. The diagnosis and treatment of diseases of women. Fig. 133. Ascites. A moderate amount of fluid in a relaxed how the abdomen spreads out at the sides. (Kelly—Operative,Gynecology.) C. Abdominal Prominence from Something in the Peritoneal Cavity. General Ascites. This may be slight (Fig. 133) or marked (Figs. 134,135,136, 137). In ascites, i. e. free fluid in the peritoneal cavity, the abdomen isinclined to spread out at the sides and flatten at the top. There is usually a dis-tinct fluid wave, obtained as previously explained (Fig. 35), which may be dis-tinguised from a fat wa
. The diagnosis and treatment of diseases of women. Fig. 133. Ascites. A moderate amount of fluid in a relaxed how the abdomen spreads out at the sides. (Kelly—Operative,Gynecology.) C. Abdominal Prominence from Something in the Peritoneal Cavity. General Ascites. This may be slight (Fig. 133) or marked (Figs. 134,135,136, 137). In ascites, i. e. free fluid in the peritoneal cavity, the abdomen isinclined to spread out at the sides and flatten at the top. There is usually a dis-tinct fluid wave, obtained as previously explained (Fig. 35), which may be dis-tinguised from a fat wave as shown in Fig. 36. When the patient is turned onthe side or when she sits or stands, the area of dullness changes, because thefluid seeks the lowest part of the peritoneal cavity. (Figs. 185, 189, 190). PROMINENCE FROM ASCITES 127 Another diagnostic point is that in some cases where there is free fluid in the peri-toneal cavity, when the patient stands there is decided protrusion of the umbili-. Fig. 134. Marked Ascites. Notice the gentle slope at the lower and upper portions of the abdomen,the case of a tumor the rise isusually much more abrupt. (Kelly—02)eraUve Genecology.) In
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