File:The Röntgen rays in medical work (1907) (14757143262).jpg

Identifier: rntgenraysinmedi1907wals (find matches)
Title: The Röntgen rays in medical work
Year: 1907 (1900s)
Authors: Walsh, David
Subjects: X-rays Radiography X-Rays Radiography
Publisher: New York : William Wood
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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esence of glass, but positivetestimony as to the existence of jointmischief. A. B , a milliner, admitted to the Metropolitan Hospital with the followinghistory. Two months previously her littleboy, whom she was nursing, by a suddenkick broke a wineglass in her hand. Theleft forefinger was cut, and severe painfollowed, reaching up the arm to theshoulder. A piece of glass was supposed tobe in the wound, which had been exploredbefore the patient came to the hospital.On admission the wound was found healed,and the end-joint of the finger stiff. Theaccompanying radiogram (Fig. 64) provedthe absence of glass, but disclosed variouschanges in the joint. Absorption of the distal end of the second phalanx had taken place, and fibrousanchylosis was diagnosed from (a) the appearance on the photo-graph of a faint line between the phalanges, and (b) the stiffness ofthe joint. Lead being exceedingly opaque to the rays, the Eontgen method* Potash glass is more translucent to the rays than lead glass.
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Fig. 64.—Finger show-ing Absorption ofBone and FibrousAnchylosis. 128 THE RONTGEN RAYS IN MEDICAL WORK does yeomans service in gunshot wounds. The erratic course takenby bullets after entering the body often renders their discovery,under the conditions of ordinary surgery, a matter of impossibility.By means of a Rontgen ray examination, however, the surgeon mayalmost always acquaint himself as to the exact whereabouts of themissile, without undressing the patient and without taking off splintsand bandages, so that the shock entailed by prolonged manipulationmay be now avoided. The Rontgen method may also be of servicein this class of wounds by proving the absence of a bullet. Indoubtful cases the value of such negative evidence, both to thesurgeon and to the patient, is so obvious that it need not beenlarged upon. The difficulty of gaining exact evidence as to the presence of arifle-bullet was well illustrated in the classical case of Garibaldi.Day after day his medical attendants,

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