Auricular Flutter Detected by the Fluoroscope

The fluoroscope has often been used in the examination of arrhythmic hearts. The discovery, however, of an unsuspected auricular flutter during a routine chest examination of a patient with suspected gastro-intestinal lesion is of such interest that it deserves special mention. History. —G. B., man, aged 62, employed for over forty years as painter and paperhanger, referred to the Massachusetts General Hospital for diagnosis, complaining of indigestion, had always been well until four months before visiting the hospital. At that time attacks of pain in the region of the umbilicus began. They were most frequent early in the morning, waking the patient at about 2 o'clock and compelling him to rise and pace the floor. Gradually the pain had become more persistent, until it was present much of the time. Hot applications gave some relief. There had been no nausea or vomiting. No relationship could be discovered between the kind