The Roentgen diagnosis of gall-stones by improved methods / by Lewis Gregory Cole, M.D., New York and Arial W. George, M.D., Boston.

  • Cole, Lewis Gregory, 1874-1954
Date:
1915
Catalogue details

Licence: In copyright

Credit: The Roentgen diagnosis of gall-stones by improved methods / by Lewis Gregory Cole, M.D., New York and Arial W. George, M.D., Boston. Source: Wellcome Collection.

    16/20 (page 14)
    3. Experience has shown that gall-stones may be detected about twice as frequently as for¬ merly by: (a) A special technic for making the Roentgen plates; (b) A minutely careful study of the Roentgen plates by various methods; (c) A thorough intimacy with the Roentgenographio appearance of gall-stones. 4. By applying the new method of interpre¬ tation, gall-stones have been detected on many Roentgen plates made by the old technic, and formerly diagnosed as negative. 5. By means of the special technic for mak¬ ing and interpreting Roentgen plates, a posi¬ tive diagnosis may be made in so many cases, that the negative diagnosis has become of con¬ siderable significance. 6. Much care and study will be necessary to properly interpret the additional detail which can be obtained by the special technic, and un¬ doubtedly some erroneous diagnoses will be made. (Cole has made two such erroneous diagnoses in the last month, and has thereby learned to differentiate the food in the cap and the feces in the haustra of the colon from evi¬ dence of calculi.) 7. If there is no direct Roentgen evidence of gall-stones, the stomach, cap, duodenum and colon should be examined for adhesions from an accompanying cholecystitis. 8. If there is no direct or indirect Roentgen evidence of gall-stones, . the clinical history should be more characteristic than usual before one resorts to surgical procedure. REFERENCES. 1 Beck: Numerous articles and a chapter on Gall-Bladder in Groedel’s Atlas der Rontgendiagnostic in der inneren Medizin, Miinchen, 1909. Pfahler: Die Rontgenstrahlen als Hilfsmittel bei der Gallen- 6teindiagnose, Fort. a. d. Geb. d. Ront., by. xvi, H. 5, S. 335-337, April, 1911.