. The diagnosis and treatment of diseases of women. ons mentioned,but is strictly limited to thepoint designated, it is probablydue to appendix trouble , whichprobable diagnosis must bestrengthened or weakened, asthe case may be, by other signspresent and by the history ofthe trouble. fn those cases in which thereis a question as to whether or/ not the tenderness is due to § trouble in the ureter, par- ticularly where the tendernessextends over the whole rightlower or left lower abdomen, oris so acute as to prevent thedeep palpation necessary to ac-- curate localization, palpation ^ . , , , ,
. The diagnosis and treatment of diseases of women. ons mentioned,but is strictly limited to thepoint designated, it is probablydue to appendix trouble , whichprobable diagnosis must bestrengthened or weakened, asthe case may be, by other signspresent and by the history ofthe trouble. fn those cases in which thereis a question as to whether or/ not the tenderness is due to § trouble in the ureter, par- ticularly where the tendernessextends over the whole rightlower or left lower abdomen, oris so acute as to prevent thedeep palpation necessary to ac-- curate localization, palpation ^ . , , , , , .of the lumbar region laterally Fig, 29. Division ot the abdomen into regions by means of a ... circle with a two-incli radius and two-inch liorizontal lines. and posteriorly IS 01 mUCh as- sistance in the differential diag-nosis. Well marked ureteritis is usually accompanied by pyelitis and kidneytenderness. In such a case, there is distinct tenderness over the kidney laterally(Fig. 32) and also posteriorly (Figs. 33, 34). Mass in the When a mass is discovered, determine as far as possible its position, size, shape,consistency, tenderness, mobility and attachments. The position of a mass indicates in a general way the organ or grou|) of organs A MASS IN THE ABDOMEN 23 from which it arises. Keep in mind, however, that it may be due to some adja-cent organ, or even some distant organ displaced into that region. The size and shape of a mass is determined by ascertaining its length, breadth, X. / ^ % / ___, \ \\ • ^^ Mfkt 4^ Left- / k]^itr: ^3 U .|>er. tilkt
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Keywords: ., bookcentury1900, bookdecade1900, booksubje, booksubjectgynecology
