File:The diagnosis and treatment of diseases of women (1907) (14597704018).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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igital). Vagino-abdominal examination (Bimanual). Instrumental examination. Exceptionally. Examination of rectum. Pelvic examination under anesthesia. Examination of bladder. When the patient is seen at home, the order of examination is more frequentlyabdominal, vaginal, vagino-abdominal and, when indicated, a digital examination 14 THE PHYSICAL EXAMINATION per rectum. Inspection of the external genitals and the speculum examination areusually not required, as explained in the latter part of this chapter. However, if there are symptoms pointing to disease of the external genitals, theparts should of course be inspected. Also, in any case, if it is thought that informa-tion of value may be obtained by the speculum examination, that procedure shouldbe carried out. ABDOMINAL EXAAIINATION. Have the patient lie near the edge of the bed or table, in a comfortable position,with the head slightly raised on a pillow and the knees drawn up sufficiently to re-lax the abdominal muscles (Fig. 18).
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Fig. 18. Patient on table and arranged for abdominal examina-tion. The abdomen is subjected to: Inspection—Contour, Color, Eruption, Striae, Scars. Palpation—Tension, Tenderness, Mass, Fluctuation, Fluid Wave, Fat Wave, Fetal Movement, Uterine Contraction, Friction Rub.Percussion—Area of Dullness. Auscultation—Fetal Heart Sounds, Vascular Murmur.Mensuration—For accurate comparison. ABDOMINAL EXAMINATION 15 INSPECTION OF ABDOMEN. CONTOUR, MOVEMENT, COLOR, ERUPTION, STRIAE, SCARS. The principal thing to determine by inspection is contour. Determine also theother items mentioned—movement of wall, color, eruption, striae, scars—butusually they are of secondary importance. As to contour, there may exist one ofseveral conditions, as follows: The smooth, moderately full contour of the normal abdomen (Figs. 19, 20,21,22).The flat, sunken abdomen of wasting disease, with emptj intestines.A swollen, prominent abdomen.

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