A system of gynecology . Thomass Table as modified by Or. B. H. Dagget (for dorsal position). however, will find the table devised by Thomas, or one of its modifi-cations, well adapted for gynecological work. Among the best modifi- 296 G YNECOLOGICA L hi A GNOSIS. cations1 are of Chad wick, of Goodell of Philadelphia, and of Dag-get of Buffalo. The great objection to Chadwicks table is the lack ofmechanism for obtaining the lateral inclination. It should be remem-bered that the office lounge or sola is simply a makeshift, and the phy-sician will find that it rarely requires any persuasi
A system of gynecology . Thomass Table as modified by Or. B. H. Dagget (for dorsal position). however, will find the table devised by Thomas, or one of its modifi-cations, well adapted for gynecological work. Among the best modifi- 296 G YNECOLOGICA L hi A GNOSIS. cations1 are of Chad wick, of Goodell of Philadelphia, and of Dag-get of Buffalo. The great objection to Chadwicks table is the lack ofmechanism for obtaining the lateral inclination. It should be remem-bered that the office lounge or sola is simply a makeshift, and the phy-sician will find that it rarely requires any persuasion to induce his patientto recline on his table, provided she be assured that no unnecessary expo-sure is entailed. Next in importance is the securing of the proper position, as will benoted farther on, and preliminary to the position is the loosening of thecorsets and clothing, so that the abdomen may be readily accessible to Fig. Thomass Table as modified by Dr. B. H. Dasget (for simss position). the examining hand and free play of the abdominal muscles advantage of a good light is of course obvious. The local examination should be made in stages, so to speak, andthese I shall describe separately and in succession according to the fol-lowing scheme : A. The Dorsal POSITION: 1. Inspection ; 2. Digital examination ;3. Bimanual examination ; 4. Instrumental examination ; 5. Rectalexamination and conjoined rectal ; 6. Abdominal percussion, ausculta-tion, mensuration, and palpation. B. The Left Lateral oe Simss Position : 1. Digital examina-tion ; 2. Instrumental examination. 1 A. G. Armstrong of Ashtabula, . makes a table on the same general principles,but rather too complicated. PHYSICAL SIGNS. 297 C. The Genu-Pectoral Position. I). The Erect Position. Tiik Dorsal Position.—It is from this position that the examinerfrequently secures bis most important information, and the examination,theref
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectwomen, bookyear1887
