Gynaecology for students and practitioners . Fig. 407. Labge Cystic Kidney simu-lating AN Ovarian Cyst. Patient erect. 716 GYNiECOLOGY discharges. Apart from this, the specific serum-reaction is the onlypossible means of pre-operative diagnosis (see p. 329). (3) Very large abdominal cysts must be distinguished from extremedegrees of ascites, whether simple or associated with intra-abdominalmalignant disease, and from fibro-cystic tumours of the uterus. Withthe patient lying on her back, in ascites the clearest note on percussionis obtained around the umbilicus, the dullest note in the flanks ;

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Gynaecology for students and practitioners . Fig. 407. Labge Cystic Kidney simu-lating AN Ovarian Cyst. Patient erect. 716 GYNiECOLOGY discharges. Apart from this, the specific serum-reaction is the onlypossible means of pre-operative diagnosis (see p. 329). (3) Very large abdominal cysts must be distinguished from extremedegrees of ascites, whether simple or associated with intra-abdominalmalignant disease, and from fibro-cystic tumours of the uterus. Withthe patient lying on her back, in ascites the clearest note on percussionis obtained around the umbilicus, the dullest note in the flanks ; inovarian cysts the converse is the case. In cases of ascites the distribu-tion of dulness shifts readily with changes of posture, but with ovarian

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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1