File:The diagnosis and treatment of diseases of women (1907) (14597946588).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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Fig. 411. D agram showing variouspositions whichtheCaecum and Appendixmay occupy, in cases where the caecum isdisplaced. (Kelly—Diseases of the Ap-pendix.) MASSES FROM INTESTINAL TRACT 273 maintaining this pressure over the appendix, palpate with the other hand the areaswh ch are tender. When the tenderness in the other areas is reflex, it disappearsas long as the pressure over the appendix is maintained, to reappear as soon as thepressure over the appendix ceases. Dr. Kirby has found this simple expedientvery helpful in a considerable number of doubtful cases. 13. Fecal Mass, in caecum and extending along the ascending colon. 14. Tumor of Caecum. This is usually malignant. It presents chronic irrita-tion in the caecal region, generally leading to a diagnosis of chronic appendicitis. There are exacerbations of trouble at times, due apparently to irritation in thecaecum from retained fecal material. In some cases there is a swelling in this
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Fig. 412. Movable Kidney, showing the outline of the displaced kid-ney as determined by palpation. Notice that the kidney comes well be-low a line drawn from the umbilicus to the right anterior superior ihac spine(marked by a cross). region, that comes and goes. It is most marked usually during the days of painand disappears largely when the bowels are well opened. Later a permanent massappears, though it may vary considerably in size at different times, due to the vary-ing amount of fecal material in the caecum. This same history may be present attimes in chronic caecitis without a tumor, but in such a case of course there is nopermanent tumor, unless there is some complicating inflammatory trouble aroundthe caecum. 15. Intussusception. The mass extends along the caecum and ascending colon. 274 GYNECOLOGIC DIAGNOSIS There is the history of intestinal obstruction, the passage of bloody mucus from thebowel and the rectal tenesmus. It is most frequent in children. 16. Displaced Kidney (

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