Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton Jones.

  • Macnaughton-Jones, H. (Henry), 1844-1918.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton Jones. Source: Wellcome Collection.

    613/712
    who never suspected there was anything more serious than a haemorrhoidal state of the bowel, yet, on examination, advanced malignant disease has been discovered, or more frequently a fissure or ulcer. The dilatation of the sphinc- ter is easily affected under an anaesthetic, and when this is done, which it should be slowly and without force, we can, with a suitable speculum or retractors, completely explore the rectum. Simon's method of examination has already been referred to (page 73). I cannot deal exhaustively, in a manual of this nature, FiG.267a.-Four-bladed Rectal Speculum. with the treatment of the several affections of the rectum which I have enumerated. A few general observations, however, regarding affections of the rectum which we have to treat in women, I think it desirable to make; and though some of these are not specially applicable to women, still they are all of such im- portance that I cannot refrain from insisting here on the necessity for observing the rules and precautions included in this brief chapter.