. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. hasdisappeared, there remains the prominent ring in itsplace. Passing a tape around the tumor (see Fig. 4416),and drawing it well down, causes an obliteration of thering at the vault of the vagina ; the insertion of the tu-mor in the vaginal vault being- put on the stretch, thecontinuity of the two parts is made manifest to the fingerin the vagina. A sign insisted on by Crosse is feeling the stretchedround ligaments within the tumor, and pain being pro-duced in t
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. hasdisappeared, there remains the prominent ring in itsplace. Passing a tape around the tumor (see Fig. 4416),and drawing it well down, causes an obliteration of thering at the vault of the vagina ; the insertion of the tu-mor in the vaginal vault being- put on the stretch, thecontinuity of the two parts is made manifest to the fingerin the vagina. A sign insisted on by Crosse is feeling the stretchedround ligaments within the tumor, and pain being pro-duced in the groins on lowering the tumor a little, so asto render the tension greater. If an incision, not a punct-ure, be made in the tumor, no anaesthetic having beengiven, and the patient flinch, it is the uterus. If thechain of an ecraseur around the tumor be very slowlytightened, no anaesthetic being given, and the patientcomplain of great pain, the uterus has been noosed(Goodell). When the tumor, grasped by the fingerswithin the vagina, can be easily rotated on its verticalaxis, it is probably a polypus, since such rotation could. the Tumor down, as an Aid in Di-agnosis. (Hart and Barbour.) 492 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. not occur to any marked extent in an inverted uterusheld taught as it is by the broad ligaments (Reamy). Wemust remember that as involution goes on, not only themuscular walls of the uterus become firmer and stiff-ened, but there are, in addition, the strong, tense suspen-sory bauds furnished by the broad ligaments, which aremore than ever tightened by being drawn down upon bythe inverted uterus. ,Thus we can easily conceive howimpossible rotation to any great extent would be. Again,the rotation must depend upon the size of attachment tothe fixed structures above, which in the inverted uterusis the cervix, normally an inch and a half in it is thickened by the increase of tissue incidentto the irritation of chronic inve
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
