A system of gynecology . ance the fact that laceration of the cervix is mistakenfor ulceration by those examiners who habitually use these specula andthe dorsal position. Hence, personally, I recommend the use of thespeculum in the dorsal position solely for the purpose of makingapplications to the vagina or external OS. For purposes of diag-nosis I do not favor it at all. because the limited information thusobtainable may be secured to better advantage in the lateral position,and. at the same time, facts may be ascertained and treatment beemployed which cannot lie in the dorsal position. I wo
A system of gynecology . ance the fact that laceration of the cervix is mistakenfor ulceration by those examiners who habitually use these specula andthe dorsal position. Hence, personally, I recommend the use of thespeculum in the dorsal position solely for the purpose of makingapplications to the vagina or external OS. For purposes of diag-nosis I do not favor it at all. because the limited information thusobtainable may be secured to better advantage in the lateral position,and. at the same time, facts may be ascertained and treatment beemployed which cannot lie in the dorsal position. I would note here,however, that occasionally, as where the rational history suggests abun- PHYSICAL siays. 305 daiit leucorrhcea, it is advisable to introduce th(> speculum before thefinger, and then the cylindrical speculum will suffice to show us thesource of the discharge. Cylindrical specula are constructed preferably of ulass or hard rub-ber. The Ferjiiissou may lie taken as a type, and is to be obtained in Fig. Fergussons Speculum. nests of various sizes. This speculum is readily introduced, previouslyanointed with oil or soap, by depressing the perineum with its pointand gently insinuating it up to the cervix. II the vaginal walls benot specially lax, and if the cervix be in fair position, there is butlittle difficulty in engaging the external os in the Held of than not, however, the speculum must he withdrawn andreintroduced a Dumber of times before this can he accomplished, andwhere the cervix lies far backward it requires considerable ingenuityand patience to see it at all. Valvular specula are constructed of either two, three, or four blades. 4\
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectwomen, bookyear1887
