. Roentgen interpretation; a manual for students and practitioners . doAvnward (ptosis) is of no importance unless accompanied by asix-hour residue or definite clinical evidence of abnormal function.It may be shifted downward and to the left by enlargement of theliver or tumors in the right upper cpjadrant. In i)yloric obstructionwhere dilatation has occurred the stomach shadow often appearsfarther to the right than normal, but this is due to dilatation of theantrum and is not a true displacement of the entire stomach. Changes in Outline.—Changes in outline occur (1) as a result ofspasm. This

. Roentgen interpretation; a manual for students and practitioners . doAvnward (ptosis) is of no importance unless accompanied by asix-hour residue or definite clinical evidence of abnormal function.It may be shifted downward and to the left by enlargement of theliver or tumors in the right upper cpjadrant. In i)yloric obstructionwhere dilatation has occurred the stomach shadow often appearsfarther to the right than normal, but this is due to dilatation of theantrum and is not a true displacement of the entire stomach. Changes in Outline.—Changes in outline occur (1) as a result ofspasm. This Stock Photo
Preview

Image details

Contributor:

Reading Room 2020 / Alamy Stock Photo

Image ID:

2CRK79J

File size:

7.1 MB (209.9 KB Compressed download)

Releases:

Model - no | Property - noDo I need a release?

Dimensions:

1406 x 1777 px | 23.8 x 30.1 cm | 9.4 x 11.8 inches | 150dpi

More information:

This image could have imperfections as it’s either historical or reportage.

. Roentgen interpretation; a manual for students and practitioners . doAvnward (ptosis) is of no importance unless accompanied by asix-hour residue or definite clinical evidence of abnormal function.It may be shifted downward and to the left by enlargement of theliver or tumors in the right upper cpjadrant. In i)yloric obstructionwhere dilatation has occurred the stomach shadow often appearsfarther to the right than normal, but this is due to dilatation of theantrum and is not a true displacement of the entire stomach. Changes in Outline.—Changes in outline occur (1) as a result ofspasm. This may be localized as seen in the narrow contractions STOMACH 161 near the pylorus or in the upper portion of the body of the stomachwhere the greater curvature is drawn in toward the lesser over aspace of a few millimeters. These spasms may be reflex or be dueto the irritation of a small ulcer or new growth at that level. Spasmmay also be extensive, obliterating the entire antrum, for example.Here again it may be entirely reflex or be due to an associated lesion. Fig. 137.—Tracing of stomach, showing penetrating ulcer of lesser curvature. Patient prone. of the stomach wall, which is often a difficult matter to decide.Functional spasms usually are transitory so that repeated observa-tions of the patient will frequently settle the matter. Antispas-modics, such as belladonna or papaverin, may be emploj^ed, butthey are not conclusive because of the fact that at times they relaxthe spasm associated with a lesion of the wall as readily as thosedue to functional causes; so that the question of the presence or11 162 GASTRO-INTESTINAL TRACT absence of a lesion must depend upon other evidence than that ofspasm. (2) As a result of gastric lesions. Under this headingcome the contracted, rigid, smooth lesser curvatures with absenceof peristalsis seen in ulcer and carcinoma; the presence of thecrater of a penetrating or perforating ulcer projecting from the gas-tric outline on the lesser

Save up to 70% with our image packs

Pre-pay for multiple images and download on demand.

View discounts