Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women (1922) (14763509074)

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

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bladder is furthermore naturally divided into right and left hemi-spheres by an imaginary plane bisecting the body through the sagittal suture,passing through the symphysis, and through the long axis of the speculum;so it is convenient to speak of an ordinai-y lesiou, for txamjde, or oftumors, as limited to the right or left hemis))liere. We can furthermoresubdivide the posterior hemisphere by an imaginary horizontal plane, divid-ing the bladder at about its center at right angles to the vertical-median 262 EXAMINATION OF THE URINARY TRACT IN WOMEN. plane; that is to say, we imagine the posterior part of the bladder as sub-divided by two lines intersecting each other at right angles at a point aboutopposite the internal urethral orifice. This divides up the posterior hemi-sphere into quadrants. While the point for the bisection of the horizontalline is not a fixed one and will vary a little in different bladders, it is readily Retro pubic (5) Vertex (*) Right cornu (3)Sacral area (2)

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Fig. 135.—Various Positions Speculum May Take to Illuminate All Parts ofBladder. This is possible in female, because of short and flexible urethra. fixed in any individual, and is valuable for the purpose of description oflesions. With these various points of reference, particularly those which are intra-vesical, it is easy to locate with precision and to describe any lesion discoveredwithin. We have also a convenient method of measuring the lesions, howeverirregular, with exactness, found in the diameter of the end of thespeculum which can be brought into close contact with the posterior wall ofthe bladder, and then moved step by step, from side to side or up and down,so as to enable the observer both to describe and to measure what is noted by INSPECTION. 2G3 the eye. It is sometimes convenient to measure the angle between the medianplane and an object seen to the right or to the left. This is done bv means ofa goniometer, the zero point of the goniometer being kept parallel to th

Erkrankungen der Nieren, Harnleiter und Blase mit besonderem Bezug auf die Erkrankungen der Frau 1922 Spekula Buchillustrationen Krankheiten Medizin Anatomie anatomische Darstellung Bilder aus dem Internetarchiv

1922

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