The authors present their methodology of cholegraphy which was tested in practical routine work under in most cases examination conditions of an outpatient department with orientation to optimized relations between expense, risk and utility. The peculiarities of the methodical and tactical procedure are described in detail. A radiological representation of the biliary system should be performed only when there is no possibility to sonography and when there are discrepancies between its result and clinical picture, respectively. The oral cholegraphy is regarded as basis examination. When it has a negative result and when there is a congruity to the clinical findings (especially confirmation of the symptom colic) a surgical intervention seems to be justified. The intravasal application of a contrast remedy should in the interest of the patient be performed per infusionem, in order to keep the risk in justifiable limits. For the same reason a very strong indication is necessary. It is primarily used in disturbances of the enteral resorption, after cholecystectomy as well as in certain blood-chemical changes which suggest a severe disturbance of the hepatobiliary system. Secondarily it is used as second examination for further clarification of the picture of the disease. Here the decision must be rendered subject to the situation in the individual case, since in a series of pathological conditions a reduction of the quantity of the contrast remedy becomes necessary.

Administration, Oral↗

PubMed1982

[Mathematical model as a diagnostic decision support at malignancy judgement pulmonary processes (author's transl)].

Explore the source record for details and available documents.

Adult↗

PubMed1982

[Comparative consideration of the diagnostic capacity and risks of various roentgenologic methods in the complex diagnosis of malignant bronchial obstructive diseases].

Basing on own experience and literature reviews the significance and hazards of the various diagnostic methods in bronchial carcinoma are discussed. In routine programmes bronchography should be given up for therapeutic decision finding. Tomography and mediastinoscopy usually allow to make clear the disease pattern without increasing essentially the risk of a following surgical intervention.

Airway Obstruction↗

PubMed1981

[Statistical studies on the clinical importance of the "upper calix syndrome"].

Urographical examinations of 290 patients prove a statistically ascertained favouring influence of the "syndrome of the upper calyx" on the development of inflammatory changes of the kidney. Therefore the regular clinical control of patients with dysplasias of the upper group of the calyx, Fraley-syndrome and strictures of the calyx neck is demanded.

Adolescent↗

PubMed1980

[Radiologic aspects of osteopathy in parathyroid gland diseases and their differential diagnosis].

The different disturbances of these organs resulting from the relative endocrine autonomy of the parathyroid glands obtain a manifold symptomatology often with an only later diagnosing. In increased activity of the parathyroid glands hypercalcaemia as well as generalized osteodystrophy are indicating the target in combination with subperiostal resorptions of the corticalis at the phalanges. As a rule underfunction distinguishes itself by hypocalcaemia, hyperphosphataemia and osteoscleroses due to increased mineral fixation in bones. Pseudoparathyreotic conditions are to be differed from actual pictures of the disease only in typical expression. In the paraneoplastic syndromes appearing within this boundary only the proof of a malignoma allows a secure demarcation. On account of the often uncharacteristic X-ray picture, the variable symptomatology and the in many cases lacking directive paraclinical findings practically all pathological bone processes which are based on deviations in the calcium and phosphate metabolism are to be included in differential-diagnostic considerations.

Alkaline Phosphatase↗

PubMed1979