Differential diagnosis of the appendix by aid of the Roentgen ray / by A.J. Quimby.

  • Quimby, A. Judson (Adoniram Judson), 1875-
Date:
1913
Catalogue details

Licence: In copyright

Credit: Differential diagnosis of the appendix by aid of the Roentgen ray / by A.J. Quimby. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Reprinted from the New York Medical Journal for Dctober n, 1913. DIFFERENTIAL DIAGNOSIS OF THE APPENDIX BY AID OF THE ROENTGEN RAY. By A. J. Quimby, M. D., New York, Clinical Professor of Radiography, New York Polyclinic Medical School and Hospital; Radiographer to the New York Foundling Hospital; Consulting Radiographer to the New York Nose, Throat, and Lung Hospital, etc. The x ray study of the appendix has never had until now a scientific basis sufficiently strong and broad to warrant the assertion that such routine procedure is a necessary aid in separating appendi- citis from the various pathological phenomena which occur in the right lower abdomen. Only occasional references have been made by several writers to the shadows formed by the appendix in radiographs. The early experimenters in radiography of the appendix frequently met with failure because im- proper technic was employed. But after prolonged study of many cases and numerous examinations both fluoroscopically and radiographically, I have been able to indicate by examination of the cecum and the adjacent structures whatever condition may exist with accuracy. In the examination of 141 cases between May 1, I9I.3» and September 15, 1913, data were obtained which enabled me to classify the appendix radio- graphically. Of this number, fifty patients had had laparotomies previous to the examination in which the appendix had been removed. Of the remainder, ninety per cent, gave sufficient data to determine the position and condition of the appendix. The re- maining ten per cent, were those in whom the posi- tion of the cecum prohibited its thorough inspection. Copyright, 1913, by A. R. Elliott Publishing Company.