File:Interstate medical journal (1917) (14597036080).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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eing stillof military age he was ordered to the colors during the mobilizationwhich was general throughout Europe. He sent his wife to Londonwith instruction to await there news from him, as he intended todesert from his regiment, join her and return with her to theirhome and business in America. He deserted, met his wife in Eng- Granger: X-Ray Reveals Unsuspected Appendicitis 673 land and they secured passage for this country. For days theyfeared arrest realizing fully the consequences of such an eventuality,and it was not until they got off the steamship and had left the pierin New York that they felt safe. When they reached New Orleansthree days later, both were on the verge of nervous collapse, but herformer trouble did not return. After seeing three cases, we began looking for trouble aboutthe appendix whenever we found spasmodic contractions of thestomach especially of the pylorus, with no six-hour residue, and noroentgen evidences of disease of the stomach and the duodenal cap.
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Fig. 4.—Appendix visualized after thorough emptying of the caecum. In such cases we always made a 10- and 24-hour plate besides theusual number of plates immediately after the opaque meal and theone 6 hours later. If the appendix is not seen in either the 6-, 10 or 24-hour plates,we have the patient take two copious enemas and return for an-other exposure. In several instances retrocecal appendices whichwere not visible in the earlier plates because they were hidden 674 INTERSTATE MEDICAL JOURNAL from view by the barium filled cecum became plainly visible after thecolon had been emptied (Fig. 4). The roentgen findings on which the diagnosis of chronic appendi-citis was made in these cases were: A fixed appendix shadow, meaning by that an appendix shadowwhich could not be moved by manipulation during a screen exam-ination, or one found in exactly the same position and location onplates made at several hours interval; Or an appendix shadow showing persistent kinks or constrictions; Or

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