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Anything which can be added to the methods of physical diagnosis without the expenditure of funds or an unreasonable amount of time and which promises to be of considerable value to the patient should be reported as soon as the discoverer is reasonably certain that he is not wasting either his own efforts or the energies of others. I have not seen in the literature or heard any mention of the phenomenon herein described.
Many physicians have been chagrined by encountering, and all physicians have undoubtedly observed, a dark antrum which did not yield pus on irrigation. About two years ago I was struck by the fact that a patient with a dark antrum was relieved by irrigation although no pus was obtained. This happened twice, and the third time the antrum was transilluminated before and after irrigation. Much to my surprise, the antrum which had been dark before was
JERVEY JW. A NEW AID TO PHYSICAL DIAGNOSIS IN DISEASE OF THE ANTRUM OF HIGHMORE. Arch Otolaryngol. 1937;26(6):738. doi:10.1001/archotol.1937.00650020810007
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