. Diseases of women. A clinical guide to their diagnosis and treatment. shouldfasten with a clip (Fig. 9). The sharp-toothed instrumentgives the securer hold, and hurts the patient less, but itspoints may scratch the vagina or your finger while it isbeing applied. The blunt volsella cannot do this, but thecompression of the cervix is painful. In buying one, seethat the teeth fit nicely into one another when the instru-ment is closed. A tenaculum is sometimes used; it is easierto apply, but holds less firmly than the volsella (Fig. 10).The use of the volsella is to pull the cervix down that itm
. Diseases of women. A clinical guide to their diagnosis and treatment. shouldfasten with a clip (Fig. 9). The sharp-toothed instrumentgives the securer hold, and hurts the patient less, but itspoints may scratch the vagina or your finger while it isbeing applied. The blunt volsella cannot do this, but thecompression of the cervix is painful. In buying one, seethat the teeth fit nicely into one another when the instru-ment is closed. A tenaculum is sometimes used; it is easierto apply, but holds less firmly than the volsella (Fig. 10).The use of the volsella is to pull the cervix down that itmay be seen, and that the sound may be more easily passed,or the back of the uterus examined by the rectum. The sound.—There are cases in which a swelling inthe pelvis is in such close relation to the uterus that youcannot bimanually feel the distinction between them. Insuch cases you can only find out the position and length of 64 DISEASES OF W03IEX. the uterine cavity by passing a sound (Fig. 11). Occa-sionally the patient is so fat or so nervous that you cannot 1.
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