The diagnosis and treatment of diseases of women (1907) (14804237873)

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School



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ormally, there is a stiffness and fixation and resistance, as though therewere infiltration and thickening, and the structures beyond cannot be satisfactorilypalpated. This resistance and fixation of tissue without a well defined mass is des-ignated by the term induration. It may be due to infiltration (inflammatory,tubercular, malignant) of the tissues, to inflammatory exudate on surfaces, to ad- OTHER REGIONS IN THE PELVIS 63 hesions, to scar-tissue or to a tumor not yet developed far enough to form a dis-tinct mass. Tender Area in Lateral Part of Pelvis. The ovaries are usually rather sensitiveon bimanual palpation and allowance must be made for this normal sensitivenesswhen estimating the diagnostic significance of tenderness in this region. Tenderness on palpation may accompany almost any pathological condition inthe pelvis, but it is especially marked in inflammatory trouble and in peritonealirritation from blood in the peritoneal cavity and in neuralgic affections of thepelvis.
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Fig. 78. Palpation of the left hileral legion. Plac-ing the fingers of the abdominal hand. They should beon a level with, or a little above, the anterior superiorspine (indicated by the cross). Fig. 79. Palpation of the left lateral region. De-pressing the abdoniinal wall deeply into the pelvis. PALPATION OF OTHER REGIONS. In the same way as already described, careful exploration is made of: Posterior Part of Pelvic Cavity—tenderness, induration, mass; Anterior Part of Pelvic Cavity—tenderness, induration, mass; Ureteral Regions—tenderness, induration, mass; Pelvic Nerve Trunks—tenderness; Lower Abdomen—tenderness, tension, induration, mass. If a mass is found, determine as accurately as possible its position, size, shape,consistency, tenderness, mobility and attachments. 64 THE PHYSICAL EXAMINATION The method of determining whether a mass is attached to the uterus, and if so,how intimately, is shown in Figs. 84 and 85, where the sulcus between the uterusand the mass is bein