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This atlas is a selection of roentgenograms of patients who visited
the radiology departments at the University Hospital in Leiden
between 1970 and 1978, the Free University Hospital in Amsterdam in
1979, and the radiology department at the Indiana University
Medical School in Indianapolis in 1977. The most common
radiological abnormalities of the small intestine are illustrated
clearly, unhindered by flocculation or segmentation of the contrast
fluid. The authors believe this book is a definite contribution to
the goal of precise early small bowel diagnosis. However, the key
to good diagnosis is not only a superb examination technique, but
also the knowledge, the character, and the personal perfectionism
of the physician. If these factors are optimal, then the best
possible roentgenographic series will be obtained - at least as far
as the technique is concerned. All patients illustrated here were
examined by using the enteroclysis technique. With this method of
small bowel examination, the contrast fluid is administered via an
infusion directly into the duodenum instead of orally. The infusion
method has added a new dimension to the usual radiological
examination of the small intestine. This method is also especially
suited for the comparative evaluation of motility, and the study of
disturbed motility. Throughout the course of the examination, the
technique can be adapted to special situations at any given moment
and can be modified to produce precise diagnostic roentgenograms
and diagnosis.
The purpose of this book is to explain the current state of the art
in radiological examination, interpretation, and understanding of
colonic disease. The radiologic aspects of colon disease are
combined here with clinical information to serve both beginners and
advanced students. Major emphasis has been placed on technique for
those radiologists, residents, and technologists first undertaking
modern gastrointestinal radiographic techniques. The essentials of
technique are stressed so that the reader obtains a clear
understanding of colon disease based on sound practical
information. We believe this book is a thorough and practical text
of particular interest to clinical radiologists and
gastroenterologists in their everyday practice, and also for
teachers, residents and medical students. Digital examination and
sigmoidoscopy are the first procedures in examination of the colon.
Then, the radiologic examination is the next most important
procedure. Endoscopy and biopsy play a compli mentary role to the
radiological examination. The barium enema reveals quickly and
early the overall status of the colon and it can then guide
endoscopy and biopsy together with subsequent treatment. Surely, if
the lesion is not detected our clinical, radiologic, endoscopic,
and therapeutic skills are of no use."
How many stuffed animals is too many? This story is about a little
girl, Sally Boo, who keeps getting stuffed animals until finally
her house explodes The charming illustrations were created by
digitally enhancing photographs taken while acting out the story.
This is an endearing picture book that will strike a chord with
many parents of little girls and the girls who love their stuffed
animals.
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