File:The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14756748972).jpg

Identifier: americanjournroen06ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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ared on scalp andanother over the left zygoma, other fingersbegan the same way as the first, and painappeared in the knees and left wrist. 55^ Coccidioidal Granuloma All infected fingers were then amputated,right patella was removed, and left kneeand wrist opened and drained; later leftleg was removed at level of upper andmiddle one-third of thigh. Most of the wounds healed very slowly,and on September 2ist patient left hos-pital, still having discharging sinuses ofleft wrist and right knee and stump of leftthigh. Jan. 30, 1918, patient still alive. Hasbeen up and about in wheel chair. Arm soft tissues. A typical picture of tubercu-losis of the wrist and hand. Right knee: Patella has already beenremoved. Articular surface of both bonesand particularly of the femur is hazy,irregular, with diminished density andblurring of anterior surface of lower endof femur. Soft tissues show considerableincrease in density. C.\SE V. Patient 111871 E. L. Male,Mexican laborer, forty-eight. Entered Los
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Fig. 8. Cask IV (Patient 1090241. Left Wrist andHand Showing Coccidioidal Involvement ofLower End of Radius, Ulna, All Carpal andSecond, Third, Fourth and Fifth MetacarpalBones. Fig. 9. Case IV. (Patient 109024). Right Knee.Note absence of patella. Shows involvement of articu-lar surface of both the femur and tibia with con-siderable increase in density of soft tissues. ver> badly involved, all lesions extensivelybroken down and exuding characteristicpus. Immense cauliflower granulations areseen in each lesion. Attending surgeonstates that he may advise patient to returnhere for amputation of this extremity. Roentgen Findings.—Chest and spinenegative. Left hand: All carpal and proxi-mal, one-third of second, third, fourth andfifth metacarpal bones poorly defined.There is marked destruction of these bones,including the articular surface of radiusand ulna, considerable increase in trans-)3arenc3^ and blurring of the outline ofsame and thickening of the surrounding Angeles County Ho

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