File:The diagnosis and treatment of diseases of women (1907) (14597801548).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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mmation in any form is likely to give rise totenderness extending throughout the lower abdomen. Even if the inflammationis confined strictly to the tube on one side, there is usually some tendernesson pressure in the median line. There is a history of pelvic inflammation,with characteristic tenderness of the affected adnexa in the bimanual examination,and perhaps also a distinct mass. 142 GYNECOLOGIC DIAGNOSIS Bladder Disease. The tenderness is very low, just above the pubes (Fig. 161).There is a history of frequent, painful urination. Pressure on the affectedregion may cause a desire to urinate. Examination of the urine will show evidencesof bladder or kidney disease. Tubercular Peritonitis. This tenderness is widespread over the abdomen.There is encysted fluid or a mass of exudate or general ascites. The trouble isusually chronic. There may be evidence of tuberculosis elsewhere (lungs, intestines).There is no apparent focus of ordinary infection, such as salpingitis or appendicitis.
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Fig. 160. Indicating the place to seek forTenderness of the Uterus. Tenderness in Right or Left Lumbar Region. Renal and Suprarenal affections are the pathological conditions peculiar tothe lumbar regions, and the usual causes of tenderness there. Fig. 162 showsthe point to seek for kidney tenderness in front. Fig. 163 indicates the pointin the lateral lumbar region to make pressure for kidney tenderness, and Fig. TENDERNESS IN UPPER ABDOMEN 143 164 shows the point posteriorly. Fig. 165 shows the area for kidney tender-ness, in the left lumbar region and Fig. 166 shows the method of palpating for amass in the same region, one hand being placed behind and the other in front soas to catch the structure between the palpating fingers. Tenderness in Right Upper Abdomen (Fig. 167). Diseases of the Gall-bladder or of the Liver are the common causes of tender-ness in the right upper abdomen, the usual condition being cholelithiasis or hepa-

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