. The American journal of roentgenology, radium therapy and nuclear medicine . r and Willis , which especially emphasizes the im-portance of determining the presence of non-opaque foreign bodies in the bronchi, be-cause of the marked pathological changes rapidly produced, and which is in markedcontrast to the period of tolerance presentwhen metallic foreign bodies are lodged inthe bronchial tree. Under the heading of theroentgenological diagnosis. Dr. Manges skill-fullv describes the roentgenological signs ofthe resulting rapidly produced unilateralemph\-sema, which enable him to make
. The American journal of roentgenology, radium therapy and nuclear medicine . r and Willis , which especially emphasizes the im-portance of determining the presence of non-opaque foreign bodies in the bronchi, be-cause of the marked pathological changes rapidly produced, and which is in markedcontrast to the period of tolerance presentwhen metallic foreign bodies are lodged inthe bronchial tree. Under the heading of theroentgenological diagnosis. Dr. Manges skill-fullv describes the roentgenological signs ofthe resulting rapidly produced unilateralemph\-sema, which enable him to make thediagnosis of the presence of a foreign bodywithout the foreign body itself being actu-allv visible. May I point out that this is nonew procedure? On several occasions in thelast few years I have made a diagnosis offoreign body on this basis. The last instancewas on November 29, 1919, in a child fromthe service of Dr. Coakley at Bellevue Hos-pital, under the care of Dr. Imperatori. Thepatient was sent to the .r-ray department foran examination of the chest, because there. Fig. I. PI. A., No. 19S535; Serial No. 4S535- Nov. 29,1919. Grape Stem in Right Bronchus. Radio-graph four days after accident. The characteristicroentgen signs of unilateral emphysema are clearlydemonstrable, i. Brilliant illumination of the rightpulmonic field. 2. Flattening of the convexity of thediaphragmatic outline. 3. Displacement of medianshadow to the left. was the clinical suspicion of a foreign bodyin the bronchus. On that day, on the basis ofsuch signs (Fig. i) as Dr. Manges has justdiscovered, I diagnosed the presence of aforeign body in the right bronchus. The nextdav Dr. Imperatori removed a grape stemfrom the right bronchus of the child. In reference to the pathological conceptof this condition, I desire to point out that Editorials 415 in an article on the Diagnosis of ForeignBodies in the Alimentary and RespiratoryTracts of Children, which I published inJanuary and February, 1913, in the A
Size: 1633px × 1531px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidamericanjour, bookyear1906
