Identifier: americanjournroen08ameruoft (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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urn toward theright side, and not to allow his back to slipon the table with an inclination to follow themovement of the tube. With everything fixedand rigid, the exposure is made. While the preparation of the patient isimportant, it is not essential in every case. ii8 Technique of Roentgen Examination of Kidneys In patients who are not constipated or sub-ject to gas formation in the colon, the exam-ination may be made successfully withoutprevious preparation; however, it is best inevery case, when circumstances permit. Thispreparation consists of a thorough laxativethe night before and an enema, as nearly asconvenient, immediately preceding the exam- In such a case we have an ample bed ofperinephritic fat much less dense than thekidney substance and supplying the contrastthat is so desirable. For this reason evenlarge, fat patients often prove easier thansmall, lean ones. But, large or small, fat orlean, the kidney outline can be brought out.It has been customary to dismiss the point
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Fig. 4. Kidney Injected—Catheter in situ. Note the BlurringEffect of Incomplete Respiratory Control. ination. The importance of this cannot be toostrongly emphasized in many cases. The kid-ney outline cannot be clearly brought out ifthere is a big gas pocket in the colon imme-diately over it. In this connection a word as to the kindof patient who is most favorable for thiswork might not be amiss. The most favor-able type is the rather fat, small individual. of the patients respiration simply by say-ing, instruct the patient to hold his breathduring the exposure. If the doing were aseasy as the saying, it would need no furthercomment, but it is not. Many patients find itc(uite difficult to stop breathing entirely, evenfor five or six seconds. Many think that theyare holding their breath when they are not.Place a mirror on the abdomen of such a Technique of Roentgen Examination of Kidneys 119 patient, and while he is trying to hold hisbreath the reflection from the mirror willcontinue

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