The diagnosis of diseases of women (1905) (14577041847)

Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress



Text Appearing Before Image:
Dorsal position. Elevated pelvis. (Kelly.) Movements of the bladder are seen, and are ascribed to the respira-tory excursions and to the movements of neighboring structures. Salt deposits of a red or grayish-white color are found on thesurface of the bladder under perfectly normal conditions. Theyare distinguished from pus and tubercles by their color, their sharpmargins, and by the fact that they are a deposit upon and not aninfiltration of the mucosa. Small cystic elevations, the size of a pinhead, may extend over theentire surface of the bladder. They are particularly noticeable near DIAGNOSIS OF DISEASES OF URETHRA AND BLADDER 503 the sphincter vesicse. No pathological significance is to be attachedto them. The Kelly-Pawlik method, when efficiently carried out, is themost satisfactory of all methods of cystoscopy. The fundamentalprinciples of a cystoscopic examination as given by Kelly are: 1. The introduction of a simple cylindrical speculum into thebladder. Fig. 210
Text Appearing After Image:
Introducing searcher into left ureteral orifice. (Kelly.) 2. The atmospheric distention of the bladder, induced slowly byposture. 3. The illumination and inspection of the vesical mucosa, eitherby means of a direct light, such as a small electric lamp attachedto the examiners forehead or to the mouth of the speculum, or bymeans of a strong light reflected by a head mirror. The Technique of the Examination. The field of operation,the instruments used, and the hands of the operator are to be ster- 504 DIAGNOSIS OF DISEASES OF THE URINARY SYSTEM ilized as for an operation. The bladder and bowel should be emptiedimmediately before the examination. Fig. 211