File:The diagnosis and treatment of diseases of women (1907) (14761452386).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. 167. The Right Upper Abdomen. The site of the gall-bladder, the area of particular interest in this region, is indicatedby the letters G. B. the point to seek for tenderness of the left lobe of the liver. In doubtful cases,when there is so much widespread tenderness that there is uncertainty as to whetherit is from the stomach or the liver, remember that stomach disease is often ac- TENDERNESS IN CENTRAL ABDOMEN 147 companied by attacks of pain under the left shoulder-blade (usually indicated bythe patient as in Fig. 175) while liver disease is frequently accompanied bypain under the right shoulder-blade (Fig. 176). Less frequently, tendernessin the region is due to disease of the pancreas or to some affection of the peri-toneum. Tenderness in Umbilical Region (Fig. 177). Diseases of the small intestine and diseases of the peritoneum and omentum, are the usual causes of tenderness localized in this resion. In the lower outer
Text Appearing After Image:
Fig. 168. Indicating the site for Tenderness or aMass due to disease of the Gall-bladder. It may befound anywhere from the point indicated downwardand outward to the margin of the ribs on the rightside. Fig.Liver. 169. Palpating for general Tenderness of the portions of the region the ureters encroach, and may cause point tenderness onone or both sides (Figs. 154, 158). Fig. 178 shows palpation for tenderness inthe umbilical region. Diffuse Tenderness Throughout Abdomen. The usual causes of this are general peritonitis, tubercular peritonitis, gastro-enteritis, neurasthenia and hysteria. Appendicitis, gastritis and many other con-cUtions give rise to tenderness or pain which is diffuse at first, but it soon becomes distinctly localized.11 148 GYNECOLOGIC DIAGNOSIS MASS FELT ON ABDOMINAL PALPATION. The masses of particular interest in gynecologic diagnosis are those situated inin the lower abdomen. For exact differential diagnosis these are preferably takenup later. Consequently here I

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