The Principles and practice of gynecology - for students and practitioners (1904) (14581340167)

Identifier: principlespracti00dudl (find matches)

Title: The Principles and practice of gynecology : for students and practitioners

Year: 1904 (1900s)

Authors: Dudley, E. C. (Emilius Clark), 1850-1928

Subjects: Gynecology

Publisher: Philadelphia : Lea Brothers & Co.

Contributing Library: Columbia University Libraries

Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:

signify nephritis. Abundance of uricacid would indicate that more exercise and less nitrogenous foodshould be taken. Excessive acidity would account for irritation ofthe bladder and frequent urination. Microscopical examination maylocate the existence of disease in either the kidney, ureter, or bladder. 2. Palpation, Percussion, and Inspection.—Palpation and per-cussion over the hvpogastrium may give strong evidence of distentionof the bladder; further evidence would be the bulging of the anteriorvaginal wall toward the vulva, and constant dribbling of urine. Theevacuation of a large quantity of urine through the catheter would beproof. Palpation Avith conjoined examination may show a tumor in thebladder. Vaginal and rectal touch also may give much information DIAGNOSIS. 75 relative to the urethra, bladder, and ureter. Vatrinal touch willenable one to judg:e of .sensitiveness in tl)e urethra and neck of thebladder. In the anterior wall of the vagina to either side of the Figure 28.

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Proctoscopy: proctoscope S inches Ion? and 1 inch wide. The sigmoidoscope is the sameexcept in length, which is )4 inches. Tlie in^c^umeut is provided with an obturator (showndetached in tlie lower part of the Figure;; it is in nearly all respects except size identical withthe cylindrical cystoscope. median line the ureter may often be felt as it passes in a posteriorand lateral direction on either side of the cervix toward the kidney.It is normally a flattened, cord-like, soft, yieldins: band. Patho-logical changes sometimes mav make it easv to recognize as a hard, 76 GENERAL PRINCIPLES. round, large resisting cord. A bougie introduced through the urethrainto the ureter facilitates the palpation. Tenderness along the lineof the ureter indicates inflammation ; this inflammation of the ureter,when unrecognized, often leads to disappointment in the treatment ofcystitis. The interior of the bladder may be palpated by the sound or by thefinger. The sound enables one to judge of the presen

proctoscopy die Prinzipien und die Praxis der Gynäkologie für Studenten und Praktiker 1904 Buchillustrationen Gynäkologie Entzündung Medizin hohe Auflösung Bilder aus dem Internetarchiv

1904

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