File:Interstate medical journal (1917) (14597035369).jpg

Identifier: interstatemedica2419unse (find matches)
Title: Interstate medical journal
Year: 1917 (1910s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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Pigr. l the healthy intestinal canal. In order to define the characteristicroentgenological findings in intestinal tuberculosis, we must eitherdivide the lesions according to their stages of development or ac-cording to their nature. The latter is more practical, because to
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Fie. 2. 50 INTERSTATE MEDICAL JOURNAL separate the different stages is possible only from a pathologicalstudy of the excised gut. We would, therefore, differentiate ulcera-tions in their different stages of activity and healing, hyperplasiawith narrowing of the lumen, obstruction of the bowel, due tocicatrization or angulation due to adhesions, edema, glandular in-volvement, ascites and abscess formation, fixation, and permanentdisplacement of bowel by peritoneal adhesions. Even v/hile the peritonitis is still strictly localized, miliary tuber-cles may be recognized on the serosa. Not only are theseand many other changes in the anatomy of the bowel discernibleas to their localization and extent, but, of more importance,being-recognized at an early stage, are the physiological changesof the bowel contents themselves, as seen after a meal, that attractour attention. From our own experience we believe we can detectdiarrhea in the upper intestinal tract before even most careful ex-aminati

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