DR. GEO. E. MALSBARY. Associate Editors, No. 1 Dr. Walter Lindley, Dr. W. W. Watkins, Dr. Ross Moore, Dr. George L. Cole, Dr. Cecil E. Reynolds, Dr. William A. Edwards, Dr. Andrew W. Morton, INFLUENZA AND AFTER. A Brief Discussion of Influenza, with Special Consideration of the Com plications and Sequelae. BY GEORGE E. MALSBARY, M.D., LOS ANGELES. No examination of the chest is complete without the use of the X-ray, just as no examination of the sputum is complete without the use of the microscope. Both may be supplemented, but cannot be supplanted by the most delicate touch or the most acute diagnostic acumen. Even the laity are beginning to recognize the laxity of the physician who attempts to treat diseases of the chest without the aid of the X-ray in diagnosis. The profession must come to a general recognition of the fact that the X-ray examination is of more importance in diseases of the chest than in fractures of bones, for in one case life is often at stake, whereas in the other case there is usually only deformity and impaired function to be considered. No reputable surgeon nowadays treats fractures without the use of the X-ray in diagnosis, and the liability of suit for malpractice is greatly increased by failure to use the X-ray, in the cases that terminate unsatisfactorily. It will soon become as disreputable as it is dangerous to neglect the use of the X-ray in the diagnosis of diseases of the chest. Influenza presents characteristic respiratory, gastric and nervous symptoms. Symptoms on the part of the respiratory tract, the gastro-intestinal tract or of the nervous system may predominate in a given case or epidemic. There are also cases that show a marked preference of the disease for the genito-urinary system. The present epidemic has attacked chiefly the respiratory tract, giving a large percentage of pneumonia, and the heart has suffered markedly from the toxic effects of the infection. Many of the cases show empyema, often recognizable more readily or only upon X-ray examination, and not a few of these cases have been rescued by the timely evacuation of collections of pus that would have been overlooked had the X-rays not been used in diagnosis. In a general way it may be said that the X-ray examination of influenza cases during this epidemic reveals four pretty distinct types of the disease. First, there are cases resembling somewhat miliary tuberculosis of the lungs. Quarterly Medical Clinics, Review. Returned Medical Officers.. Roentgenotherapy, Review... Pathology, Review.. 42 Safeguarding the Weak Hearts. 1 Children, Review..207 Shaking Hands a Danger...... in Los Angeles. 40 Significance of Referred Nervous Phenomena .164 193 in the Diagnosis of Pulmonary and SOUTHE Stammering; Its Cause and Treatment.... 25. LO Subsequent History of Apparently Cured Cases from the Arequipa Sanatorium.. 72 DI Or Venereal Diseases 147 Symptoms of Visceral Diseases, Review....127 Thoughts of a Psychiatrist on the War and Dr. Walter Lindley, Dr. W. Dr. Cecil E. Reynolds, Dr INFI A Brief Discussion of Influ BY GEORGE No examination of the ches plete without the use of th just as no examination of th is complete without the use o croscope. Both may be supp but cannot be supplanted by delicate touch or the most ac nostic acumen. Even the lait ginning to recognize the laxi physician who attempts to eases of the chest without th the X-ray in diagnosis. The L must come to a general recog the fact that the X-ray exam of more importance in diseas thest than in fractures of bon one case life is often whereas in the other case sually only deformity and anetion to be considered. N surgeon nowadays treats without the use of the X-ray losis, and the liability of suit actice is greatly increased b use the X-ray, in the cases inate unsatisfactorily. It come as disreputable as it is sto neglect the use of the a |