File:The diagnosis and treatment of diseases of women (1907) (14597890440).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

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
onsistency throughout. 54. Exact mobility. 55. All the attachments. 56. Point of origin. 57. Exact relation to adjacent organs, to uterus, to Fallopian tubes, to ovaries, to rectum, to colon. 58. Uterus—exact position, size,shape, consistency, (tendernessnot appreciable), mobility, attach-ments. 59. It may be advantageous to makerecto-abdominal examination also. 60. If cervix is suspicious of malig-nant disease, excise a piece formicroscopic examination. If Necessary for Diagnosis, andPermissible Under the ConditionsPresent, Explore the Uterine Cavity: 61. With sound, to determine depthand direction. POINTS IN THE SPECULUM EXAMINATION 289 62. With curet, to secure tissue formicroscopic examination. 63. With finger, to determine con-sistency of uterine wall (softened area, hard nodule) and presence ofretained placental remnants or pro-jecting polypoid growths. POINTS IN THE SPECULUM EXAMINATION. In the speculum examination, direct inspection is made of the vaginal wall andthe cervix.
Text Appearing After Image:
Fig. 430. Primary Malignant Ulceration of the Vagina.(Montgomery—Practical Gynecology.) Conditions of Vaginal Wall. The vaginal wall may present arterial congestion, venous congestion, bleedingareas or distinct ulceration. Arterial Congestion of the Vaginal Wall indicates inflammation, usually acute, oractive irritation, as by an irritating discharge or pressary or other foreign body.The differential diagnosis of the various forms of vaginal inflammation has alreadybeen given in this chapter, when considering leucorrhoea (see page 177). Occasionallythere are cases of chronic vaginitis in which there is arterial congestion in spots. In 290 GYNECOLOGIC DIAGNOSIS such chronic cases there is likely to be infiltration and hypertrophy of the con-gested areas, giving rise to the condition known as granular vaginitis. Venous Congestion of the Vaginal Wall should always arouse a suspicion of preg-nancy, for that is the most common cause. It may be caused, also, by a tumor orother pelvic mass

Note About Images