File:Interstate medical journal (1917) (14780532261).jpg

Identifier: interstatemedica2419unse (find matches)
Title: Interstate medical journal
Year: 1917 (1910s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
n performed. Microsection proved nonmalignancy. Subsequent history: Patient developed lobar pneumonia on the second dayand succumbed. INTERSTATE MEDICAL JOURNAL 33 Case VI.* (Fig. 6.) Clinical history: Acute pain in the epigastrium for two weeks, coming twohours after eating, relieved by alkalies. Roentgen diagnosis: A small punctate ulcer on the lesser curvature sur-face of the cap, without induration or cicatricial contraction. Subsequent history: This patient followed a rigid medical treatment forulcer for a period of two weeks, at the end of which time all of the symptomsof ulcer had disappeared. This patient has remained now without a incur-rence of symptoms for a period of six months. In this group of cases, with a deep, penetrating ulcer, with thick-ened walls, even with the absence of any pyloric stenosis, surgicalprocedure is indicated definitely. Group IV. The cases of group IV are those in which the indura-tion or cicatricial contraction has transgressed the pylorus and in-
Text Appearing After Image:
Fig. 5.—Illustrates group 3, Sur- Fig. 6.—Illustrates group 3. Medicallygically treated. treated. volved the pyloric end of the stomach. These offer an interestingand exceedingly important group of cases, if we are to accept theteaching of the times that gastric lesions frequently become malig-nant and that duodenal lesions rarely become malignant. The valueof the roentgen indications in this important group of cases liesin the fact that the exact location of the induration relative to thepyloric sphincter can be determined with a greater degree of ac-curacy than can be determined even by opening the abdomen andby palpation and inspection of the viscus. The importance of thisgroup, in their relation to precancerous indurated areas of the py-loric end of the stomach, cannot be overestimated. This group isillustrated by a single case. Case VII. (Fig. 7.) Clinical history: Indigestion for two or three years; one intestinal hemor-rhage; chronic indigestion for a year. Epigastric pain

Note About Images