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To the Editor:
—During the last three years I have found that a useful sign in the diagnosis of ureteral stricture and its sequelae is the presence of a point of tendernes, elicited on pressure with the index or middle finger in a definitely localized and circumscribed area about 2 cm. to the side of the umbilicus. This "point" has been present in about 200 patients, each being subsequently investigated by a competent urologist, and in the majority pyelograms were made. Five in this series were found to have normal ureters and no evident pathologic condition in the urogenital tract. In making this examination, gentle pressure should be used and the finger nails should be trimmed. The end of the finger should be used in making pressure. Occasionally the reaction is slightly delayed, but if a pathologic condition is present the tenderness will be felt. In an article by Harvey
Legge JE. A USEFUL SIGN IN THE DIAGNOSIS OF URETERAL STRICTURE AND ITS SEQUELAE. JAMA. 1926;87(25):2113–2114. doi:10.1001/jama.1926.02680250071036
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