Gynecological diagnosis . onal diameters of the pelvic patient must be prepared as for avaginal examination and should be in-spected first in the standing position tonote the posture, shape of the back,and inclination of the pelvis. External or Baudelocques ConjugateDiameter (8 inches, or centi-meters).—On inspecting the standingwoman from behind, one sees in somecases, not in all, Michaelis rhomboid,a lozenge or diamond-shaped surfaceon the skin at the base of the four points making the diamondare:—on the sides, a depression at each upper corner of thesacrum; at the b
Gynecological diagnosis . onal diameters of the pelvic patient must be prepared as for avaginal examination and should be in-spected first in the standing position tonote the posture, shape of the back,and inclination of the pelvis. External or Baudelocques ConjugateDiameter (8 inches, or centi-meters).—On inspecting the standingwoman from behind, one sees in somecases, not in all, Michaelis rhomboid,a lozenge or diamond-shaped surfaceon the skin at the base of the four points making the diamondare:—on the sides, a depression at each upper corner of thesacrum; at the bottom, the notch between the buttocks; andat the top, the depression over the spine of the fifth lumbar ver-tebra. If this depression can not be seen, the spines of thevertebrae are felt by the finger from above downward until thelast one is reached. The tip of the pelvimeter, guided into placeby the physicians finger, is placed in the depression just belowthe last spine. The other point of the pelvimeter is placed on. Fig. 40.—Uterine Cavity LaidOpen. (Kelly.) INSTRUMENTS AND THEIR USE 97 the anterior upper margin of the symphysis pubis, exactly inthe middle line. Firm pressure is made and the reading on thescale of the pelvimeter is taken. The true conjugate can not beestimated accurately from the external conjugate because of theuneven thickness of the pelvicbones in different individuals,and also because of the varyingobliquity of the pubic bone. Anexternal conjugate of 6\ inches,16 centimeters, or under, meanssurely an antero-posterior 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 mi
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectwomen, bookyear1910
