Gynecological diagnosis . Fig. 54.—Bladder, Vagina, and Rectum Ballooned by Air Admitted with Pa-tient in Knee-chest Position. (Kelly.) electric headlight, because it is difficult to keep the field illuminatedwith the small light, every motion of the head deflecting the rays. DIRECT CYSTOSCOPY 113 Any form of illumination introduced into the bladder obstructsthe view, the wires for the lamp cutting off a part of the lumen ofthe urethra, besides the risk of burning the bladder by the heatgenerated by the lamp. All being in readiness, the pledget of cocaine-soaked cotton isremoved from the ureth
Gynecological diagnosis . Fig. 54.—Bladder, Vagina, and Rectum Ballooned by Air Admitted with Pa-tient in Knee-chest Position. (Kelly.) electric headlight, because it is difficult to keep the field illuminatedwith the small light, every motion of the head deflecting the rays. DIRECT CYSTOSCOPY 113 Any form of illumination introduced into the bladder obstructsthe view, the wires for the lamp cutting off a part of the lumen ofthe urethra, besides the risk of burning the bladder by the heatgenerated by the lamp. All being in readiness, the pledget of cocaine-soaked cotton isremoved from the urethra and a well-lubricated No. 10 cystoscopewith its obturator in place is passed into the urethra and air does not enter the vagina it is well to open the introitus. Fig. 55.—Suction Apparatus in Use for Removing Urine from Bladder. (Kelly.) vaginae with one finger. If the bladder does not balloon at once,the silver catheter, previously cleaned and lubricated, is passedthrough the sphincter ani, thus letting air into the rectum, andpermitting the trigone of the bladder to come more into viewthrough the cystoscope. The operator sits on a high stool and looks through the cysto-scope, which should be practically horizontal if the patient is in theproper 114 THE URETHRA, BLADDER, AND URETERS If urine has collected in the superior portion of the bladder, orif it collects during the examination, it is to be removed by thebent tube introduced through the cystoscope, suction being appliedby means of the bulb and rubber tube attached to the tube in thebladder. The greatest care should be exercised to have the bulband tubes sterile, so that infection may not be introduced, and tothis end the bulb should be squeezed and held collapsed while thee
Size: 1656px × 1509px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectwomen, bookyear1910
