File:The diagnosis and treatment of diseases of women (1907) (14782274424).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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This posture is used principally in operative work, though it is sometimesuseful in diagnosis and in minor gynecologic treatment. It is employed in thepressure-weight treatment previously described, in pelvic massage in certain caseswhere it is important to get the intestines out of the pelvis, and also in cases whereit is desired to employ gravity in moving an abdominal or pelvic organ upwardtowards the abdominal cavity but in which the patient can not take the knee-chest posture. EXERCISE. General Exercise. Exercise in tlie form of walking, horse-back riding, driving,outdoor games and general gymnastic movements (both outdoors and indoors)may be required in patients presenting pelvic disturbance depending on depres-sion of the general health, particularly in certain forms of amenorrhoea. Thesemeasures are used however almost exclusively for their effect on the generalhealth, and the description of the details of their application belongs to generalmedicine. 370 GYNECOLOGIC TREATMENT
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Fig. 471. Trendelenburg Posture, with the subject uncovered to show the exact arrangement. The elevationof the hips is sufficient to cause the abdominal and pelvic structures to gravitate toward the diaphragm. (Baldy—American Text-hooh of Oynecology.) Special Exercise. There is one useful and simple procedure that is particularlyapplicable to certain gynecological patients. I refer to voluntary contraction ofthe muscles of the abdominal wall. This is one of the most effective measuresthat can be employed in the treatment of that affection which is so distressing tomany women, namely, prominence of the abdomen from relaxation of the wall.This is seen principally following confinement, the overstretched abdominalmuscles (overstretched from the pregnancy) having never regained their tone. The exercise consists in the patient raising the head and shoulders while sheis lying on her back. The arms should be crossed over the chest and the headand shoulders raised by the abdominal muscles a

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