Identifier: operativegynecol001kell (find matches)
Title: Operative gynecology :
Year: 1906 (1900s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943
Subjects: Gynecology Gynecology Gynecologic Surgical Procedures
Publisher: New York and London : D. Appleton and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
eneath the back and should be of sufficient size tocover both kidneys, as it sometimes happens that calculi are found on the sideopposite to that in which the pain is felt. The upper margin of the plate should reach the twelfth rib, and the plateitself should extend down far enough to receive the shadows of the portionof the ureters above the ilium. The tube is placed directly in front of thepatient, over the median line just above the umbilicus, and from ten tofourteen inches from the abdominal wall. In this position the shadowof both kidney regions and the extra-pelvic portions of the ureters areobtained. A second exposure should always be made, and in this the upper border ofthe plate should reach the crest of the ilium and its lower margin be below thetrochanter. As before, the tube is placed in the median line, but this time itis half way between the symphysis and the umbilicus. In this position therays fall in the line of the pelvic canal and thus the possibility of having the37
Text Appearing After Image:
Fig. 313.—Small Stone in Pelvis of Right Kidney. 568 RENAL CALCULI. 569 ureters projected upon the sacrum is avoided. This second plate gives theportion of the ureters lying within the pelvis. In the first position a good radiograph should show the twelfth fib, thetransverse processes of the vertebrae, the crests of the ilia, and the psoas muscles.The second radiograph should show the sacrum, the inner border of the pelvic

Note About Images