File:Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women (1922) (14763507644).jpg

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Identifier: diseasesofkidney01kell (find matches)
Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women
Year: 1922 (1920s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-
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Publisher: New York, London : D. Appleton and company

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Fig. 132.—Various Shapes Which a Soft Silk-rubber Cathe-ter Takes in Its Course up to the Kidney. A catheterallowed to stay in place a few minutes and then qui(!kly with-drawn and put on a cold plate or in a water bath will assumethe same shape it had while in the kidney. 260 EXAMINATION OF THE URINARY TRACT IN WOMEN. of little crypts or pockets. These trabeculse are formed by the inner prominentmuscular fibers from the muscular coat of the bladder. Sometimes these cryptsare deep, even forming diverticula; sometimes while under observation theyopen and close in an astonishing manner. These physiological trabeculse
Text Appearing After Image:
Fig. 133.—The Bladder in Knee-breast Posture, with Speculum Introduced. The regions of bladder are indicated. must not be confused with the falciform scars sometimes seen after an oldcystitis. External Anatomical Relations.—After examining the generalbackground of the bladder for any abnormalities, and after considering certainwell-defined areas within the bladder, such as the trigonum, the base, the ver-tex, etc., it is well to consider the bladder in its external anatomical relations;that is to say, those portions which lie in contact with the vaginal wall, cor-responding to the base, the posterior wall corresponding to the uterine attach-ment in part, the vertex corresponding to the peritoneal surface, the lateralwalls corresponding to the right and left pelvic walls, and the retrosymphyseal INSPECTION. 261 area corresponding to the symphysis pubis. Each of these areas determine toa r(>markable extent the diseases to which the particular portions of the blad-der are liiible.

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28 July 2014



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