File:The diagnosis of diseases of women (1905) (14576840619).jpg

Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Free fluid in the abdominal cavity. The dark Unes show the area of dulness on percussion with the patient lying on her back. DIAGNOSTS OF DISEASES OF THE OVARY 459 It is especially difficult to differentiate between ascites and athin-walled cyst, such as a large parovarian cyst. In the latter Fig. 187
Text Appearing After Image:
Large ovarian cyst. The dark lines show the area of dulness on percussion in any position the patient may assume. 460 SPECIAL DlAOyoSIS the fluid may gravitate to the dependent portions of the abdomen,and it may not be possible to outhne the tumor by palpation. Anexploratory incision may alone clear up the diagnosis. As an aid to the differential diagnosis of ascites and ovarian cysts,Landau advises putting the patient in the lithotomy position andelevating the hips. If there is a large quantity of free fluid in theabdominal cavity, the uterus, in an abdominovaginal manipulation,may be demonstrated to lie upon a water-cushion. Pancreatic Cysts. No confusion should arise in the early develop-ment of pancreatic cysts. They take their origin in the region ofthe pancreas and grow from above downward. The most promi-nent portion of the tumor is located in the region of the navel. It is possible for a small or moderate-sized ovarian cyst with along pedicle to occupy a similar position. Such

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