Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women (1922) (14742828656)

Identifier: diseasesofkidney01kell (find matches)

Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women

Year: 1922 (1920s)

Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-

Subjects:

Publisher: New York, London : D. Appleton and company

Text Appearing Before Image:

encil orfinger, uniform in size, except in tubercular cases when it is often irregular,resembling a close set string of beans. It is, as a rule, easy to distinguish anenlarged ureter by comparing it with its fellow which is rarely diseased atall, and almost never diseased to an equal extent. This little method of mak-ing a diagnosis, pointed out to us in the eighties by Max Saenger, is exceed-ingly valuable. A skilled diagnostician can sometimes in this way make adiagnosis in a few seconds and clear up a baffling, difficult case by a meresweep of the finger over the anterior vaginal wall. The remaining portion PALPATION. 241 of the ureter on the left side can best be felt throiii2,-)i the rectum. As a rule,however, this can only be done when the or_i>!Ui is diseased and (iiliii\i;od, orwhen it contains a stone. Fortunately, therefore, for diagnostic jjiirposcs, thecases in which tlie examination is im;)ortant are those most readily accessible.The techni(jue is shown in Fii;ure 115.

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Fig. 115.—Sagittal Section of Female Pelvis, Showing Bimanual Palpation op LowEK End op Ureter. The Abdominal Portion.—Tlie alxlominal portion of the ureters can only bepalpated when the organ is enlarged by disease (tuberculosis), or bythe presence of a stone, for a short distance from the brim of the pel-vis upward in thin patients. On pressing inward over a point about corre-sponding to the sacroiliac joint, a tender area is reached, and then, push-ing the anterior abdominal wall against the posterior wall and movingthe fingers from within outward, keeping up the pressure, a cord maybe felt to roll under them. In this way a large diseased ureter can some-times be traced for a few centimeters in its courses upward through the falsepelvis. 242 EXAMINATION OF THE URINARY TRACT IN WOMEN. The renal pelves cannot be palpated unless enlarged. Sometimes a kidneyis greatly distended with stones and its pelvis rotated outward, so that theresistance afforded by the stones can be detected.

Anatomie der menschlichen Vagina Erkrankungen der Nieren, Harnleiter und Blase mit besonderem Bezug auf die Erkrankungen der Frau 1922 vaginal fingering Buchillustrationen Anatomie anatomischer Atlas Krankheiten Medizin anatomische Darstellung Tuberkulose Infektionskrankheiten Bilder aus dem Internetarchiv

1922

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