. The diagnosis of diseases of women . Introducing searcher into left ureteral orifice. (Kelly.) 2. The atmospheric distention of the bladder, induced slowly byposture. 3. The illumination and inspection of the vesical mucosa, eitherby means of a direct light, such as a small electric lamp attachedto the examiners forehead or to the mouth of the speculum, or bymeans of a strong light reflected by a head mirror. The Technique of the Examination. The field of operation,the instruments used, and the hands of the operator are to be ster- 504 DIAGNOSIS OF DISEASES OF THE URINARY SYSTEM ilized as fo


. The diagnosis of diseases of women . Introducing searcher into left ureteral orifice. (Kelly.) 2. The atmospheric distention of the bladder, induced slowly byposture. 3. The illumination and inspection of the vesical mucosa, eitherby means of a direct light, such as a small electric lamp attachedto the examiners forehead or to the mouth of the speculum, or bymeans of a strong light reflected by a head mirror. The Technique of the Examination. The field of operation,the instruments used, and the hands of the operator are to be ster- 504 DIAGNOSIS OF DISEASES OF THE URINARY SYSTEM ilized as for an operation. The bladder and bowel should be emptiedimmediately before the examination. Fig. 211. Bolt table for cystoscopic examination. On account of nervousness on the part of the patient or unusualirritability of the urethra, chloroform anijesthesia may be chosen ifnot contraindicated. In the majority of cases no anaesthetic isrequired. Kelly recommends the application of a 10 per cent. DIAGNOSIS OF DISEASES OF URETHRA AND BLADDER 505 cocaine solution to the urethra just within the external application is made on a pledget of cotton wound on a metalrod. By this means the urethra can be dilated to the requireddegree without great suffering. Fig. 212


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