. The diagnosis and treatment of diseases of women. Fig. 181. Indicating the Area of Dullness from a largeMass of regular outline springing from the Center of thePelvis, for example tne pregnant uterus. The dottedline shows the upper limit of the mass as determinedby palpation. MASS FELT IN UPPER ABDOMEN Tumor of Cardiac End of of Splenic Flexure of of of of Kidney. 155. Fig. 182. Indicating the Area of Dullness from a Cen-tral Pelvic Mass which has enlarged to such an extentthat it nearly fills the abdomen. Notice that the coronaof
. The diagnosis and treatment of diseases of women. Fig. 181. Indicating the Area of Dullness from a largeMass of regular outline springing from the Center of thePelvis, for example tne pregnant uterus. The dottedline shows the upper limit of the mass as determinedby palpation. MASS FELT IN UPPER ABDOMEN Tumor of Cardiac End of of Splenic Flexure of of of of Kidney. 155. Fig. 182. Indicating the Area of Dullness from a Cen-tral Pelvic Mass which has enlarged to such an extentthat it nearly fills the abdomen. Notice that the coronaof resonance, surmounting the area of dullness, is symmetrical on the two sides. If the mass were lateral, forexample, an ovarian or parovarian tumor, the area ofresonance would be decidedly less on the side of the tumorthan on the opposite side. Mass Felt in Central Upper Abdomen (Fig. 172). Tumor of Stomach. Tumor of Left Lobe of Liver. Fecal Impaction in Transverse Colon. Tumor of Transverse Colon. Tumor of Duodenum. Tumor of Pancreas. 15() GYNECOLOGIC DIAGNOSIS AREA OF DULLNESS IN ABDOMEN. An area of dullness in the abdomen indicates that something solid or fluid is lyingagainst the abdominal wall, pushing the intestines away or flattening out the intes-tine between the mass and the wall. When an area of dullness is found in percuss-ing over the abdomen, the first thing to do is to ascertain its exact outline. Thegetting
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