This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
The recognition of ulcer of the stomach and duodenum is always so important and the diagnosis at times so difficult that any method must be welcomed which promises aid in those atypical cases where the absence of the cardinal symptoms permits only of a suspicion or, at most, of a presumption. The finding of blood in the stool, either visible or occult, has proved of great importance and constitutes a decided step in the forward direction; but when we remember that not infrequently in chronic ulcer even occult blood is absent for weeks at a time, this important means of diagnosis is often unavailable. Also, Murdock's orthoform test, being based on subjective symptoms, is usually untrustworthy. It is not my purpose to enter into the general subject of diagnosis of ulcer, but simply to call attention to the valuable aid the x-ray examination has furnished in a number of
ADLER H. THE DIAGNOSIS OF ULCER OF THE STOMACH AND DUODENUM BY THE ROENTGEN RAY. JAMA. 1910;55(20):1725–1728. doi:10.1001/jama.1910.04330200035012