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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large cjuan-tities of air. Examination of the abdomen showed noundue distention of the stomach. There wasa large number of coarse mucous rales overboth lungs. The physical signs in the chestwere suggestive of pulmonary edema. Tem-perature, 101.6. Pulse, 130. Respiration, 36. The patient was given water to swallow,but no deglutition sounds could be heard atthe ensiform. Following this, the dyspnea Thesis presented with application for membership in The American Roentgen Ray Society, 1920. 31 32 Two Unusual Chest Cases and other chest signs increased. The cause,nature and seriousness of the patients con-dition were recognized. The disturbance ofdegkitition previously observed had persistedso that her food was entering the trachea,and thereby interfering with respiration andsubjecting the patient to the danger of pul-monary infection. Dr. Rutz now sent thepatient to St. Marys Hospital for treatmentand observation. Rectal feeding was resortedto at first and later it was found possible, by
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Fig. I. Case i. Bismuth in Both Lungs and also inLarynx. the use of a stiffer tube, to pass the sameinto the stomach, and the patient was fed inthis way. Excessive secretion of saliva was aconstant symptom at this time, but was con-trolled by belladonna. Her pulmonary symp-toms rapidly cleared up and later her respira-tory passages showed a marked tolerance toforeign material of various kinds. Variouscolored solutions were given and latercoughed up. At one time six ounces of cus-tard were apparently retained in the respira-tory passages for twenty minutes and thengradually brought up by coughing. On May loth the writer examined the patient at the hospital. Two ounces of bis-muth mixture were given the patient to swal-low, and on the screen it was seen that mostof this entered the trachea and thence oninto the bronchi of both lungs. It apparentlycaused the patient no distress, and she didnot cough as a result of it. Stereoscopicplates were then made, and it will be seenfrom these that

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