. The diagnosis and treatment of diseases of women. Fig. 135. Extreme Ascites. In the patient from which this photograph was taken, the abdomen wasso distended with fluid that the wall was raised higher than the mesentry would permit the intestine to float,giving dullness about the umbilicus as well as elsewhere (see Figs. 191, 192). The rise of the wall from belowis rather abrupt. There is also edema of the wall, as shown by the persisting groove where the skirts were tiedabout the waist. 128 GYNECOLOGIC DIAGNOSIS cus (Fig. 138), which protrusion disappears when the patient is in the recum-be
. The diagnosis and treatment of diseases of women. Fig. 135. Extreme Ascites. In the patient from which this photograph was taken, the abdomen wasso distended with fluid that the wall was raised higher than the mesentry would permit the intestine to float,giving dullness about the umbilicus as well as elsewhere (see Figs. 191, 192). The rise of the wall from belowis rather abrupt. There is also edema of the wall, as shown by the persisting groove where the skirts were tiedabout the waist. 128 GYNECOLOGIC DIAGNOSIS cus (Fig. 138), which protrusion disappears when the patient is in the recum-bent posture. Encysted fluid (pus or serum or blood). A distinctly limited collection of fluid,walled off or encysted, may be present in peritoneal tuberculosis and also inabscess from salpingitis or appendicitis. There may be considerable solid exu-date associated with the swelling, and also other evidences of inflammation, either. Fig. 136. Another case of extreme Ascites, giving dullness about the umbilicus aswell as in the flanks. Notice the markedly pyramidal form of this abdoiuen(Hirst—Diseases of Women.)
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