. Diseases of the rectum and anus: designed for students and practitioners of medicine. ls-eye reflector capable of being adjusted to theproper position, has proven satisfactory. This light is suffi-ciently strong, steady, easy to control, and equally suitable forexamination of the anus and sigmoid flexure. The ordinaryelectric bulb fitted with a reflector, or the small lamp attach-ment with the proctoscope, are the most convenient and satis-factory methods of direct illumination for office use. Gaso- 44 DISEASES OF THE RECTUM AND ANUS line-light has no advantage over gas, candle-light is too
. Diseases of the rectum and anus: designed for students and practitioners of medicine. ls-eye reflector capable of being adjusted to theproper position, has proven satisfactory. This light is suffi-ciently strong, steady, easy to control, and equally suitable forexamination of the anus and sigmoid flexure. The ordinaryelectric bulb fitted with a reflector, or the small lamp attach-ment with the proctoscope, are the most convenient and satis-factory methods of direct illumination for office use. Gaso- 44 DISEASES OF THE RECTUM AND ANUS line-light has no advantage over gas, candle-light is too dim,and acetylene-light is difficult to control and is accompaniedby a foul odor. Whatever light is used, it should be supportedby a number of jointed arms in order to facilitate adjustmentto any desired position (Fig. 12) without moving the and Reflecting Mirrors.—Such mirrors of suitable sizesare essential to the proctologist. They are especially usefulin the examination of the upper rectum and for locatingfistulas and abrasions near the anus. The reflecting mirrors. Fig. 9.—Martins Modification of the Yale Chair for the Proctoscopy Illumination Apparatus. Small Pillow and Shoulder-strap. should be of such a size as to pass readily through the proc-toscope ; the handles should be long, and bent at a rightangle so as to avoid obstructing the view. Specula.—The choice of a rectal speculum is not of somuch importance as the junior proctologist believes. Theexperienced rectal specialist depends more upon the procto-scope and digital examination than upon the speculum. Inorder to be easily introduced specula should be constructed torepresent, as near as possible, the size and shape of the indexfinger. They should also have a flange to keep the buttocks EXAMINATION 45 from obstructing the view and expose only one side of thebowel at a time. The speculum should never be introduceduntil the rectum has first been prepared for it by digital ex-amin
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
