Operative surgery . )iititnt is phutd usually on tlio ]>afk, withtiie thighs lloxcd tmd the shoulders raised so us to relax the abdominal examiner introduces the index finger of tiie right hand into the rectumof the patient, and presses the tips of the fingt-rs of the left behind thepubes and the bladder. Between the apposing linger tips an empty bladder/•/ToSv ?^^ ^^ ^^ thoroughly examined as to detect in it the presence of acalculus of siiudl size. Any undue pain or mental trepidationinciilent to the act can be relieved by general or local aiuesthe-. FiQ. 1348.—I. Nitzcs eystosco


Operative surgery . )iititnt is phutd usually on tlio ]>afk, withtiie thighs lloxcd tmd the shoulders raised so us to relax the abdominal examiner introduces the index finger of tiie right hand into the rectumof the patient, and presses the tips of the fingt-rs of the left behind thepubes and the bladder. Between the apposing linger tips an empty bladder/•/ToSv ?^^ ^^ ^^ thoroughly examined as to detect in it the presence of acalculus of siiudl size. Any undue pain or mental trepidationinciilent to the act can be relieved by general or local aiuesthe-. FiQ. 1348.—I. Nitzcs eystoscope. IT. Longitudinal section of I. a. Shaft, b. Incaiules^eent light which is fastened into tiie small compartment/. sia if the importance of the condition justifies the use. In the female themanipulation is easier and even more conclusive, on account of the absenceof the prostate and the intimate relations of the base of the bladder andvagina. In either sex the rectum should be thoroughly evacuated beforethe examination is begun. The Cystoscope.—The use of the eystoscope is often advantageous in thedeterminaLion of morbid conditions of the kidney or the cavity of the bladder, c i


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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya