. The diagnosis and treatment of diseases of women. Fig. 52. Position of tlie fingers for the vaginal and vagino-abdominal Fig. 53. Same hand, gloved and ready for the examination. THE VAGINAL EXAMINATION 41 necessarily in the way, it should be turned far to one side or the other, and thus keptfrom contact with the sensitive areas (Fig. 80). In regard to the disposition of thethird and fourth fingers, it is advantageous in some cases, particularly in very stoutpatients, to extend these fingers along in the internatal fold, as shown in Fig. these exceptional cases, this per
. The diagnosis and treatment of diseases of women. Fig. 52. Position of tlie fingers for the vaginal and vagino-abdominal Fig. 53. Same hand, gloved and ready for the examination. THE VAGINAL EXAMINATION 41 necessarily in the way, it should be turned far to one side or the other, and thus keptfrom contact with the sensitive areas (Fig. 80). In regard to the disposition of thethird and fourth fingers, it is advantageous in some cases, particularly in very stoutpatients, to extend these fingers along in the internatal fold, as shown in Fig. these exceptional cases, this permits deeper penetration of the examining beginning the examination, as the examining fingers are being introduced,there is frequently a tendency on the part of the patient, who is nervous for fear ofpain or uncertain as to whether there will l^e pain, to contract the muscles of thepelvic floor and thus interfere with the vaginal examination. In such a case, if onefinger be introduced a short distance and steady pressure backward be made againstthe muscle (Fig. 92), it slowly relaxes and the second finger may be introduce
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