. 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 . ove case shows how the X-rays may assist in indicating theabsence of fluid in the pleural sac, and at the same time suggest thecause of the remaining difficulty. Case II. James A. W., twenty-eight years old, entered the hospitalOctober 7, 1899. He was a patient of one of my colleagues, and thetentative diagnosis was pleurisy with effusion on the right side. October 5. Physical Examination.—-Lungs: in the right chest,from fifth rib in front, and fr
. 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 . ove case shows how the X-rays may assist in indicating theabsence of fluid in the pleural sac, and at the same time suggest thecause of the remaining difficulty. Case II. James A. W., twenty-eight years old, entered the hospitalOctober 7, 1899. He was a patient of one of my colleagues, and thetentative diagnosis was pleurisy with effusion on the right side. October 5. Physical Examination.—-Lungs: in the right chest,from fifth rib in front, and from angle of scapula behind, extending upinto axilla, flatness, absent respiration, and diminished vocal and tactile 232 THE ROENTGEN RAYS IN MEDICINE AND SURGERY fremitus; at upper border of above area a few coarse moist rales;throughout the rest of the chest the breathing is exaggerated. October 25. Physical Examination. — In right base, below angle ofscapula behind, and level of nipple in front, there remains dulness onpercussion, with diminished tactile fremitus. Respiratory sounds dimin-ished, but vocal resonance good. No rales Ja3 JIW TfMckened Membrane Tahejxafcois (p)ci/j^pejc
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