of the Surgeon General of the U. S.
S. Nizoral 200mg .\. General Hospital No. 19, Oteen.
Fig. 2. — Condition of lung after injections of air (Case Ij.
and pain will also have a favorable effect upon the
morale of the patient, which is Nizoral Hairloss a matter of great
importance in the treatment of pulmonary tuber-
culosis. The relief of his sufferings is what we
strive for. In certain seemingly hopeless cases, this
treatment has caused an apparent arrestment of the
disease in three selected cases cited in this article.
Two of the advanced cases became ambulatory, after
the Nizoral Buy patients had been Nizoral Oral bedridden for almost a year.
They have shown a great amount of improvement.
There are several important factors to be con-
sidered before a pneumothorax is tried, and the x
ray stands out as the essential guide to the clinician.
I must not omit the aid of the fluoroscope, which is
also part of the guide. With the bedside unit, Nizoral 2 the
hand fluoroscope is used to great advantage. The
X ray plates give the pathological findings as a per-
manent record, while the fluoroscope gives a clue as
to the mobility of the chest and the excursion of
the diaphragm of the affected Nizoral 1 side. Nizoral Tablet The following
points were studied before pneumothorax was pro-
duced : L The extent of the pathology, especially as
to cavities. 2. Nizoral Hair Loss Will the opposite lung be able to
furnish sufficient pulmonary tissue after the affected
lung has been collapsed 2 Nizoral without throwing additional
risk to the patient? 3. Pleurisy and adhesions.
1. In the extent of the pathological involvement
of the lungs, the x ray stands out as the positive
guide. Cavities will always show on the x ray
plate, whereas they may be missed by the Nizoral 200 most
thorough physical examination (without entering
into a discussion of the relative merits of the phys- Nizoral Ketoconazole
ical examination ) ; and in deciding the e.xtent of the
October 30, 1920.]
KRUPF: X RAY A GUIDE IN PNEUMOTHORAX.
671
involvement, I think it has been found that the ront-
genological studies are the final and deciding factor.
2. The question of the opposite lung being able
to furnish sufficient pulmonary tissue to functionate
after the affected kmg has been collapsed, is a seri-
ous problem to determine. In a case where one
Fig. 3. — X ray of lung prior to injection of air (Case II).
lung is involved and the other Ketoconazole Nizoral lung normal, there
is no question, of course, that this is the ideal Nizoral Tablets treat-
ment. But it is in those cases where both lungs are
heavily involved, and perhaps one somewhat less
than the other, that the difficulty arises. A careful
study of such cases is necessary, before any attempt
is made to collapse the lung. Now, what is the
course to follow when such is the case and the
patient needs relief from his sufferings? In Oral Nizoral all
probability this patient is going to die. Therefore
we must be governed by the following factors,
namely : the cessation of the cough, with a less
copious expectoration ; control of the hemorrhages
and lessening the toxemia, which otitweighs the
risk we take in throwing Hair Loss Nizoral additional burden on the
small amount of uninvolved lung tisstie remaining.
3. Adhesions and fibrinous pleurisy Nizoral Hair Growth associated
with a pulmonary tuberculosis, as seen by the x ray
plate, is another factor to be thoroughly considered,
for one cannot attempt to collapse a lung that is
firmly plastered to Nizoral Hair the parietal pleura.
Of the 453 x ray examinations made in the last
three months, forty-six were bedside examinations.
I also made use of the hand fluoroscope. The re-
maining cases were examined stereoscopically. With
this large number of cases to choose from for the
production of an artificial pneumothorax, the prob-
lem was less difficult. Of the Nizoral Price three selected cases,
which I have followed by a series study of x ray
plates, the results obtained are here noted and illus-
trations given. The cases were given up as hopeless.
Two of the patients were bedridden for almost a
year and now they are walking about the hospital
grounds to a limited extent. The third patient was
the worst of the three, because both lungs were
heavily involved in addition to the cavities in both
upper lobes. By a study of these cases, with the
x ray plates and the fluoroscope, Nizoral India an excellent guide
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