File:Gynecological diagnosis (1910) (14754973256).jpg

Identifier: gynecologicaldia00burr (find matches)
Title: Gynecological diagnosis
Year: 1910 (1910s)
Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935
Subjects: Women
Publisher: New York, London, D. Appleton and Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
ts of the pelvicfloor, not to mention the structures occupying the pelvis. (SeeFig. 4.) The examining finger as it enters the vagina notes the followingpoints:—The state of the hymen, whether with large opening orsmall, whether rigid or easily dilatable; the vaginal walls, whether PALPATION 37 with rugae or smooth, whether of normal temperature, or hot, asin the case of inflammatory affections of the pelvic organs, or infevers; whether the walls of the vagina are in apposition, or laxor separated; the amount of secretion, a dry vagina giving an en-tirely different sensation from a moist one; the condition of thepelvic floor and perineum; in the case of a parous woman searchfor a groove in either sulcus or the middle line, remembering thenormal conformation of the perineum, that is to say, a convexsurface in the vagina as well as on the skin outside; sometimes itis well to introduce the well-anointed forefinger of the right handin the anus and palpate the tissue lying between the two
Text Appearing After Image:
Fig. 4.—Half a Female Pelvis, with Hand in Position as for Vaginal Examination. fingers in order to get a correct idea as to injuries which maybe present. The vaginal touch informs us as to the contents ofthe rectum, whether empty or containing hard fecal masses, semi-solid feces, or dilated by fluid or gas; also whether or no the blad-der is distended. In order to practice this sort of palpation successfully re-quires a long experience and a thorough familiarity with thenormal conditions, also the variations of the normal in differentindividuals. Abnormalities of the vagina are to be detected by touch; suchare cysts, partial septum, narrowing of the lumen by cicatrice-, 38 PHYSICAL EXAMINATION the sequelae of old inflammatory action, or from congenital defectsof development; also roughness, as in granular vaginitis. On palpating the anterior wall of the vagina the urethra is felt,and thickening or sensitiveness of this structure—evidences ofinflammation—are detected. So also th

Note About Images