. The Principles and practice of gynecology : for students and practitioners. Conjoined examination of a solid tumor of tlie uterus. Here tlic tumor-mass is palpably a part of the uterus. further in connection with the special diagnosis of these measurements of the bony pelvis frequently have great signifi-cance, not only from the obstetrical, but also, especially in the matterof displacements and malformations, from the gynecological point ofview. The reader is referred for pelvic mensuration to the literatureof obstetrics. 64 GENERAL PEIXCIPLES. 6. Instrumental Examinations. As
. The Principles and practice of gynecology : for students and practitioners. Conjoined examination of a solid tumor of tlie uterus. Here tlic tumor-mass is palpably a part of the uterus. further in connection with the special diagnosis of these measurements of the bony pelvis frequently have great signifi-cance, not only from the obstetrical, but also, especially in the matterof displacements and malformations, from the gynecological point ofview. The reader is referred for pelvic mensuration to the literatureof obstetrics. 64 GENERAL PEIXCIPLES. 6. Instrumental Examinations. As already stated, the development of modern gynecology has beenmade possible by the use of instruments of precision designed to in-crease the power or widen the range of the senses. The diagnosticmethods already described usually will furnish the groundwork for FiGUEE Conjoined examination of a cystic tumor of the OTarv. Tlie hands of an assistant are mov-ing the tumor from side to side. The uterus does not move with the cyst. The hands of theexaminer are separating the from the uterus. The separation of tHe cyst from the uterusand the independent movemeiit of it demonstrate it to be of extra-uterine origin. diagnosis. Instrumental examination may supplement and verifv con-clusions already foreshadowed. Some of the instruments used fordiagnostic purposes are : 1. The speculum. 5. The exploratory needle and aspirator, 2. The sound and probe, 6. The stethoscope, 3. The dilator, 7. The microscope, 4. The curette, 8. The urethroscope and Speculum.—The choice of the speculum is simplified by the statement that of the innumerable varieties onlv two require seriousconsideration, and that these two act on the same principle—as peri-neal retractors. Thev are: DIA Gyosis. 65 Sims speciiliim. Siiiiuiis speculum is ;m i
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