructiveeffect of gas in elongated sigmoid loops (Pfahler, Jour. Amer. Med. Assoc,Nov. 16, 1912). The presence of impacted feces. The extent of motility ofthe different portions of the colon; the presence and extent of congenital dila-tation. And often the location and extent of malignancy. Frequently more than one examination is necessary before attempting adiagnosis. It is not essential to purge prior to examination of the ingested meal,but the colon should be thoroughly emptied by irrigation before suppositories may be used before injection if the rectum is very irri-table, and the temperature of the bismuth mixture should be a little above thatof the body. In a study of the urinary organs the Rontgenologist should be able to deter-mine the size and position of the kidneys in a normal subject weighing 160pounds or less. In larger persons only the best skiagraphs will show the out-line of the kidneys. In patients under 160 pounds renal calculi from the size. The Uses of the Rontgen Rays i4S9 of a No. 2 shot to the largest found, whether smgle or multiple, in one kidneyor both, and relatively their situation in the kidneys (except in stones composedof pure uric acid) can be determined in Rontgenographs of the best quality. Ureteral calculi are subject to the same display as renal calculi. The courseof the ureters is by no means constant, so that one cannot say that a shadowlies in the line of the ureter unless this line is determined by additional , in the great majority of instances the history of renal colic; a point oftenderness on deep pressure; the presence of microscopical Cjuantities of bloodin the urine; the fact that ureteral calculi are almost never round, but oval or ir-regular, in contrast to the small round shadows cast by phleboliths, or calcareousdeposits in the mucous membrane of the female genitalia; and, the mulberryappearance of calcified lymphatic glands, are sufficie


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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery