. The diagnosis of diseases of women . Bimanual examination for compressibility of the isthmus at the sixth week. (Jewett.) Fio. 34. Retroversion of a pregnant uterus, with fixation by adhesions binding the fundus to the rectum and sacrum. 130 SPECIAL DIAGNOSIS 4. Softening and Compressibility of the Lower UterineSegment- (Hegars Sign). Elicited by introducing one or twofingers into the posterior vaginal fornix and approximating thefingers of the hand over the abdomen as closely to the fingers inthe vagina as possible. The lower uterine segment may be com-pressed to the thinness of paper. Hega
. The diagnosis of diseases of women . Bimanual examination for compressibility of the isthmus at the sixth week. (Jewett.) Fio. 34. Retroversion of a pregnant uterus, with fixation by adhesions binding the fundus to the rectum and sacrum. 130 SPECIAL DIAGNOSIS 4. Softening and Compressibility of the Lower UterineSegment- (Hegars Sign). Elicited by introducing one or twofingers into the posterior vaginal fornix and approximating thefingers of the hand over the abdomen as closely to the fingers inthe vagina as possible. The lower uterine segment may be com-pressed to the thinness of paper. Hegars sign may be elicited as early as the sixth week. Thesign may be impossible of demonstration, because of the thickness Fig. 35
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