. The diagnosis of diseases of women . 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 suffer
. The diagnosis of diseases of women . 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. Cystoscopic examination. (Webster.) The Posture of the Patient. Kelly recommends the elevateddorsal and the knee-chest positions. While the elevated dorsalposition is the most convenient and least fatiguing to the patient,it is not so efficient, because the bladder does not distend so per-fectly as in the knee-chest position. 506 J)IAGNOSIS OF DISEASES OF THE UBINABY SYSTE3I Fig. 213 In the elevated dorsal position the hips are elevated from thetable eight to twelve inches by firm pillows. The head and thoraxrest on the table. As a prehminary measure to secure perfect dis-tention of the bladder, the patient may assume the knee-chest posi-tion and a catheter be introduced into the bladder, through whichthe air may enter. In a minute or two the patient may resume the elevated dorsal position, takingcare that the hips are constantly heldat a higher level than the so doing the weight of the smallintestines is taken from the bladder,and when the urethra is dilated thebladder wil
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