File:The diagnosis and treatment of diseases of women (1907) (14597879017).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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lum for separating the vaginal walls; A long Dressing Forceps for sponging out the vagina, usually called Uterine dressing forceps;A Tenaculum Forceps, or Volsellum, for catching the cervix and bringing it better into view.A Specimen Scissors. 78 THE PHYSICAL EXAMINATION Vaginal Speculum. The bivalve speculum (Fig. 90-a) is the kind most fre-quently used in ordinary office work. It consists of two blades, which are intro-duced closed and then opened by a mechanism at the handle. The vaginal wallsare thus held apart (Fig. 91) and a very good view of the walls and cervix may beobtained. The bivalve speculum is convenient and gives good exposure of thecervix in most cases. There are many different modifications of the blades and also of the mechanismfor separating the blades. The most satisfactory form that I have found is shownin the illustration. It is called the Graves speculum and has the advantage thatit can be easily and quickly transformed into a fairly satisfactory Sims speculum,
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Fig. 90. Instruments for the regular speculum examination, a. Bivalve Speculum, of which it is wellto have three sizes — large, medium and small, b. Dressing Forceps for swabbing out vagina, c. Tena-culum-forceps for catching cervix to bring it well into view. b. Specimen Scissors, a small strong hawk-billscissors for clipping small specimens from the cervix in suspicious cases. which is a decided convenience in office work. Three sizes are useful—small(virgin), medium and large. The cervix is easier exposed in most cases if the an-terior blade of the speculum is somewhat shorter than the posterior. Some specula are made with three blades, instead of two, constituting a tri-valve speculum. They are made on the same general principles as the bivalvebut the mechanism is more complicated and, usually, without correspondingbenefit. The bivalve speculum is used with the patient in the dorsal posture (Fig. 41).For sterihzation of specula and other instruments, see Preparations for Exami

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