. Diseases of the rectum and anus: designed for students and practitioners of medicine. lum. 8. Aspirating needle. Table.—A table suitable for rectal examination should bestrong, and not less than eighteen inches ( centimeters)in width. It should be so constructed that either end can beraised, lowered, or tilted from side to side, and should be ofsufficient height to enable the eyes of the examiner, while thelatter is sitting, to remain on a level with the anus when the EXAMINATION 43 patient is in Simss position. The table built by the W. Company (Fig. 7) meets all these require
. Diseases of the rectum and anus: designed for students and practitioners of medicine. lum. 8. Aspirating needle. Table.—A table suitable for rectal examination should bestrong, and not less than eighteen inches ( centimeters)in width. It should be so constructed that either end can beraised, lowered, or tilted from side to side, and should be ofsufficient height to enable the eyes of the examiner, while thelatter is sitting, to remain on a level with the anus when the EXAMINATION 43 patient is in Simss position. The table built by the W. Company (Fig. 7) meets all these requirements, andcan be used for operations if necessary. Their office cabinet(Fig. 8) is also a convenient and useful piece of office Light.—The author has spent much time andmoney experimenting with lights devised for illuminating therectum. In some the light was carried into the bowel; inothers it was reflected by the aid of a head-mirror or spe-cially constructed reflector. The lights experimented withhave been electric (Figs. 10 and 11), gasoline, acetylene-gas,. Fig. 8.—Allisons Office Instrument Cabinet. candle, and ordinary gas, with and without the Welsbachburner. For all purposes, gas-light (without the Welsbachburner) reflected by a head-mirror, and coming from a lampwith a bulls-eye reflector capable of being adjusted to theproper position, has proven satisfactory. This light is suffi-ciently strong, steady, easy to control, and equally suitable forexamination of the anus and sigmoid flexure. The ordinaryelectric bulb fitted with a reflector, or the small lamp attach-ment with the proctoscope, are the most convenient and satis-factory methods of direct illumination for office use. Gaso- 44 DISEASES OF THE RECTUM AND ANUS line-light has no advantage over gas, candle-light is too dim,and acetylene-light is difficult to control and is accompaniedby a foul odor. Whatever light is used, it should be supportedby a number of jointed arms in order to facil
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
