The Medical Clinics of North America, Volume 3

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Saunders., 1919 - Clinical medicine
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Page 47 - a more pronounced degree of periosteal reaction as indicated by the deposition of new bone and the tendency to formation of sequestra. In medullary sarcoma certain areas of increased density appear which resemble spiculae or islands of osseous material, and show actual absorption of the bone, with
Page 39 - Third stage: The epiphysis begins to resume its normal contour and homogeneous shadow density. Irregularities persist in the marginal outline, and there is still a little mottling in the ossification. The lipping of the diaphyses has enlarged the bone ends, and there is, in consequence, a discrepancy in breadth between the diameters of the diaphysis near the epiphyseal line and the epiphysis.
Page 240 - ophthalmoscopic examination is one of the most ready clinical means for the early detection of important arterial changes.
Page 37 - Epiphysis casts little or no shadow, while the center of ossification is small or absent, and at times appears multiple. The
Page 39 - Further changes in the second stage consist in the chambering of the interior of the bone, where light areas in the shaft indicate the absence of marked bone deposit, and heavier lines of ossification show the irregular development of trabeculae. The
Page 28 - of the pyloric end of the stomach and first portion of the duodenum;
Page 45 - manifestation is shown by a slight increase in the periosteal shadow at one or more spots, a definite swelling of the soft parts, and possibly
Page 47 - Sarcoma usually attacks the shaft of the bone, and produces changes similar to those caused by certain degrees of osteomyelitis, differing, however, in that the latter
Page 2 - the natural history of diseases, that is to say, their tendencies to a favorable or fatal issue; and "without
Page 47 - by noting changes, such as thickening and bulging of the periosteum. The outline of the periosteum in normal bone is sharply defined, while in acute inflammatory conditions there is a general haziness of its outline in the affected part, or it may be broken and irregular, exposing the cortex of the bone. The formation of an abscess is shown by an increased depth of

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