. 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 . and chest. Dyspnoea with cough. Dyspnoeaincreased in severity with some orthopnoea. Has vomited every daysince second day of attack, and complains of sharp pain over expectoration with cough, whitish and frothy in character. Norusty sputa. PJiysical Examination. — Lungs : percussion note over right frontand upper right back slightly higher-pitched than left; respiratorysounds increased on right, diminished over left. Dulness over lo
. 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 . and chest. Dyspnoea with cough. Dyspnoeaincreased in severity with some orthopnoea. Has vomited every daysince second day of attack, and complains of sharp pain over expectoration with cough, whitish and frothy in character. Norusty sputa. PJiysical Examination. — Lungs : percussion note over right frontand upper right back slightly higher-pitched than left; respiratorysounds increased on right, diminished over left. Dulness over lowerhalf of left back, with bronchial breathing in areas, and bronchophony, 344 THE ROENTGEN RAYS IN MEDICINE AND SURGERY also medium and fine crackling rales. Tactile fremitus absent in leftback. Sibilant and sonorous rales throughout upper left back. October 18. No tubercle bacilli found in sputa. October 30. X-Ray Exaviination zvith Screen (see Fig. 196). —Heart is found not displaced to right. Left chest dark throughout,but rather lighter below than above. Outline of left diaphragm not Rjcharcf3Jn/erst/fial rjhwu6 PneamonjoOdoher 3oA-. Fig. 196. Richard S. Cut of tracing made with screen on front of chest. Interstitial fibrouspneumonia. Left chest dark throughout, but darker in upper than lower part. beat felt at darkened area does not indicate pleurisy with large effusion, as the heart is not sufficiently dis-placed ; likewise the upper part of the chest is darker than the lower, which would not be the casein pleurisy with effusion. (Cut one-third life size.) seen. Left border of heart barely seen, but this faint outline is notgiven in the cut. Apex beat shown in the cut by a cross. Patient died November 25. The autopsy showed that the left pleural cavity was obliterated andthe whole left lung was dense. Small cavity in the base filled withblood. Diagnosis: Interstitial fibrous pneumonia. Purulent bron-chitis. NEW GROWTHS. ENLARGED GLANDS 545 New Growth in
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