. The diagnosis of diseases of women . ed, but is helpful in all cases and indispensable in patient is placed in the lithotomy position. The abdomino-vaginal method is usually chosen. If the vagina is short, resisting,or sensitive to pressure, or if the hymen is intact, it will be advis-able to make a rectoabdominal examination. When the ovary liesbehind the uterus it may be better palpated through the rectum. As a matter of routine, it is advisable to first locate the uterus,then follow from the horn of the uterus along the course of the tubeto the ovary. The right ovary is best dete
. The diagnosis of diseases of women . ed, but is helpful in all cases and indispensable in patient is placed in the lithotomy position. The abdomino-vaginal method is usually chosen. If the vagina is short, resisting,or sensitive to pressure, or if the hymen is intact, it will be advis-able to make a rectoabdominal examination. When the ovary liesbehind the uterus it may be better palpated through the rectum. As a matter of routine, it is advisable to first locate the uterus,then follow from the horn of the uterus along the course of the tubeto the ovary. The right ovary is best detected by the finger of theright hand in the vagina and the left ovary by the finger of theleft hand. It is not, as a rule, necessary to change hands; either 410 SPECIAL DIAGNOSIS the right or the left hand will suffice in most cases for the exam-ination of both ovaries. In difficult cases Ulmann recommends filling the rectum with acolpeurynter to force the ovary upward and forward within easier reach of the examinino^ fingfer. Fig. 170. Section of the ovary: 1, outer covering; 1, attached border; 2, central stroma; 3,peripheral stroma; 4, bloodvessels; 5, Graafian follicles in their earliest stage; 6, 7, 8,more advanced follicles; 9, an almost mature follicle; 9, follicle from which the ovumhas escaped; 10, corpus luteum. (After Schron.) ANOMALIES IN THE DEVELOPMENT OF THE OVARY. 1. Absence of one or both ovaries may occur as a congenitaldefect, or the entire ovarian tissue may be completely lost throughatrophic changes and new-formations. When both ovaries areabsent the uterus and tubes are either altogether wanting or poorlydeveloped. Menstruation and childbearing are impossible. In acase reported by Quain there was vicarious menstruation from thenose. Two of Martins cases were sexual perverts: one a nympho-maniac, the other a prostitute. Martin collected twenty-two casesof congenital absence of one ovary. In one of his cases the uteruswas normal, but the right tube and ovary
Size: 1825px × 1369px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., boo, bookcentury1900, bookdecade1900, bookiddiagnosisofdise00find
