In 1922 Lyon1 described a new clinical test for determining the presence of adhesions in the upper right quadrant of the abdomen. This test is based on the transmission of the musical note of a tuning fork, placed in contact with the skin over the liver, to the bell of a stethoscope placed over the stomach. In his article Lyon stated that this method had been checked against roentgen-ray and operative findings, but he gave no statistics as to the result in a series of cases. It was this fact that prompted the present investigation.
In the present stage of the development of diagnostic procedures the roentgen ray, in competent hands, offers the most reliable method short of visual inspection, for the determination of adhesions in the upper right abdomen. It therefore seemed worth while to compare the new method with the old, keeping in mind, however, the possibility of
ELLISON RT. ADHESIONS IN THE UPPER RIGHT ABDOMENA CLINICAL TEST COMPARED WITH THE ROENTGEN-RAY FINDINGS. Arch Intern Med (Chic). 1924;34(5):721–725. doi:10.1001/archinte.1924.00120050138009