What to observe at the bed-side and after death in medical cases / published under the authority of the London Medical Society of Observation.

Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: What to observe at the bed-side and after death in medical cases / published under the authority of the London Medical Society of Observation. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Examination by Rectum and Vagina. Examination through the Rectum and Vagina conjoined. 240. Thickness of substance between the fingers; tumour, its size and characters (233, 238); fluctua- tion, etc. Examination by Uterine Sound. Examination by the TJterine Sound. Introduction— uterine cavity. thickness of wall. Moveableness of uterus. Examination by Speculum. Introduction. Vagina— surface. openings. secretions. Orifice of uterus. Lips and neck of uterus— size, form, colour. 241. Introduction of sound:—facility with which effected; pain on introduction; escape of blood.— TJterine cavity: its length ; direction, presenting an- gular flexion, direction in relation to tumours of the pelvis or abdomen.—Can the extremity of the sound be felt anywhere through the abdominal parietes, vagina, or rectum ?—Thickness of intervening sub- stance. 242. Moveableness of uterus by means of the sound:—is it capable of being moved independently of pelvic or abdominal tumour P—can abdominal tumour be moved while uterus is fixed by the sound ?—does movement of abdominal tumour occasion a corre- sponding movement of handle of sound ? Examination by the Speculum. 243. Introduction of speculum (stating kind of instrument used):—facility of introduction; pain on introduction. 244. Vagina:—its colour; surface, smooth, vel- vety, rough, corrugated ;—excoriations ; ulcers (624); cicatrices (629); vegetations; tumours (631).—Ab- normal openings: their situation; form, etc.;—cha- racter of matters passing through them.—Secretion on surface of mucous membrane; abundance, charac- ters (249). 245. Orifice of uterus:—natural; open; distended from glairy or gelatinous mucus, tumours, etc.; size; form, rounded, irregular, etc.;—discharge emerging from orifice or covering its lips, its characters. 246. Lips and neck of uterus:—their size; lips flat, uneven, everted, lobulated (size and characters of lobulations); their colour, bright, livid, dusky red,' etc.;—raw appearance around orifice of uterus (extend-