File:Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14767945702).jpg

Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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een an inverted uterus and a fibrouspolyp is this: that if the uterus is inverted, you cannotperceive the body of the uterus above the cervix, while if thetumour be a polyp, you can. The presence of the body of theuterus above the cervix is found out in two ways—first, bybimanual examination, you can get the uterus between thetwo hands; but if the uterus should be inclined backwards,you will press the uterus down and back, and the tension ofthe vaginal wall produced by the tumour in it may preventyou from feeling the uterus through the posterior wall. Ifyou cannot feel the uterus by bimanual vaginal examination,try bimanual rectal examination. The finger in the rectum 328 DISEASES OF WOMEN. can reach higher up than the finger in the vagina; and if thebody of the uterus be present above the cervix, you willscarcely fail to perceive it. If your finger in the rectum andhand on the abdomen meet above the cervix, and feel thecervix like a ring, into which the rectal finger can be pressed
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Fig. 109.—Inversion of the uterus. (Crosse.) a, vagina; b, c, body of uterus inverted; d, neck of peritoneal pouch formed by inverteduterus ; e, ovary ; /, Fallopian tube ; g, round ligament; h, peritoneum. from above, the case is one of inversion of the uterus. Butin very fat women or nervous women, Avho keep the abdominalmuscles contracted, this method cannot be carried out unlessthe abdominal walls are relaxed by an anaesthetic. Insuch a case pass the sound. In an inverted uterus, the soundwill enter the sulcus between the neck and the inverted body,passing about half an inch, but no farther. Move it round thestalk of the tumour and you find that nowhere will it gofarther. If the tumour be a polypus, the sound will pass upby the side of the pedicle (for the pedicle dilates the cervicalcanal) for 2J or 3 inches. If the tumour spring from theuterus low down, the sound may be arrested by its pedicle. I HEMORRHAGE WITH ROUNDED TUMOUR. 329 It the uterus be inclined backwards, trie ins

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