Gynecological diagnosis . con-tracted pelvis, anything over 8inches, centimeters, is nor-mal or large. The oblique conjugate diameter(5J inches, or centimeters),or the distance from the prom-ontory of the sacrum to theunder margin of the symphysispubis, may be measured by ex-amining the woman in the dorsalposition. Two fingers of the lefthand are introduced into, the va-gina and the middle of the prom-ontory of the sacrum reachedwith the tip of the middle careful not to mistake the lastlumbar for the first sacral ver-tebra and be gentle and not toorapid in performing this m
Gynecological diagnosis . con-tracted pelvis, anything over 8inches, centimeters, is nor-mal or large. The oblique conjugate diameter(5J inches, or centimeters),or the distance from the prom-ontory of the sacrum to theunder margin of the symphysispubis, may be measured by ex-amining the woman in the dorsalposition. Two fingers of the lefthand are introduced into, the va-gina and the middle of the prom-ontory of the sacrum reachedwith the tip of the middle careful not to mistake the lastlumbar for the first sacral ver-tebra and be gentle and not toorapid in performing this ma-nipulation. With the tip of theforefinger of the right hand,mark the point at the base ofthe thumb of the left handtouched by the lower edge of the symphysis. After the hand hasbeen removed, the distance between the tip of the middle fingerand this point is measured by the tape measure. Subtract fromthis I of an inch, or centimeters (representing the thick-ness of the symphysis), to obtain the true conjugate. The7. Fig. 41.—Exploring Uterine Cavitywith Finger. (Kelly.) 98 PHYSICAL EXAMINATION measurement of the normal true conjugate is 4f inches, or 11centimeters. The transverse diameter (5| inches, or centimeters).—Thisdiameter is inferred from measurements of the iliac bones. Thedistance between the anterior superior spinous processes of theilia in well-formed women is 10J inches, or 26 centimeters; thedistance between the crests of the ilia at their widest points is 11J inches, or 29 centimeters; the dis-tance between the trochanters is12J inches, or 31 centimeters. Inmaking these measurements thepatient is in the dorsal position,but with the thighs extended. The Transverse Diameter of theOutlet (4| inches, or 11 centime-ters) .—This is the distance betweenthe tuberosities of the ischia andis measured with the patient inthe lithotomy position, the pelvi-meter being employed as in theother external measurements. The Capacity of the Pelvic Cav-ity.—This is
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectwomen, bookyear1910
