Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . r, for which certainly the physician is not to blame ifthe sounding took place before the time of the expected period. Patientswill often misinform the physician as to the date of their last period, forthe precise purpose of inducing him to do something which may bringabout a miscarriage; the previous bimanual examination should haveshown the size of the uterus, and led the physician to suspect , it shoul


Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . r, for which certainly the physician is not to blame ifthe sounding took place before the time of the expected period. Patientswill often misinform the physician as to the date of their last period, forthe precise purpose of inducing him to do something which may bringabout a miscarriage; the previous bimanual examination should haveshown the size of the uterus, and led the physician to suspect , it should be stated in justification of the not altogether unknown ac-cidental production of abortion by experts as well as non-specialists, thatthe diagnosis of early pregnancy, from six to ten weeks, may be, and atthe first-named period always is, a question of great difficulty or impossi-bility, requiring the most delicate and practised touch. In areolar hyper-plasia a slight enlargement, corresponding to a five to seven weeks preg-nancy, may be almost imperceptible, and if the abdominal walls are thickor rigid, or the uterus slightly retroverted, it is generally impossible to. Fig. 84.—Showing normal length of uterinecavity in ovarian tumor. (P. P. M.)


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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology