. Clinical gyncology, medical and surgical. Area of dulness in ascites and ovarian cysts. (Barnes.)—A, ascitic dulness; /, intestinal resonance;OT, dull area of ovarian tumor; 1, intestinal resonance. tance behind it. The characteristic signs may be absent when the omentumis greatly thickened by cancerous or tuberculous deposits, fat, etc., or wherethe intestines are generally adherent. Here the examiner must rely uponthe sensation of fluctuation and the variations noted on change of vaginal examination often throws considerable light upon the diagnosis,for while in ascites the pelv
. Clinical gyncology, medical and surgical. Area of dulness in ascites and ovarian cysts. (Barnes.)—A, ascitic dulness; /, intestinal resonance;OT, dull area of ovarian tumor; 1, intestinal resonance. tance behind it. The characteristic signs may be absent when the omentumis greatly thickened by cancerous or tuberculous deposits, fat, etc., or wherethe intestines are generally adherent. Here the examiner must rely uponthe sensation of fluctuation and the variations noted on change of vaginal examination often throws considerable light upon the diagnosis,for while in ascites the pelvic organs are often normal, the uterus being inits proper position and freely movable, with an ovarian cyst it is apt to beeither retroverted or drawn upward. The bulging of the posterior vaginalfornix by free fluid in the pelvis gives an entirely different sensation froma cystic tumor, while the wave of fluctuation transmitted from above ismuch more distinct. When the pelvic organs arc entirely shut off fromthe abdominal cavity by infla
Size: 1271px × 1966px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgynecology, booksubjectwomen, bookyea
