File:The diagnosis and treatment of diseases of women (1907) (14781254451).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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the affected area should be excised for microscopic examination. A very con-venient instrument for this purpose is the specimen scissors shown in Fig. 90.With this a small piece of the suspicious tissue may be dipt out of the cervix.If there is much bleeding, a suture may be placed under the bleeding surface andtied. Usually however a styptic application, with a firm vaginal packing, will stopthe bleeding. The specimen excised from the cervix and also all curettingsshould at once be placed in a small bottle of alcohol (95%) or formol (10%) andforwarded to the pathologist. THE UTERINE SOUND 87 EXPLORATION OF UTERUS WITH SOUND. Through the speculum the interior of the uterus may be explored with the uterinesound. The uterine sound (Fig. 101-a) is pHable so that it may be bent to accom-modate it to the uterine canal in different cases. It is graduated so that the exactdepth of the canal may be told. It has a bulbous end so that there will be lessdanger of its puncturing the uterine wall.
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Fig. 100. Cervix caught with tenaculum-forceps and brought into view. Introduction of Uterine Sound. The sound should not be introduced by touch, as was formerly the custom and asis shown even in some recent text-books, for when used in that way is is very liableto carry infection into the uterus. Before sounding, the speculum should be intro-duced, the cervix exposed and caught with a tenaculum-forceps and the cervixand vicinity cleansed with a reliable antiseptic solution Then the sterile soundis introduced into the uterus without to aching the vaginal wall. Before intro-ducing the sound the approximate location of the fundus uteri should be deter-mined by bimanual examination and the sound should be shaped and guided 88 THE PHYSICAL EXAMINATION accordingly. The sound can usually be most convenientlv introduced with thepatient in the Sims posture and the cervix exposed with the Sims speculum.After the sound is sterilized do not touch the intrauterine portion with the lingers.If the

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