Identifier: americanjournroen09ameruoft (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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~ s. s. 2 =£ E Ml r3 i z a. 5 u â - § 272:- - bi z c* O T ~^ c (S r^ -t - 1^ <N z : <* 00 â¢O ~z zc ^ 0 3â0 rn fO ( â¢+ IN p 3\ N m w 0 K 1 X I 3C X c- ^ -t -r -t -f â * â * â * -r -f -t -*â -1- J The Roentgen-Ray Diagnosis of Non-opaque Foreign Bodies 299 ing in its entirety above the diaphragms.These signs will be very slight or quitepositive, according to the degree of obstruc-tion. Occasionally they are distinguishableonly by comparing roentgenograms madeafter removal with those made beforeremoval. They are always more pro-nounced if the child struggles or cries, butit frequently occurs that the patient will paroxysmal cough, wheeze, etc., to asufficient degree to warrant roentgen-rayexamination. It is difficult to estimate the value ofthe study of these cases because of lack ofproof in some of them, especially thosewith positive or suggestive history of aspi-ration of foreign bodies, but we feel thatour assumptions as to probabilities are fair.
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Fig. 8a. Fig. 8. F. B. No. 892. Quite marked depression of the diaphragm on both sides, rotation of heart, overdisten-tion of both lungs. Peanut in trachea, (a) Expiration before removal; (6) Expiration after removal. breathe quietly with the utmost determina-tion, for the reason that any violent expira-tory effort is apt to force the foreign bodyupward against the glottis and produce anagonizing paroxysm. A separate brief analysis of the twelvesuspected cases is given to avoid confusionwith proven cases of foreign body. Casenumber refers to serial number of X-RayDepartment records. The number given isfor the first examination only. All caseswere examined repeatedly; a new serialnumber, given each time, is not shownhere. Of the twelve cases listed and analyzedas suspected or unproven cases, all hadsome or all of the symptoms and signs offoreign body, usually severe dyspnea, Case 46,309 was particularly puzzling.Signs of obstructive emphysema werequite positive, especially at the secon

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