File:Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women (1922) (14579300359).jpg

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Identifier: diseasesofkidney01kell (find matches)
Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women
Year: 1922 (1920s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-
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Publisher: New York, London : D. Appleton and company

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Fig. 168.—Diagram Showing Position of Stones in 28 Cases Where They WereLocated in the Ureters. Each dot represents a center of stone. laterally placed, their position thus demonstrating that they are extra-ureteral(Fig. IGS). ■; . /. Fenwick has marked oiit a small triangular area within the pelvis, whichhe calls the ischial triangle, a frequent site for phlebolith shadows (Fig. 170) 364 METHODS OF EMPLOYING THE X-RAY IN DIAGNOSIS.
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Fig. 169.—Shadows Cast by Vermiform Concretion and by Phlebolith. Upper shadow (black arrowed) upon the ihac crest is cast by a fecal concretion in appendix. Small,round shadow in pelvic area is a phlebohth. (After Hurry Fenwick.) while the ))elvic brim area a little further back in the true pelvis, takingin the inner crescentic curve of the ilium, is the location where the calcifiedglands are oftenest found. He further says that, while the plilebolith shadowmay underline the pelvic portion of the ureter, this rarely happens if the light CASES FOR USE OF X-RAY. 365 is placed centrally. Whenever the stone or phlebolith coincides with the lineshadow of the bougie, a stereoscopic? picture should l)e taken. He lays down the following rules: ■ Do not casually diagnose a round, sharph^ defined bright spot in the nega-tive of a bony pelvis area to hv a ureloric stone, even though it lie in the direct

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