. The diagnosis and treatment of diseases of women. Fig. 160. Indicating the place to seek forTenderness of the Uterus. Tenderness in Right or Left Lumbar Region. Renal and Suprarenal affections are the pathological conditions peculiar tothe lumbar regions, and the usual causes of tenderness there. Fig. 162 showsthe point to seek for kidney tenderness in front. Fig. 163 indicates the pointin the lateral lumbar region to make pressure for kidney tenderness, and Fig. TENDERNESS IN UPPER ABDOMEN 143 164 shows the point posteriorly. Fig. 165 shows the area for kidney tender-ness, in the left lumba


. The diagnosis and treatment of diseases of women. Fig. 160. Indicating the place to seek forTenderness of the Uterus. Tenderness in Right or Left Lumbar Region. Renal and Suprarenal affections are the pathological conditions peculiar tothe lumbar regions, and the usual causes of tenderness there. Fig. 162 showsthe point to seek for kidney tenderness in front. Fig. 163 indicates the pointin the lateral lumbar region to make pressure for kidney tenderness, and Fig. TENDERNESS IN UPPER ABDOMEN 143 164 shows the point posteriorly. Fig. 165 shows the area for kidney tender-ness, in the left lumbar region and Fig. 166 shows the method of palpating for amass in the same region, one hand being placed behind and the other in front soas to catch the structure between the palpating fingers. Tenderness in Right Upper Abdomen (Fig. 167). Diseases of the Gall-bladder or of the Liver are the common causes of tender-ness in the right upper abdomen, the usual condition being cholelithiasis or hepa-. Fig. 161. Indicating the region to palpate for Bladder Tenderness. titis or tumor of the liver. Fig. 168 indicates the point to seek for gall-bladder ten-derness. It may be found anywhere from the point indicated by the finger out-ward to the costal margin. The characteristic gesture of liver tenderness (firmpressure over the liver) is shown in Fig. 13, while Fig. 169 shows the method ofpalpating for general liver tenderness. Occasionally an affection of the pyloric end 144 GYNECOLOGIC DIAGNOSIS


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