. The diagnosis and treatment of diseases of women. ingers come close tothe tips of the vaginal fingers. This brings the fingers near to each other back of,or at least in the region of, the tube and ovary (Fig. 81). 4. If the adnexa are not felt in the back partof the pelvis,then bring the fingers of the two hands,held in the same relation to each other, slowly down-ward toward the pubes (Fig. 82). In this way, thetube and the ovary are made to pass between theexamining finger-tips and may be felt if decidedly en-larged. The fingers are then carried on downward andtoward the median line inorde
. The diagnosis and treatment of diseases of women. ingers come close tothe tips of the vaginal fingers. This brings the fingers near to each other back of,or at least in the region of, the tube and ovary (Fig. 81). 4. If the adnexa are not felt in the back partof the pelvis,then bring the fingers of the two hands,held in the same relation to each other, slowly down-ward toward the pubes (Fig. 82). In this way, thetube and the ovary are made to pass between theexamining finger-tips and may be felt if decidedly en-larged. The fingers are then carried on downward andtoward the median line inorder to palpate the front partof the pelvis. By proceeding gently, so asnot to excite contraction of theabdominal muscles, and at thesame time steadily pressing thetwo sets of fingers toward eachother, a little with each ex-piration, the finger-tips maybe brought almost together inthe various parts of the these manipulations, thepalpation proper is made prin-cipally with the vaginal fing-ers, the abdominal fingerswithin reach of the fingers. Fig. 74. Drawing the uterus down with a tenaculum forceps tobring it witliin reach of the examining fingers. (Dudley — Practiceof Gynecology.) simply to push the structures down servingbelow. A common error is to bring the tips of the examining fingers together tooclose to the pubes, hence the palpation is of the tissue in front of thetube and ovary, even if they are in normal position. It must be kept inmind also that the tube and ovary are hkely to be displaced, especiallyif diseased, and the displacement is nearly always backward — hence theimportance of getting far back in the side of the pelvis when endeavoring toaccurately palpate these structures. In order to avoid this error, be certain that the point of depression of the abdom-inal wall is well above the tubo-ovarian region, so that when depressed into thepelvis, it will lie back of the tube and ovary. In palpating the right side of the pelvis follow the same directions,
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