An American text-book of gynecology, medical and surgical : for practitioners and students / By Henry T. Byford, M. D., Edwin B. Cragin, M. D. ... [and others] Ed. by J. M. Baldy.

  • Baldy, J. M. (John Montgomery), 1860-1934.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: An American text-book of gynecology, medical and surgical : for practitioners and students / By Henry T. Byford, M. D., Edwin B. Cragin, M. D. ... [and others] Ed. by J. M. Baldy. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    hands touch with only the abdominal walls between, we may palpate the ovaries and tubes. If the ovaries are not easily recognized, the fingers of the two hands should be kept in contact and brought toward the pubes and Poupart's ligament, alongside the anteverted uterus, from the cervix toward the fundus. The first decided infor- mation is given by the sudden slipping of the ovarian ligament between the finger-ends, like a tense cord stretched across the field. By repeating this manoeuvre a little further to the side, we come against the ovary, which if small may merely feel like a fusiform enlargement of this cord. The ureter may give a sensation similar to the ovarian ligament, but it feels less tense and is easily traced to the side of the pelvis by the vaginal finger, and thus differentiated. Fig. 6. Bimanual Rectal Palpation of the Pelvis. The round ligament feels like a relaxed cord, and is only felt indef- initely. The normal Fallopian tube gives only a very indefinite sensation, as of a fold of membrane. When enlarged and occluded it usually curves backward over the ovary, and feels somewhat like a small fusiform or club-shaped tumor tapering toward the horn of the uterus. Extensive adhesions usually cause a matting together