Operative gynecology : . j?IG- 55_ Showing form of the Abdomen Characteristic of a Large Multinodular Sub-peritoneal Myoma with Thin Abdominal Walls. (See p. 90.) centic and surrounded by an area of resonance called the corona, coronaovariana, or corona uterina. Percussion is of the greatest service in differentiating cystic and solid tumorsfrom tympany and ascites. The tympanitic abdomen is resonant all over; the. Fig. 56.—Characteristic Form of a Flaccid Abdomen with fluid has gravitated down into the flanks, and the anterior abdominal wall in the median line al-most rests on the
Operative gynecology : . j?IG- 55_ Showing form of the Abdomen Characteristic of a Large Multinodular Sub-peritoneal Myoma with Thin Abdominal Walls. (See p. 90.) centic and surrounded by an area of resonance called the corona, coronaovariana, or corona uterina. Percussion is of the greatest service in differentiating cystic and solid tumorsfrom tympany and ascites. The tympanitic abdomen is resonant all over; the. Fig. 56.—Characteristic Form of a Flaccid Abdomen with fluid has gravitated down into the flanks, and the anterior abdominal wall in the median line al-most rests on the vertebrae ascitic abdomen yields a dull note in the flanks and tympany above, from thegravitation of the fluid and the floating up of the intestines. When the accumu- AUSCULTATION AND PALPATION. 93 lation is extreme, however, the distention of the abdomen may be so great as tolift the walls farther from the back than the mesentery can reach; in such casesthe intestines are everywhere covered with fluid, and percussion yields a flat ordull tympanitic note in all directions. Moderate accummulations may be madeto gravitate from one side to the other, or into the lower or upper abdomen, bychanging the position of the patient; and the dull and tympanitic areas willchange with each alteration of posture. The most important use of percussion in diagnosis is in the recognition ofan area of tympany overlying retr
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
