Medical diagnosis : a manual of clinical methods / by J. Graham Brown.

Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: Medical diagnosis : a manual of clinical methods / by J. Graham Brown. 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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    ASCITE3 Ovarian Cyst. I. History. No history of lateral de- velopment. Tumour develops from one iliac fossa. II. Inspection. When patient lies on the back there is bulging at the flanks. If the ascites is considerable, the umbilicus is pressed outwards. ** The greatest swelling is anterior, not in the flanks. Sometimes one side of the abdomen is more prominent than the other. III. Percussion. On percussion there is dulness in the flanks, and a clear note over the centre of the abdomen. The dulness is central, the intestines giving a clear note at the sides. Changes of position alter the line of dulness in the manner already described. Change of position does not alter the line of dulness. IV. Aspiration.* Ascitic fluid presents the following characters:— 1. Specific gravity 1’010 to 1015. 2. Light straw colour. 3. Coagulates spontane- ously when exposed to the air. 4. Does not contain par- albumen. Ovarian fluid has the follow- ing characteristics:—• 1. Specific gi’avity l’018 to 1-024. 2. Amber coloured; often syrupy. 3. Seldom or never coagu- lates spontaneously. 4. Contains paralbumen. * The microscopic differences between the two fluids cannot be said to be a3 yet clearly determined. '