Arteriography of the extremities and of the abdominal aorta

Arteriography of the extremities and of the abdominal aorta

BOOK REVIEWS ARTERIOGFUPHIE DES MEMBRES ET DE L’AORTA ABDOMINALE (Arteriography of the Extremities and of the AbdominaI 3. Tumors of bone and of soft...

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BOOK REVIEWS ARTERIOGFUPHIE DES MEMBRES ET DE L’AORTA ABDOMINALE (Arteriography of the Extremities and of the AbdominaI

3. Tumors of bone and of soft tissues. Of great interest are the iIIustrations of cases of tubercuIosis of the knee and a&e joints.

Aorta). By ReynaIdo DOS Santos, Professor to the FacuIty of Medicine of Lisbon and Surgeon of the HospitaIs; A. C. Lamas, Surgeon, and J. P. CaIdas, RadioIogist of the HospitaIs of Lisbon. With a preface by Professor Leriche. Paris: Masson et Cie,

For aortography the authors use uroseIectan B, thus visuaIizing abdomina1 aortic aneurysms, hydatids of the Iiver, peIvic tumors, maIaria1 spIeen, and especiaIIy cases of nephritis, pyonephrosis and renaI tubercuIosis, and the demonstration of the abnorma1 vesseIs causing uretera obstruction in certain cases of hydronephrosis. The authors’ series incIude more than 300 cases of aortography.

193’. As Prof. Leriche says in the preface, here we have a beautifu1 book, fuII of origina ideas, facts with a minimum of commentary, reveaIing new, aImost undreamed of aspects of radioIogicaI investigation, a reveIation Iikely to upset some of our present-day conceptions. At first thought, the idea of puncturing the aorta or the Iarger arteries brings up visions of catastrophe, and yet, after a11 our work in safe use of ventriculography, in the injection of IipiodoI in the spina cana and in the tubes, is it reaIIy so revoIutionary to inject into the arteria1 system an opaque substance which is rapidIy eIiminated? The authors used abrodi1 or uroseIectan B which is very stabIe and especiaIIy very soIubIe, thus permitting a greater opacity. Injected into the bIood, it traverses the vesseIs as rapidIy as the blood-stream, so that the radiography must be done during the injection. But the interesting story of this work is too Iong to reIate in a review. The authors discuss fuIIy the dangers, technique of injection, the radiographic technique. One fact deserves mention: the pain accompanying the injection of abrodiI requires anesthesia-genera1 for the upper extremities, genera1 or spina for the Iower extremities. The authors have tried arteria1 anesthesia after Goyanes but not with satisfactory resuIts. Later work with thorotrast seems to indicate it is a better medium and not painfu1. The radioactivity of thorotrast is so shght that no harm need be feared from that source. The lesions in which the method has proved usefu1 are as foIIows: I. ArteriaI diseases: gangrene, aneurysm, Iigations and resections, VoIkmann’s paraIysis. 2. OsteomyeIitis and osteoarthritis (tubercuIosis and syphiIis of bone, etc.).

How TO LIVE, RuIes for HeaIthfuI Living Based on Modern Science. Authorized by and ‘Prepared in CoIIaboration with the Hygiene Reference Board of the Life Extension Institute. By Irving Fisher, LL.D., and Eugene Fisk, M.D. Ed. 19, CompIeteIy Revised. N. Y., Funk & WagnaIIs Co., 1932. The nineteenth edition of this book, brought entireIy up-to-date, is as fuI1 of meat as ever. Many physicians wiI1 undoubtedIy disagree with some of the diets contained in the book but, a11 in aI1, the book is fuI1 of common sense, is practica1 and worth whiIe. It is easy reading and its handsome fIexibIe binding makes it an attractive book. CLASSIC DESCRIPTIONS OF DISEASE. By RaIph H. Major, M.D., SpringfieId, III.,

CharIes C. Thomas

Co., 1932.

Over 300 seIections of origina genera1 discussion with 127 iIIustrations and biographical sketches of the authors making an interesting anthology. Neither the reviewer nor anyone eIse wouId have made exactIy the same selections. It is easy to criticize any anthoIogy on the basis of both incIusion and excIusion. However, it must be admitted that the author has done his job we11 and IittIe, if any, objection can be taken to the incIusion of the spIendid pages he has seIected from the works of the great medica authors from Hippocrates through Mackenzie. His biographies are concise, we11 written and informative. The seIections incIuded are entireIy from the reaIm of interna diseases and it wouId be interesting to have a simiIar volume on surgery.