File:The diagnosis and treatment of diseases of women (1907) (14597695759).jpg

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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e with the ordinary tape-line. When measuring apatient, take enough measurements to make an accurate record. Measurementsalong the lines shown in Fig. 40 will show variations with a large growth in any part of the peritoneal cavity. They are as follows: 1. From umbilicus to sternal notch. 2. From umbilicus to pubes. 3. From umbilicus to right anterior superior iliac spine. 4. From umbihcus to left anterior superior iliac spine. 5. Circumference of body at level of umbilicus. 6. Circumference of body 3 inches above umbilicus. 7. Circumference of body 3 inches below umbilicus. THE EXTERNAL GENITALS 31 EXAMINATION OF EXTERNAL GENITALS AND ADJACENT STRUCTURES. If the patient complains of irritation a1)out the external genitals or of itching orjjurning or of frequent or painful urination or of sores or swelling or discharge, theparts should be inspected in a good light. For this examination, as the patient isl3dng on the table, the lower extremities are covered with a sheet, the skirts are
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Fig 41. Patient in position for Examination of External Genitals and adjacent structures. pushed above the knees and out of the way, and the hips are brought to the end ofthe table, as shown in Fig. 41. A general inspection is then given the parts, to ascertain if they are practicallynormal (Fig. 42, 43) or if there is marked abnormality. The labia are then sep-arated, to expose the vestibule and urethral and vaginal openings and also the open-ings of the ducts of the vulvo-vaginal glands (Figs. 44, 45). 32 THE PHYSICAL EXAMINATION By examination, determine if any of the following conditions are present: Discharge—Muco-epithelial, Muco-purulent, Purulent, Bloody, Watery. Inflammation—Gonorrhoeal or otherwise. Ulcer—Simple, Chancroidal, Syphilitic, Tubercular, Malignant. Swelling—Inflammatory, Stasis infiltration. Oedema, Hematoma, Her-nia, Cyst. New Growth—Condyloma, Urethral Caruncle, Lipoma, Fibroma, Malig-nant Growth. Malformation—Adhesions of Labia, Hermaphroditism. KA

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