File:Clinical gyncology, medical and surgical (1895) (14804767293).jpg

Identifier: clinicalgyncolog00keat (find matches)
Title: Clinical gyncology, medical and surgical
Year: 1895 (1890s)
Authors: Keating, John M. (John Marie), 1852-1893 Coe, Henry Clark, 1856-
Subjects: Women Gynecology
Publisher: Philadelphia, Lippincott
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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Text Appearing Before Image:
Hips in extreme elevation for cystoscopic examination and direct catheterization of ureters. Fig 16.
Text Appearing After Image:
Direct inspection of bladder by reflected light.—Electric bulb with reflector held above symphysispubis; hips in moderate elevation. DISEASES OF THE URETHRA, BLADDER, AND URETERS. 845 Two different instruments are desirable for exploration of the entirevesical surface: one with the window on the concave side, as above de-scribed ; and, for the inspection of the base, oue with the window on theconvex side. The conditions necessary for the employment of the cystoscope are asfollows : first, the meatus and urethra must be of such calibre as to permitthe passage of a No. 22 French sound ; secondly, the bladder capacity mustbe from two to four ounces ; thirdly, the fluid in the bladder must be trans-parent. One hundred and fifty cubic centimetres of fluid (gv) expand thefolds of the intra-vesical surface; more than this quantity places the ante-rior wall of the bladder so far away that it canuot be properly inspected.The minimum amouut of fluid employed for the purpose is sixty cubiccent

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