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Image from page 348 of “The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students” (1903)

Image from page 348 of “The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students” (1903)
Heart Disease
Identifier: roentgenraysinme00will
Title: The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students
Year: 1903 (1900s)
Authors: Williams, Francis H. (Francis Henry), 1852-1936
Subjects: Radiotherapy Radiography Radiography, Thoracic
Publisher: New York : The Macmillan Company London, Macmillan & Co., ltd.
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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Text Appearing Before Image:
physician stated that the patient had resumedhis business. The X-ray examination was undoubtedly of service in this case, giv-ing immediate and unequivocal evidence of the conditions present, andimparting to me convictions as to the treatment that should be pursued,and that this treatment should be carried out courageously. Want of Efficient Pulmonary Circulation shown by X-Ray Exami-nations. — (See Fig. 179.) The X-rays may be useful in indicating howmuch increase in density there may be in the lungs, due to passive con-gestion, or to oedema, without either giving rise to well-marked signs by TREATMENT WATCHED BY X-RAY EXAMINATIONS 2>o7 auscultation and percussion. In certain diseases or conditions of thevalves of the heart the pulmonary circulation may be so much obstructedthat the lungs are found radioscopically to be much darkened, even moreso than the diagram represents. This should warn us to take suitablecare. In X-ray examinations we have a new, useful, and dehcate means

Text Appearing After Image:
Fig. 179. Diagram of passive congestion ot tlie lungs from valvular disease.In valvular disease I have seen much darker lungs than the diagram indicates become clear, andthe dyspnoea cease after treainient by digitalis. of recognizing changes in the pulmonary circulation, due to abnormalconditions of the lungs, heart, or kidneys. Alcoholics. — I have observed in a number of cases that the lungsof patients addicted to the use of alcohol were less bright throughoutthan normal, and in a few that there was a marked contrast between 308 THE ROKNTGEX RAVS IX MKDICIXE AXD SURGERY the pulmonarv area above the position of the diaphragm in expirationand the portion seen between the two positions of the diaphragm in fullinspiration and expiration, this latter portion being much brighter thanthat above the expiratory diaphragm line. The lack of brightness inthe lungs may be due to a pulmonary congestion, which would makethese organs appear darker on the screen than in health ; or there maybe so

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