A Practical Treatise On the Diseases of Women

Cover A Practical Treatise On the Diseases of Women
A Practical Treatise On the Diseases of Women
T Gaillard Theodore Gaillard Thomas
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A thorough examination involves full and careful exploration, by touch, of the anterior and posterior surfaces of the uterus, as well as of its cavity to the fundus.
To examine the external surfaces of the uterus, the patient should lie upon the back with the thighs flexed. All constriction should be removed from the waist, and the bladder and rectum emptied. The examiner then, depressing the uterus by the right hand placed over the hypogastrium, should sweep the index finger of the other as hi
...gh up as possible over the posterior wall, first by vaginal and then by rectal touch. While the finger in the vagina or rectum lifts the uterus, the tips of the fingers placed on the abdomen should be forced behind the fundus, and downwards over the posterior uterine wall so as to approach the finger within the pelvis. By these means the posterior wall will be superficially examined in women with tense abdominal muscles, thoroughly in those in whom they are thin and relaxed.
The finger in the vagina now drawing the cervix forwards, the fingers of the hand on the abdomen should be made to depress its walls so as to sweep from the fundus over the anterior surface down to the cervix.


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