. Diseases of the rectum and anus: designed for students and practitioners of medicine. owed for relaxation to take place;the examination may then be continued by sweeping the fingeraround the bowel, first in one direction and then in condition of the sphincter, surface of the mucosa, pros- 50 DISEASES OF THE RECTUM AND ANUS tate gland, uterus, bladder and vaginal septum, sacrum, andcoccyx should be noted. With the index finger in the rectum, by pressing againstthe perineum with the thumb and against the post-anal struct-ures with the other three fingers an additional inch ( ce
. Diseases of the rectum and anus: designed for students and practitioners of medicine. owed for relaxation to take place;the examination may then be continued by sweeping the fingeraround the bowel, first in one direction and then in condition of the sphincter, surface of the mucosa, pros- 50 DISEASES OF THE RECTUM AND ANUS tate gland, uterus, bladder and vaginal septum, sacrum, andcoccyx should be noted. With the index finger in the rectum, by pressing againstthe perineum with the thumb and against the post-anal struct-ures with the other three fingers an additional inch ( centi-meters) of bowel may be brought into the field of examination. Eversion of the Anus and Rectum.—In women the lower rec-tum is easily everted by placing two fingers in the vagina andpushing the bowel downward. In this way pathologic condi-tions near the anus may be brought into view without the aidof the speculum. Fissures, mucous patches, ulcers, and otheraffections located near the anal margin can be seen by placingthe thumb? on either side of the anal aperture and requesting. Fig. 15.—Hinged Speculum the patient to bear down as the buttocks are pulled apart, thuseverting the anus. Vaginal Examination.—By this procedure the condition ofthe recto-vaginal septum, uterus, vagina, and bladder, and theconsistency, size, and shape of rectal tumors, impactions, andstrictures, may be ascertained. Palpation.—This method of examination is a valuable ad-junct in tracing fistulous sinuses, locating abscesses, tumors,and tender spots in the anal region. Palpation of the abdomenand pelvis frequently enables one to locate an obstruction,tumor, impaction, or abscess in the pelvis, upper rectum, orsigmoid which could not be made out from below. Percussion and Fluctation assist in locating tumors, detect-ing fluids, and determining the extent of dilatation of the colonin cases of partial and complete occlusion. EXAMINATION 51 Succussion.—Bouchard has emphasized the value of thisme
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
