Operative gynecology : . luable adjunct to inspectionand palpation in the differen-tial diagnosis of abdominal tu-mors. There are in generalthree kinds of percussion notes—flat, tympanitic, and flat note, drawn from themost prominent part of an ova-rian or uterine tumor, is instriking contrast to the high-pitched tympany- of the intes-tines surrounding it. The edgeof the tumor is defined by anarea of relative, or tympaniticdullness. The part of the abdomenfrom which an abdominal tu-mor has arisen may often bedetermined by percussion, byoutlining the growth and notingon which side the
Operative gynecology : . luable adjunct to inspectionand palpation in the differen-tial diagnosis of abdominal tu-mors. There are in generalthree kinds of percussion notes—flat, tympanitic, and flat note, drawn from themost prominent part of an ova-rian or uterine tumor, is instriking contrast to the high-pitched tympany- of the intes-tines surrounding it. The edgeof the tumor is defined by anarea of relative, or tympaniticdullness. The part of the abdomenfrom which an abdominal tu-mor has arisen may often bedetermined by percussion, byoutlining the growth and notingon which side the resonance iswanting; in almost every casethat will be the original habitatof the tumor, from which it hasdeveloped out toward the mid-dle of the abdominal cavity,along the direction of least re-sistance. Yig 54 —Abdomen Distended by a Large Cystic Myoma, The Outlines of most pelvic Abdominal WaLL simply pushed out without sag- tuinors are more Or less CreS- Note dilated superficial epigastric vein and edematous 92 THE GYNECOLOGICAL EXAMINATION.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1