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

  • Jones, H. Macnaughton (Henry Macnaughton), 1844-1918.
Date:
1900
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.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

    876/1014 (page 814)
    now more generally availed of, but much may depend on the nature of the case, the form of growth or the position of the diseased area, or some displacement of the bladder by extra-vesical effusions or growths. ' The genu-facial position is indispensable in those cases in which, owing to disease, the bladder will not balloon out in ordinary posture ; but Kelly has frequently succeeded in the dorsal and left semi-prone positions if the pelvis were moderately elevated.' Fig. 583.—Kelly's Uketheal Calibrator (the hnes indicate the diameter in millimetres). ' It has been my good fortune,' says Kelly, ' to work out a simple method which exposes the whole inner surface of the bladder, and the ureteral orifices, to a direct inspection without any inter- vening fenestra or mirror. By this method any gynaecologist, after a little practice, should be able in almost every case to catheterize either ureter within a few seconds after the introduction of the Fig. 584.—Speculum and Obturator (two- thirds natural size). speculum. The bladder exposed in this way may be inspected with as much ease and more directly than the larynx, the posterior nares, or the fundus oculi. ' The following instruments and accessories are required for the examination : a female catheter ; a series of urethral dilators; a series of specula with obturators; a common head mirror, and a lamp,