. Clinical gyncology, medical and surgical. Digital eversion of the rectum. provide for this. Where they do not, a pillow may be placed under the hipsand the same result attained. The speculum, well lubri- FlG- cated, is then slowly passedin and the posterior wall re-tracted just as in the vaginalexamination. The air entersand balloons the rectum, andtwo-thirds of the circumfer-ence of the bowels can be well seen. Traction on the Ivess rectal speculum, anterior wall will expose theposterior wall, but not so well. Illumination can be obtained by reflected. 72 METHODS OF GYNAECOLOGICAL EXAMINATI
. Clinical gyncology, medical and surgical. Digital eversion of the rectum. provide for this. Where they do not, a pillow may be placed under the hipsand the same result attained. The speculum, well lubri- FlG- cated, is then slowly passedin and the posterior wall re-tracted just as in the vaginalexamination. The air entersand balloons the rectum, andtwo-thirds of the circumfer-ence of the bowels can be well seen. Traction on the Ivess rectal speculum, anterior wall will expose theposterior wall, but not so well. Illumination can be obtained by reflected. 72 METHODS OF GYNAECOLOGICAL EXAMINATION. light from a head-mirror, or a small incandescent electric light can beintroduced into the rectum. EXAMINATION OF THE INTERIOR OF THE UTERUS. Where the symptoms of which the patient complains and the results ofour bimanual and speculum examination make it evident that the troubleis seated within the uterus, an exploration of its interior is essential to athorough understanding of the case, and to neglect it is criminal. Ourmodern methods of investigation and the employment of aseptic pre-cautions make this an easy and safe procedure, and the practitioner whocontents himself with conjectures as to what the trouble is, and treats thesymptoms without seeking to investigate the cause, fails completely in hisduty to his patient. The most common symptom which would lead us to suspect trouble insidethe womb is hemorrhage. The paramount importance to the patient ofknowing whether this proceeds from a simple hyperplastic endometritis, froma benign tumo
Size: 2233px × 1119px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgynecology, booksubjectwomen, bookyea
