Gynecological diagnosis . on. (See Figs. 38-41.) The remaining in-struments in the ex-aminers kit, namely,those for the investi-gation of the urethra,bladder, and ureters,and those for the ex-amination of the rec-tum, will be describedin the succeeding chap-ters devoted to thesesubjects. Pelvimetry.—Thegynecologist is fre-quently consulted bywomen who wish toknow whether theyhave any pelvic de-formity that would bea hindrance to theirhaving children, alsoby those who are already pregnant with the same query, there-fore it seems best to describe the measurement of the pelvis. Hirst (Diseas
Gynecological diagnosis . on. (See Figs. 38-41.) The remaining in-struments in the ex-aminers kit, namely,those for the investi-gation of the urethra,bladder, and ureters,and those for the ex-amination of the rec-tum, will be describedin the succeeding chap-ters devoted to thesesubjects. Pelvimetry.—Thegynecologist is fre-quently consulted bywomen who wish toknow whether theyhave any pelvic de-formity that would bea hindrance to theirhaving children, alsoby those who are already pregnant with the same query, there-fore it seems best to describe the measurement of the pelvis. Hirst (Diseases of Women, p. 419) thinks that deformedpelves occur in about seven per cent of the white women of largeAmerican cities, but that they are comparatively infrequent amongthe upper classes and in the rural agricultural districts, whilefrequent among negroes. A general practitioner in a city canhardly hope to avoid seeing cases of pelvic deformity. For themany forms of pelvic deformities the reader is advised to consult a. Fig. 39.—Incising the Anterior Wail of theCervix. (Kelly.) 96 PHYSICAL EXAMINATION modern text-book on obstetrics. The commonest forms are simpleflat pelvis, generally equally contracted pelvis (justo-minor), andgenerally contracted flat pelvis. These are all due to faulty devel-opment of the skeleton. The other rarer forms are caused bydisease of the pelvic bones and anomalies in the sacro-iliac andpubic joints. To practice pelvimetry successfully one must have a reliabletape measure and a pelvimeter. The latter is a large pair of calipers with a scale divided into cen-timeters and inches. The measure-ments to be made are the antero-posterior diameter of the superiorstrait, the capacity of the pelvic cav-ity, and the transverse diameter of thepelvic outlet. In exceptional cases ofobliquely contracted pelvis it may benecessary to measure the oblique di-agonal diameters of the pelvic patient must be prepared as for avaginal examination and should b
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